Express Entry Questionnaire

The information gathered in this document will be used to assess your Canadian immigration options and is protected by the Immigration Consultants of Canada Regulatory Council (ICCRC) Code of Professional Ethics and Canadian privacy laws. Your information will be held in the strictest of confidence and will not be shared with anyone without your explicit written consent. The information gathered in this document is subject to the privacy policy of Canada Immigration and Visa Services Inc (CIVS) which is published online at https://civs.ca/privacy-policy/.

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First Name *

From your passport

Middle Name

From your passport

Last Name *

From your passport

Email *

Date of Birth

Place of Birth

City, Country

Telephone Number

Please include country code

Skype ID

Current Address

City

State/Province

Zip/Postal

Country

Native Language

Marital Status

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CIVS is owned and managed by Sean G McKinsley, Regulated Canadian Immigration Consultant (RCIC). CIVS is headquartered at the Maximus 88 Professional Center located in the Sunalta beltline. We are pleased to offer free on-site parking. We are also steps away from the Sunalta LRT C-train station.

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