Scribd
Upload
34 views

Canadian Provincial Nominee & Immigration Services: Application For Immigration / Permanent Residency

This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

Uploaded by

elguettaa toufik
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
34 views

Canadian Provincial Nominee & Immigration Services: Application For Immigration / Permanent Residency

This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

Uploaded by

elguettaa toufik
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Canadian Provincial Nominee & Immigration Services Form 001

APPLICATION FOR IMMIGRATION / PERMANENT RESIDENCY

I - Please specify category for which you are applying:

Business Class Type of Application


Family Class / Sponsorship Tourist/TRV Investor Federal
Student x Entrepreneur x PNP
x Skilled Worker x Self-Employed
II - PERSONAL INFORMATION

1. Full Name (as shown in the passport / travel document)

Mr Elguettaa Toufik
Title (Mr/Ms/Mrs) (Family Name) (Given Name) (Middle Name)
2. Date of Birth 26/02/1989 (dd/mm/yy) Place of Birth Algiers Country of Citizenship Algeria
III - EDUCATION

a. Highest Level of Completed Education


Secondary / High School x Bachelor's Degree
x Vocational / Trade / Apprenticeship x Master's Degree / PhD
College Others
(specify)

b. Current Occupation: CEO How long ? 03 (years) 10 (months)

IV - LANGUAGE PROFICIENCY
Principal Applicant Spouse (if Married)
Language Excellent Very Good Good Fair Language Excellent Very Good Good Fair
English x English x
French x French x
Others (specify) Arabe Others (specify) Arabe
V - MARITAL STATUS
x Married Widow / Widower
Single Common-Law
Divorced / Separated

VI - SPOUSE DETAIL (if married)


a. Bougherara Elguettaa Nesrine
(Family Name) (Given Name) (Middle Name)
b. Date of Birth (dd/mm/yy) Place of Birth Country of Citizenship

c. Highest Level of Completed Education


x Secondary / High School Bachelor's Degree
x Vocational / Trade / Apprenticeship Master's Degree / PhD
College Others
(specify)
d. Current Occupation: commercial director How long ? 03 (years) 04 (months)
e. Children's Detail (if any)
Name Date of Birth Place of Birth
Ania & Elyna "twin" 28/06/2018 Algiers
Adem 04/08/2019 Algiers
VII - DO YOU HAVE ANY FIRST DEGREE RELATIVES IN CANADA ?
Yes
No

VIII - WHERE DO YOU INTEND TO LIVE IN CANADA ?


City/Town Province

IX - YOUR CONTACT DETAILS


Address : 08 street of Omar bounagaze el biar Algiers Algeria

Mobile # : +213 550 017 799 Landline # : Email : [email protected]

Please fill application and mail to: Canadian Provincial Nominee & Immigration Services, 2300 Yonge St., Suite 1750, Toronto,
Ontario, M4P 1E4, Canada. Tel. +1-416-447-7033 / fax +1-416-447-7002 / email: [email protected] / website: www.cpnis.com
N.B. Any Additional information, i.e., education, work experience and children's information could be provided on extra sheet.

You might also like