Form

Client Intake Questionnaire

First name*

Write all names as they appear on your passport.

Last name*

As it appears on your passport.

Email*

Please provide your personal email address as this will be used for electronic signatures in the future. Do not use your spouse or assistant's email address.

Date of birth

Knowing your age helps us determine the best possible immigration program for you.

Year/Month/Day

What are you interested in?*

What is your profession?*

For example, Electrician, Chef, Pilot, Student, Web developer, Actor, Businessman, Nurse, Teacher.

How many years of full-time work experience do you have in this profession?*

Enter 0 if you have less than one year of experience.

How many years of full-time education have you completed (and passed)?*

What is the highest level of education you have obtained?

For example, Bachelors, Masters, Vocational Diploma.

What was/is your field of study?

For example, Biology, Philosophy, Dance.

How good is your English?*

How good is your French?*

How much bank balance can you show in your visa application?*

What country do you currently live in?*

For example: Australia, Turkey, Saudi Arabia.

What city do you currently live in?*

For example: Moscow, Ankara, Boston.

Marital status*

Your Spouse's Name (if applicable)

Exactly as it appears on his/her passport.

How did you hear about Vimrox Immigration?

Please write complete name of the person or company that referred you.

Please provide the following additional contact information.

Phone number (preferably WhatsApp)?*

+(Country Code) (Area Code) XXX-XXXX

Instagram Handle

If you have an Instagram account.

Please answer the following two optional questions if you are interested in moving to Canada to do your own business.

How much capital can you invest in your own business in Canada?

How much net worth can you show in your visa application? (Net worth means total value of all assets you and your spouse have. Property titles must be in your or your spouse's name).