耶和华是我的牧者, 我必不至缺乏   - 诗篇二十三首

                       ASSESSMENT FOR IMMIGRATION CATEGORY IN CANADA—移民评估表

 

Name (姓名): _____________________                   E-MAIL(电子邮件):________________________

TEL(电话):____________________                 FAX(传真): _______________________________

1. Personal Details of Myself and My Dependents(Spouse, Children): 申请人和随行人资料(配偶和子女)

Fimaly Name

 

First Name

 

Other Names

 

曾用名

Date of Birth (dd/mm/yy)

出生年月日

Place of Birth (Province/Country)

出生地

Relationship to me

 

与申请人关系

To Accompany me toCanada

是否同赴加拿大

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.Details of My and My Spouse’s Education申请人及配偶的教育情况(请从小学写起)

From

(dd/mm/yy)

从年月日

To (dd/mm/yy)

到年月日

Name of Institution (Including Apprenticeship Training)

学院/学校名称(包括实习证书)

Province/Country

 

省份/国家

Type of Certificate or Diploma

所获的学位或文凭

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

(dd/mm/yy)

从年月日

To (dd/mm/yy)

到年月日

Name of Institution (Including Apprenticeship Training)

学院/学校名称(包括实习证书)

Province/Country

 

省份/国家

Type of Certificate or Diploma

所获的学位或文凭

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Details of My and My spouse’s job description and responsibilities for the past 10 years(Continue)申请人和配偶过去十年工作经历

From

(dd/mm/yy)

从年月日

To (dd/mm/yy)

到年月日

Name of Company/Organization

 

公司或组织名称

Province/Country

 

省份/国家

Job Title

 

职位名称

Relationship to Me

与我的关系

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of My and My spouse’s job description and responsibilities for the past 10 years(Continue)申请人和配偶过去十年工作经历(继续)

From

(dd/mm/yy)

从年月日

To (dd/mm/yy)

到年月日

Name of Company/Organization

 

公司或组织名称

Province/Country

 

省份/国家

Job Title

 

职位名称

Relationship to Me

与我的关系

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My Job duties in details (please list out your job duties at least 6 points): 申请人的工作职责 (请至少列出6项工作职责)

1, ______________________________________________________________________

2, _______________________________________________________________________

3, __________________________________________________________________________

4, ___________________________________________________________________________

5, ___________________________________________________________________________

6,_____________________________________________________________________________

How many person under my supervision ____________申请人管理多少名员工

 

My wife Job duties in details (please list out your job duties at least 6 points): 配偶的工作职责 (请至少列出6项工作职责)

1, ______________________________________________________________________

2, _______________________________________________________________________

3, ________________________________________________________________________

4, _________________________________________________________________________

5, _________________________________________________________________________

6,__________________________________________________________________________

How many person under my wife’s supervision _________配偶管理多少名员工

 

4. My and My spouse’s Language Ability 语言能力

My Ability in English   英语能力

My Ability in French    法语能力

Listening

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Listening

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Speaking

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Speaking

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Reading

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Reading

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Writing

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Writing

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

 

My Spouse’s Ability in English   英语能力

My Spouse’s Ability in French    法语能力

Listening

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Listening

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Speaking

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Speaking

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Reading

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Reading

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Writing

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

Writing

Fluently

流利

Well

With Difficulty

一般,有点难

Not at all

不会

 

5. If you or your spouse own(s) a business please provide for the last three years of business description 如果你或你的配偶经营或拥有企业,请提供过去五年企业的情况

Year

Sales(CAD)

销售额(加元)

#of Employee

雇员人数

Net Assets

净资产(加元)

Net Profit(CAD)

净利润(加元)

Investments into Business(CAD)& percentage

申请人在企业的投资额(加元)& 百分比

2014

 

 

 

 

 

2013

 

 

 

 

 

2012

 

 

 

 

 

2011

 

 

 

 

 

2010

 

 

 

 

 

6.I or my spouse have(has) following assets minus debts or legal obligations, such as child support payments 我或我的配偶拥有以下的资产(是减去负债或责任后的资产, 例如孩子的抚养费(人民币)等)

Transferable Money(CAD)

总的可转帐的金额

(加元)

Property(CAD)

财产(房产,债券和股票)(加元)

Monthly Transferable Pension(CAD)

每月可转帐的金额/保险

(加元)

Other(CAD)

其它

(加元)

Real Estate

房地产(加元)

Stock

股票(加元)

Bond

债券(加元)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. The following person, employer or organization in Canada offered to assist me or my spouse after arrival 以下个人或公司同意在我或我配偶到达加拿大或提供我或我配偶工作职位

From (dd/mm/yy)

从年月日

To (dd/mm/yy)

到年月日

Name of Company/Organization

 

公司或组织名称

Destination inCanada, (City/Province)

目的地(省份/城市)

Job Description/Title

 

职位名称和职位描述

 

 

 

 

 

 

8. Do you or your spouse have(has) any relatives inCanada?你或你的配偶有无亲戚在加拿大?

 

Your relatives你的亲戚(eg. uncle, anti,and so on如叔伯,姑姨等)

Your spouse’s relatives你配偶的亲戚( (eg. uncle, anti,and so on如叔伯,姑姨等)

Relationship to you or your spouse与你或你配偶的关系

 

 

 

9.  是否有其他的海外工作学习经历,具体详细情况如何?