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Canada Entrepreneur Immigration Eligibility Assessment Form
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Name
*
Last Name
*
Date of Birth
*
Martial Status
*
Single
Married
Divorced
Other
Email
*
Phone
*
Website (if any)
Country of Birth
*
Iran
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People’s Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People’s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Eswatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
British Virgin Islands
U.S. Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Select the investment-based immigration program you are interested in.
*
Quebec Investment Method
Start-up Visa Pathway
British Columbia Provincial Entrepreneur Pathway
Ontario Provincial Entrepreneur Pathway
Nova Scotia Provincial Entrepreneur Pathway
ICT Pathway
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Value of your assets in Canadian dollars
less than 2,000,000
2,000,000-5,000,000
more than 5,000,000
What is the source of your assets?
*
Personal business
Inheritance
other
Do you have experience in business management or ownership?
*
No
Yes
Your business activity field
*
production
services
trade
other
Please briefly describe your company’s field of activity.
*
What is the source of your assets?
*
How many years of managerial experience do you have?
*
How many years of managerial experience do you have?
*
less than 3 years
3 to 5 years
more than 5 year
Do you have a business or start-up idea that you plan to launch in Canada?
No
Yes
Do you have experience launching or managing a start-up?
*
No
Yes
Field of activity for your start-up idea
*
production
services
technology
other
Details
*
Please provide a brief description of your idea.
*
Please write the name and start-up you have managed or founded.
*
How many years of managerial experience do you have?
*
less than 3 years
3 to 5 years
more than 5 year
Value of your assets in Canadian dollars
*
کمتر از 600هزار دلار
600هزار دلار تا 1 میلیون دلار
بیشتر از 1 میلیون دلار
What is the source of your assets?
*
Personal business
Inheritance
other
Do you have experience in business management or ownership?
*
No
Yes
Your business activity field
*
production
services
trade
other
Please briefly describe your company’s field of activity.
*
What is the source of your assets?
*
How many years of managerial experience do you have?
*
How many years of managerial experience do you have?
*
less than 3 years
3 to 5 years
more than 5 year
Value of your assets in Canadian dollars
*
Less than $800,000 (for cities outside Toronto)
More than $1.5 million
What is the source of your assets?
*
Personal business
Inheritance
Other
Do you have experience in business management or ownership?
*
No
Yes
Your business activity field
*
production
services
trade
other
Please briefly describe your company’s field of activity.
*
What is the source of your assets?
*
How many years of managerial experience do you have?
*
How many years of managerial experience do you have?
*
less than 3 years
3 to 5 years
more than 5 year
Value of your assets in Canadian dollars
*
less than 600,00
more than 600,00
What is the source of your assets?
*
Personal business
Inheritance
other
Do you have experience in business management or ownership?
*
No
Yes
Your business activity field
*
production
services
trade
other
Please briefly describe your company’s field of activity.
*
What is the source of your assets?
*
How many years of managerial experience do you have?
*
How many years of managerial experience do you have?
*
کمتر از 3 سال
بین 3 تا 5 سال
بیش از 5 سال
Is your company considered a multinational corporation (MNC) with revenue-generating operations in at least two countries?
*
No
Yes
Please list the countries.
*
Your position in the company
*
Length of employment at this company
*
کمتر از 3 سال
3 to 5 years
more than 5 years
Does your position require specialized knowledge?
*
No
Yes
Please describe the type of specialized knowledge you possess.
*
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Do you intend to invest in a specific project in Quebec?
*
No
Yes
The amount of your planned investment in Quebec (in Canadian dollars):
*
2,000,000 - 1,000,000
5,000,000 - 2,000,000
+5,000,000
Your level of French:
*
basic
inter-mediate
advanced
full-proficiency
Have you ever lived or worked in Quebec or other Canadian provinces?
*
No
Yes
Please enter the name of the project you wish to invest in.
*
Please write the name of the province where you have lived or worked in Canada.
*
Have you contacted any support organizations (Incubator, Accelerator, or Angel Investor) to support your start-up?
*
No
Yes
Please provide the name of the organization and the status of the support.
*
Do you have a team for your start-up?
*
No
Yes
The amount of your planned initial investment (in Canadian dollars):
*
100,000
100,000-500,000
+500,000
Your level of English or French:
*
basic
inter-mediate
advanced
full-proficiency
Please describe your team and each member's role.
*
Have you ever had work or study experience in Canada or another country?
*
No
Yes
Please briefly explain the province where you worked or studied in Canada or another country.
*
Do you plan to start a business in British Columbia or prefer to purchase an existing business in this province?
*
Starting a new business
Buying an existing business
Both
The amount of your planned investment in British Columbia (in Canadian dollars):
*
200,000 - 500,000
500,000 - 1,000,000
more than 1,000,000
Level of English or French proficiency
*
basic
inter-mediate
advanced
full-proficiency
Have you ever lived or worked in Canada?
*
No
Yes
Please write the name of the province where you have lived or worked in Canada.
*
Do you plan to start a business in Ontario or prefer to purchase an existing business in this province?
*
Starting a new business
Buying an existing business
both
The amount of your planned investment in Ontario (in Canadian dollars):
*
$200,000 to $500,000 (for cities outside Toronto)
More than $600,000 (for Toronto and surrounding areas)
Level of English or French proficiency
*
basic
inter-mediate
advanced
full-proficiency
Have you ever lived or worked in Canada?
*
No
Yes
Please write the name of the province where you have lived or worked in Canada.
*
Do you plan to start a business in Nova Scotia or prefer to purchase an existing business in this province?
*
راهاندازی بیزنس جدید
خرید بیزنس فعال
هر دو
The amount of your planned investment in Nova Scotia (in Canadian dollars):
*
less than 150,000
more than 150,000
Level of English or French proficiency
*
basic
inter-mediate
advanced
full-proficiency
Have you ever lived or worked in Canada?
*
No
Yes
Please write the name of the province where you have lived or worked in Canada.
*
Level of English or French proficiency
*
basic
inter-mediate
advanced
full-proficiency
The position you are considering for the Canadian branch
*
executive manager
chief manager
specialist expert
other
Please describe your position.
*
Does your company have a branch or revenue-generating office in Canada?
*
No
Yes
Do you have experience with an intra-company transfer to another country?
*
No
Yes
Please provide the name and address of the branch.
*
Please write the country name and provide details.
*
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Do you have documents proving financial means to cover living expenses for yourself and your family in Quebec?
*
No
Yes
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
Do you have documents proving financial means to cover living expenses for yourself and your start-up team?
*
خیر
بله
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
Do you have documents proving financial means to cover living expenses for yourself and your family in Biritsh Colombia ??
*
No
Yes
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a plan to create new jobs for your business in British Columbia?
*
No
Yes
Please provide details about your plan, such as how many jobs you intend to create.
*
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
Do you have documents proving financial means to cover living expenses for yourself and your family in Ontario?
*
No
Yes
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a plan to create new jobs for your business in Ontario?
*
No
Yes
Please provide details about your plan, such as how many jobs you intend to create.
*
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
Do you have documents proving financial means to cover living expenses for yourself and your family in Nova Scotia?
*
No
Yes
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a plan to create new jobs for your business in Nova Scotia?
*
No
Yes
Please provide details about your plan, such as how many jobs you intend to create.
*
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
Do you have documents proving financial means to cover living expenses for yourself and your family in Canada?
*
No
Yes
Do you have a visa refusal from Canada or another country?
*
No
Yes
Please list the names of the countries.
*
Do you plan to apply for Canadian permanent residency in the future?
*
No
Yes
Do you have a criminal record?
*
No
Yes
Please provide a brief explanation about your criminal record.
*
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