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Immigration Intake Form

please print clearly all the information below. this information will be used to determine if our office is interested in forming a consultant /client relationship in the future. no consultant/client relationship is established by providing this information

Information

How Did You Hear About Us?
Facebook
Instagram
Me Quiero Ir
Radio
Internet
Former Client
Family/Friend
Client Referral
Other

Personal information

Dirección de varias líneas
Date of Birth
Month
Day
Year
Do you have a good command of the English Language?
Yes
No

Immigration

Entered with a visa?
Yes
No
Other Visa Petitions or Immigration Cases?
Yes
No
Has anyone ever petitioned for you on an immigration matter?
Yes
No
Have you ever been denied any type of Canadian visa or Permanent Residence Petition?
Yes
No
Have you ever lied to an Immigration Officer to obtain Immigration Benefits?
Yes
No
Have you ever been charged, arrested, accused, or convicted of a crime?
Yes
No
Have you ever appeared in court in connection with a criminal matter?
Yes
No
Have you ever been in deportation proceedings or had to appear in immigration court?
Yes
No
Have you ever been detained by an immigration officer?
Yes
No

Employment information

Dirección de varias líneas

Education Information

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