Immigrant Investor Client Assessment

Last Name  *

Nationality  *

Current country of residence  *

Sex  *  Male   Female 

Age  *

Maritial status  *  Single   Married   Divorced/Separated 

Have you had professional managment experience?  *  Yes   No 

Can you prove managerial experience of 2 years for the past 5 years? (required only for Canada and Quebec IIP)  *  Yes   No 

If Yes, how many years and what was your position?  *

Total value of your assets, in Canadian dollars. Minimum $800,000 (Canada and Quebec IIP). Min €1,000.000 Euros for Bulgaria-EU IIP.  * 1 : : 1 - 3,000,000 1 - 3,000,000  1 : : 3 - 5,000,000 3 - 5,000,000  1 : : more than 5,000,000 more than 5,000,000 

Immigrant Investor Program of Interest  * 1 : : Canada Immigrant Investor Program Canada Immigrant Investor Program  1 : : Quebec Immigrant Investor Program Quebec Immigrant Investor Program  1 : : Bulgaria-EU Immigrant Investor Program Bulgaria-EU Immigrant Investor Program  1 : : UK Immigrant Investor Program UK Immigrant Investor Program  1 : : ALL ALL 

Are you represented by an Immigration Consultant or a Lawyer?  *  Yes   No 

If Yes, please name them

How do you want us to contact you?  *  Email   Phone   Fax 

Email  *

Phone number

Fax number

Questions of Comments  *

   

Field not valid (required or bad value)