Date: Wed, 31 Dec 1997 21:25:11 GMT Server: Apache/1.2.1 Last-Modified: Wed, 26 Feb 1997 16:39:21 GMT ETag: "c8d0e-24ff-33146739" Content-Length: 9471 Accept-Ranges: bytes Connection: close Content-Type: text/html ImmCanada.com: Immigration Questionnaire

Barbara J. Leiter, LLB: Law
Services for the Canadian Immigrant
Barrister and Solicitor
800 Rene Levesque West, Suite 2400
Montreal, Quebec
Canada, H3B 1X9
Voice: (514) 395-2010, Fax (514) 397-8608
leiterb@immcanada.com

If you'd like to inquire about Ms. Leiter's legal services, please fill out this questionnaire so that she may serve you better. Alternately, if your browser does not support forms, email her at leiterb@immcanada.com or communicate by fax at 397-8608.


Personal Information

Last Name
Given Name(s)
E-Mail Address
Mailing Address
Business Phone Number
Fax Number
Home Phone Number
Date Of Birth (DD/MM/YY)
Age
Male Female Married Single
Your Occupation
Spouse's Occupation
Citizen Of
Resident Of
Num. Of Children Immigrating With You
Ages Of Children Immigrating With You
Do You Have Relatives In Canada? Yes No
Relationship with Relatives in Canada


Language Skills

English: Speak Write Read
French: Speak Write Read

Education

Have you completed secondary school? Yes No
Have you attended university? Yes No
Certificate/Degree obtained

Name of Institution

Location of Institution (City, Country)


Do you have a diploma or apprenticeship certificate? Yes No
Certificate/Degree obtained

Name of Institution

Location of Institution (City, Country)

Present Employment and/or Business Experience

Job Title

Position

Number Of Years In Position


What are your specific duties and responsibilities?

Do you own part or all of the business? Yes No
Do you manage part or all of the business? Yes No
If YES, how many employees do you manage?

Past Employment and/or Business Experience

Job Title

Position

Number Of Years In Position


What were your specific duties and responsibilities?

Did you own part or all of the business? Yes No
Did you manage part or all of the business? Yes No
If YES, how many employees did you manage?

Other Relevant Information

Please list any other relevant information



[ home | profile | resources | questionnaire]


Important Note: Information provided at this Web site is provided for exclusively informational purposes. In no way should this information be construed as legal advice. Please consult a lawyer.

Original content Copyright © 1996 meep! media inc. All rights reserved.
Last modified 17:47 02/17/97
Webmaster