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    Canadian Provincial Nominee & Immigration Services: Application For Immigration / Permanent Residency

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    elguettaa toufik
    This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

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    Canadian Provincial Nominee & Immigration Services: Application For Immigration / Permanent Residency

    Uploaded by

    elguettaa toufik
    23 views1 page
    This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

    Original Description:

    Original Title

    Form-001-Application-form-2019

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    This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

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    © All Rights Reserved
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    Flag for inappropriate content
    Download as pdf or txt
    23 views1 page

    Canadian Provincial Nominee & Immigration Services: Application For Immigration / Permanent Residency

    Uploaded by

    elguettaa toufik
    This document is an application for immigration and permanent residency to Canada. It contains sections for the applicant to provide personal information such as name, date of birth, education history, language proficiency, marital status, and contact details. The applicant is applying under the entrepreneur provincial nominee program and indicates their intended province of residence as Canada. They are currently living in Algeria with their spouse and three young children.

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    of 1

    Canadian Provincial Nominee & Immigration Services Form 001

    APPLICATION FOR IMMIGRATION / PERMANENT RESIDENCY

    I - Please specify category for which you are applying:

    Business Class Type of Application


    Family Class / Sponsorship Tourist/TRV Investor Federal
    Student x Entrepreneur x PNP
    x Skilled Worker x Self-Employed
    II - PERSONAL INFORMATION

    1. Full Name (as shown in the passport / travel document)

    Mr Elguettaa Toufik
    Title (Mr/Ms/Mrs) (Family Name) (Given Name) (Middle Name)
    2. Date of Birth 26/02/1989 (dd/mm/yy) Place of Birth Algiers Country of Citizenship Algeria
    III - EDUCATION

    a. Highest Level of Completed Education


    Secondary / High School x Bachelor's Degree
    x Vocational / Trade / Apprenticeship x Master's Degree / PhD
    College Others
    (specify)

    b. Current Occupation: CEO How long ? 03 (years) 10 (months)

    IV - LANGUAGE PROFICIENCY
    Principal Applicant Spouse (if Married)
    Language Excellent Very Good Good Fair Language Excellent Very Good Good Fair
    English x English x
    French x French x
    Others (specify) Arabe Others (specify) Arabe
    V - MARITAL STATUS
    x Married Widow / Widower
    Single Common-Law
    Divorced / Separated

    VI - SPOUSE DETAIL (if married)


    a. Bougherara Elguettaa Nesrine
    (Family Name) (Given Name) (Middle Name)
    b. Date of Birth (dd/mm/yy) Place of Birth Country of Citizenship

    c. Highest Level of Completed Education


    x Secondary / High School Bachelor's Degree
    x Vocational / Trade / Apprenticeship Master's Degree / PhD
    College Others
    (specify)
    d. Current Occupation: commercial director How long ? 03 (years) 04 (months)
    e. Children's Detail (if any)
    Name Date of Birth Place of Birth
    Ania & Elyna "twin" 28/06/2018 Algiers
    Adem 04/08/2019 Algiers
    VII - DO YOU HAVE ANY FIRST DEGREE RELATIVES IN CANADA ?
    Yes
    No

    VIII - WHERE DO YOU INTEND TO LIVE IN CANADA ?


    City/Town Province

    IX - YOUR CONTACT DETAILS


    Address : 08 street of Omar bounagaze el biar Algiers Algeria

    Mobile # : +213 550 017 799 Landline # : Email : elguettaa.toufik@gmail.com

    Please fill application and mail to: Canadian Provincial Nominee & Immigration Services, 2300 Yonge St., Suite 1750, Toronto,
    Ontario, M4P 1E4, Canada. Tel. +1-416-447-7033 / fax +1-416-447-7002 / email: inquiry@cpnis.com / website: www.cpnis.com
    N.B. Any Additional information, i.e., education, work experience and children's information could be provided on extra sheet.

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