Law Services for Canadian and American Immigration Barrister and Solicitor4473 St. Catherine WestMontreal, Quebec Canada, H37 1R6Voice: (514) 395-2010, Fax (514) 395-8522leiterb@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, you can e-mail her via leiterb@immcanada.com or communicate by fax at 395-8522.
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
You
English:
Speak Fluently Well With Difficulty Not at all
Write Fluently Well With Difficulty Not at all
Read Fluently Well With Difficulty Not at all
French:
Have you completed secondary school? Yes No In which language did you study in secondary school? Have you attended university? Yes No In which language did you study in post secondary? Dates Attended (MM/YYYY to MM/YYYY) Certificate/Degree obtained Name of Institution Location of Institution (City, Country) Do you have a diploma or apprenticeship certificate? Yes No Dates Attended (MM/YYYY to MM/YYYY) Certificate/Degree obtained Name of Institution Location of Institution (City, Country) If married, What is your spouse's level of education: Not Married Secondary College University Certificate/Degree obtained by your spouse: Dates Attended (MM/YYYY to MM/YYYY): In which language did your spouse study in secondary school? In which language did your spouse study in post secondary school?
Job Title Position When did you start working in this position (MM/YYYY)? 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? How many years of work experience does your spouse have?
Job TitlePosition What were the dates that you worked in this position (MM/YYYY to MM/YYYY) 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?
Please list any other relevant information
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