BUSINESS IMMIGRATION FORM Your personal profile First Name Last Name Email Phone Number Nationality ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Current Country of Residence ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited KingdomGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited StatesUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Age ---123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 Marital Status MarriedSingleCommon-law partnerDivorcedWidowed How did you hear about us? Your personal net worth Your Personal Net Worth is the current value of all the assets that you (and your spouse/common-law partner, if applicable) personally own, MINUS the current value of all your combined personal liabilities. Assets = properties, investments, stocks, bonds, bank accounts etc. Personal liabilities = mortgages, loans, credit card balances etc. Amount Currency United Arab Emirates dirhamAfghan afghaniAlbanian lekArmenian dramNetherlands Antillean guilderAngolan kwanzaArgentine pesoAustralian dollarAruban florinAzerbaijani manatBosnia and Herzegovina convertible markBarbados dollarBangladeshi takaBulgarian levBahraini dinarBurundian francBermudian dollarBrunei dollarBolivianoBrazilian realBahamian dollarBhutanese ngultrumBotswana pulaBelarusian rubleBelize dollarCanadian dollarCongolese francSwiss francChilean pesoChinese yuanColombian pesoCosta Rican colonCuban pesoCape Verde escudoCzech korunaDjiboutian francDanish kroneDominican pesoAlgerian dinarEgyptian poundEritrean nakfaEthiopian birrEuroFiji dollarFalkland Islands poundPound sterlingGeorgian lariGhanaian cediGibraltar poundGambian dalasiGuinean francGuatemalan quetzalGuyanese dollarHong Kong dollarHonduran lempiraCroatian kunaHaitian gourdeHungarian forintIndonesian rupiahIsraeli new shekelIndian rupeeIraqi dinarIranian rialIcelandic krónaJamaican dollarJordanian dinarJapanese yenKenyan shillingKyrgyzstani somCambodian rielComoro francNorth Korean wonSouth Korean wonKuwaiti dinarCayman Islands dollarKazakhstani tengeLao kipLebanese poundSri Lankan rupeeLiberian dollarLesotho lotiLithuanian litasLibyan dinarMoroccan dirhamMoldovan leuMalagasy ariaryMacedonian denarMyanma kyatMongolian tugrikMacanese patacaMauritanian ouguiyaMauritian rupeeMaldivian rufiyaaMalawian kwachaMexican pesoMalaysian ringgitMozambican meticalNamibian dollarNigerian nairaNicaraguan córdobaNorwegian kroneNepalese rupeeNew Zealand dollarOmani rialPanamanian balboaPeruvian nuevo solPapua New Guinean kinaPhilippine pesoPakistani rupeePolish złotyParaguayan guaraníQatari riyalRomanian new leuSerbian dinarRussian rubleRwandan francSaudi riyalSolomon Islands dollarSeychelles rupeeSudanese poundSwedish krona/kronorSingapore dollarSaint Helena poundSierra Leonean leoneSomali shillingSurinamese dollarSouth Sudanese poundSão Tomé and Príncipe dobraSyrian poundSwazi lilangeniThai bahtTajikistani somoniTurkmenistani manatTunisian dinarTongan paʻangaTurkish liraTrinidad and Tobago dollarNew Taiwan dollarTanzanian shillingUkrainian hryvniaUgandan shillingUnited States dollarUruguayan pesoUzbekistan somVenezuelan bolívarVietnamese dongVanuatu vatuSamoan talaCFA franc BEACEast Caribbean dollarCFA franc BCEAOCFP franc (franc Pacifique)Yemeni rialSouth African randZambian kwachaZimbabwe dollar Please be sure to include your share of the value of any businesses that you own. Your management experience. Do you have at least two years of management experience? YesNo This may have been gained in a private or public business, international agency, government or government department, professional practice, or farming. Your English language skills Read Write Speak Listen BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker Your French language skills Read Write Speak Listen BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker BasicLow IntermediateHigh IntermediateAdvancedNative speaker Questions and Comments