Client Information Form

Your Basic Information

Spouse's ( Husband, Wife or Common-Law Partner ) Personal Details (if Applicable)

Place of Birth

Net Worth

Your personal net worth is the current value of all the assets (e.g. properties, investments, stocks, bonds, bank accounts) that you (and your spouse/common-law partner, if applicable) personally own, MINUS the current value of all your combined personal liabilities (e.g. mortgages, loans, credit card balances). Please be sure to include your share of the value of any businesses that you own

Business Experience

Your management experience may have been gained in a private or public business, international agency, government or government department, professional practice, or farming.

During any two of the last five years:

DESCRIPTION OF BUSINESS

BUSINESS PLAN IN CANADA

EDUCATION

LANGUAGE ABILITY

ENGLISH

FRENCH

EXPLORATORY VISIT

ADMISSIBILITY

FINAL DETAILS

DECLARATION

Furthermore,*