21 Simcoe St S Suite 110
Oshawa, ON, L1H 4G1
Canada

289-677-0108

Canadian Immigration Services 

Preliminary Assessment Form

Name *
Name
E.g. September 2000 - June 2002; Durham College; Oshawa, Canada; Diploma; Marketing
E.g. October 2010 - February 2004; Sales Associate; Oshawa, Canada; Old Navy; Yes
Time, city and country, purpose of trip, visa issued (yes/no) E.g. January 2017 - January 2017; London, England; Vacation; No visa