Form – Immiq

Have you used our service before?

Yes No

How did you find out about us?

Personal Information

Indicate whether you are

The Applicant The Spouse

Full Name (as shown in the passport)

Age

Gender (as shown on your birth certificate)

Place of Birth (City/Town)

Place of Birth (Country)

Country of Citizenship

Are you a Permanent Resident of any country other than your country of Citizenship?

Yes No

Contact Information

Residential Address

City / Town

Province / State / District

Country

Phone Number (with country code)

Email Address

Education

Education Qualification

Grade 10 / Elementary

Yes No

Grade 12 / Senior Seconday

Yes No

University / College

Yes No

Degree / Diploma / Certificate

Yes No

Occupation

Current Occupation

Job Title

Wage per hour

NOC / Teer Category

Family

Are you married?

Yes No

Do you have any kids?

Yes No

Do you or your spouse have at least one brother or sister living in Canada who is a citizen or permanent resident?

Yes No

Immigration

Current Country of Residence

Country

Status

From

Have you created an Express Entry profile in the past?

Yes No

Do you have a valid Educational Credential Assessment (ECA) from an authorised agency?

Yes No

Do you have a valid Language Test Result from a designated testing agency?

Yes No

Do you have a valid Immigration Medical Certificate from a designated panel physician?

Yes No

Do you have a Police Clearnance Certificate (PCC) from your high commission or consultate?

Yes No

Do you have a Provisional Attestation Letter (PAL) issued by a provincial government

Yes No

Do you have a Nomination Certificate from a province or territory?

Yes No

Verification

Have you, or, any of your family members, ever

been convicted of a crime or offece in Canada for which a pardon has not been granted under the Criminal Records Act of Canada?

Yes No

been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any other country or territory?

Yes No

made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country(ies) or territory(ies), or with the United Nations High Commissioner for Refugees (UNHCR) ?

Yes No

been refused refugee status, an immigrant or permanent resident visa or visitor or temporary resident visa, to Canada or any other country or territory? (including a Certificat de Selection du Quebec (CSQ) or application to the Provisional Nominee Program )

Yes No

been refused admission to, or ordered to leave, Canada or any other country or territory?

Yes No

been involved in an act of genocide, a war crime or in the commsission of a crime against humanity?

Yes No

used, planned or advocated the use of armed struggle or violence to reach political, religious, or social objectives?

Yes No

been associated with a group? (that used, uses, advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives)

Yes No

been member of an organization? (that is or was engaged in an activity that is part of a pattern of criminal activity)

Yes No

been detained, incarcerated or put in jail?

Yes No

had any serious disease or physical or mental disorder

Yes No

held any government positions? (such as civil servant, judge, police officer, mayor, member of parliament or hospital administrator)

Yes No

served in any military, militia, parliamentary service, civil defence unit or served in a security organisation? (including non obligatory national service, reserve or volunteer units)

Yes No

witnessed or participated in the ill treatment or prisoners or civilians, looting or desecration of religious buildings?

Yes No

What is your query?

Please share your specific question. Include any relevant details, information you need. (Max. 250 characters)

Disclaimer and Consent Agreement

By submitting personal information through this webform, you acknowledge and agree to the following terms and conditions:

1. General Information Only

The advice provided through immiQ is intended for general informational purposes only and does not constitute legal advice. While we strive to provide accurate and helpful responses, the information provided may not be applicable to every situation. For personalized guidance, we recommend consulting with a licensed immigration professional.

2. No Client-Professional Relationship

The submission of your inquiry and our response do not create a formal client-professional relationship between you and Rivergate Immigration Service Limited. This free service is offered solely to assist with general immigration questions, and any advice provided should not be considered a substitute for professional legal consultation.

3. Privacy and Data Handling

By submitting this form, you consent to Rivergate Immigration Service Limited collecting, storing, and processing your personal information for the purpose of responding to your inquiry. All information will be handled in compliance with applicable privacy laws and in accordance with our Privacy Policy. However, please note that electronic transmission carries inherent risks, and we cannot guarantee complete confidentiality.

4. Consent to Follow-Up Communication By providing your contact details, you agree to allow Rivergate Immigration Service Limited to reach out to you in relation to your inquiry. This may include requests for additional information to provide more accurate advice, as well as clarifications or follow-up communications.

5. Limitation of Liability

Rivergate Immigration Service Limited shall not be liable for any damages or losses arising from the use of the information provided through immiQ. This includes, but is not limited to, direct, indirect, incidental, or consequential damages, whether resulting from reliance on the information or other related factors.

6. Consent Confirmation By checking the box below and submitting this form, you confirm that you have read, understood, and agreed to this disclaimer and consent agreement, including the data handling and communication terms.

I have read and agree to the terms and conditions

Tell us who you are

Personal Information

Contact Information

Residential Address

Education

Education Qualification

Occupation

Current Occupation

Family

Immigration

Current Country of Residence

Verification

Have you, or, any of your family members, ever

What is your query?

Disclaimer and Consent Agreement

From the house of