Consulting Request Form

Basic Information
First Name Last Name
Gender Date of Birth (MM/DD/YYYY)
Citizenship Marital Status
Number of Children Relatives in Canada?

Contact Information
Home Phone Cell Fax
Email Address
Current Residential Address
Legal status in current residence Expiry Date (MM/DD/YYYY)

Work Experience for the past 10 year.
From(YYYY/MM) To(YYYY/MM) Position City/Country Name of Company or Employer
Can you support your work experience?
(Proof of experience such as tax report)
The highest level of your education
(e.g. Secondary, Trade/Apprenticeship, College Diploma/Degree,
Bachelor's Degree, Master's Degree, Ph.D)
Education History
From(YYYY/MM) To(YYYY/MM) Name of Institution City Certificate/Diploma/Degree
List professional Certificates (if any)

English Fluency French Fluency

Payment Notice

Imin Consulting (Canada), Ltd. charges $350/USD per hour for an initial assessment. This fee covers in-depth consultation that is designed to help you develop a long-term immigration plan.

You can pay the fee by credit card/direct deposit/wire transfer. Our account number is 9400 - 5329215 (TD Canada Trust) , and after paying the fee, please notify us of your payment.

If you would like a credit card payment, please fill out the PDF form that we sent to you with the link and email it to or print and fax it to us at +1-604-608-9889.