First Name
Last Name
Street address Civic number, street name and apartment number.
City
Province Ontario Quebec New Brunswick Nova Scotia Prince Edouard Island Newfoundland and Labrador Manitoba Saskatchewan Alberta British Colombia Yukon North west Territories Nunavut
Postal Code
Telephone xxx-xxx-xxxx
Email
Country of birth Canada Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benign Bhutan Belarus Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Democratic Republic of Congo Democratic People's Republic of Korea Djibouti Dominica Dominican Republic Egypt Emirates Ecuador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germania Ghana Greece Grenade Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary India Indonesia Iraq Iran Irland Iceland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kyrgyzstan Kiribati Kuwait Laos People's Democratic Republic Lesotho Latvia Lebanon Liberia Libya Lithuania Luxembourg Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritius Mauritania Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Neitherlands Nicaragua Niger Nigeria Norway New Zealand Oman Pakistan Palau Panama Papua New Guined Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Russia Romania Rwanda San Marino Saint-Kitts-and-Nevis St. LUCIA Saint Vincent and Grenadines Salvador Salomo Islands Samoa Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapor Slovakia Slovenia Somalia Sudan Spain Sri Lanka Sweden Switzerland Suriname Swaziland Syrian Arab Republic Tajikistan Thailand East Timor Togo Tonga Trinidad and Tobago Tunisia Turkmenistan Turkey Tuvalu Uganda Ukraine United Kingdom of Great Britain and Northern Ireland United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Yugoslav Republic of Macedonia Zambia Zimbabwe
Immigration Status Canadian citizen Permanent resident Refugee according to the convention Seeking asylum Ukainian under CUAET program
Gender Female Male Other gender identity
French level Complete Beginner Beginner Intermediate Advanced
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If you are eligible for the Clic en ligne program, would you like us to share your information with the assessment center to be contacted? Yes, I agree to have my information shared with the assessment center to be contactedNo, I do not wish for my information to be shared with the assessment center
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