| Field Name | Field Value |
|---|---|
| Where are you currently living? | Any other country |
| Disqualifying Message: Living in Canada | |
| Disqualifying Message: Living in EU/UK | |
| What is your Canadian Immigrant Status | Entrepreneur |
| Disqualifying Message: Visa – temp or less than 8 weeks | |
| Disqualifying Message: Visa – Quebec Skilled Worker Program | |
| What is your estimated Canadian arrival date? | 2023-12-31 |
| Disqualifying Message: Less than 8 weeks away | |
| Disqualifying Message: More than a year away | |
| Do you intend to immigrate to Quebec? | |
| Disqualifying Message: intends to immigrate to Quebec | |
| Preferred Service Language | English Only |
| Disqualifying Message: French language only | |
| What is your Canadian language benchmark (CLB)? | CLB 5 to 7 – intermediate |
| Disqualifying message: CLB 4 or less | |
| Client Consent to Collect, Use and Disclose Personal Information | I agree |
| HTML Block | |
| User Qualifies Message | |
| Permanent Resident Identification Number / Unique Client Identifier | 12345678 |
| Name | Test5 T User |
| test5@yourwebsitebuild.com | |
| Date of Birth | 1982-12-06 |
| What is your gender identity? | his_Male |
| Self-described gender identity | |
| Primary language spoken | English |
| How did you hear about the Canada InfoNet program? | Through JVS Employee |
| Which program were you referred by? | |
| Destination Province | Ontario |
| I chose this province because | I have a spouse/partner/family/friends in this province |
| Destination City (if known) | |
| Are you open to exploring career opportunities beyond big cities in Canada? | Yes |
| Highest Level of Education | Non-University Diploma or Certificate |
| Current Occupation | IT Professional/Software Developer |
| Please describe your current occupation | |
| Please choose the level that best describes your experience | Executive (C-level) |
| Current industry for work | Information and cultural industries |
| IRCC Info | |
| May IRCC, or an independent research company acting for IRCC, contact you in the future? | No |
| Submit at least one eligibility document | https://new.canadainfonet.org/wp-content/uploads/gravity_forms/7-8a695d5bb0ca09d18b26a59fb34fa5ab/2023/11/Screenshot-2023-11-01-at-9.10.14-AM.png |
| Upload your resume, if you have one | |
| Username | test5user |
| Password |
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