Detialed Assessment

First Name

Middle Name

Last Name

Your Email

Phone Number

Country of interest

ADDRESSES

List all addresses where you have lived the past 10 years. Do not use P.O. box addresses. Please input tentative dates exact dates are not mandatory.

Address 1

From

Address 2

From

Address 3

From

Please, provide the following information of you, your spouse or common-law partner and each dependent child 18 years old. or older and complete this questionnaire individually for each person mentioned above:

FAMILY INFORMATION

*Please include both mother’s current family name and family name at birth (maiden name). Also provide all the names in both English (as shown in foreign passports) and your native language (if applicable).

**Please, make sure that you provide the full current addresses and indicate clearly both apartment and building numbers, and postal codes.

Spouse

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Children

Children (Include All Sons and daughters, including All adopted and Step-Children, regardless of age or place of residnece)

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Relationship

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Relationship

Siblings

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Relationship

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Relationship

First Name

Middle Name

Last Name

City & Country of Birth

Date of Birth

Relationship

Parents

First Name

MIddle Name

Last Name

City & Country of birth

Date of birth

Relationship

Date of Dealth (If Applicable)

First Name

MIddle Name

Last Name

City & Country of birth

Date of birth

Relationship

Date of Dealth (If Applicable)

Education/ Ielts

Sr no. From To Percentage Stream Board name Qualification

1 From To Percentage Stream Board name Qualification

2 From To Percentage Stream Board name Qualification

3 From To Percentage Stream Board name Qualification

4 From To Percentage Stream Board name Qualification

5 From To Percentage Stream Board name Qualification

English proficiency test

Type of exam

Exam Date

Listening

Reading

Writing

Speaking

Overall

French proficiency test

Type of exam

Exam Date

Listening

Reading

Writing

Speaking

Overall

ECA ( educational certificate assessment ) YesNo

Spouse education details

Sr no. From To Percentage Stream Board Qualification

1 From To Percentage Stream Board name Qualification

2 From To Percentage Stream Board name Qualification

3 From To Percentage Stream Board name Qualification

4 From To Percentage Stream Board name Qualification

5 From To Percentage Stream Board name Qualification

English proficiency test

Type of exam

Exam Date

Listening

Reading

Writing

Speaking

Overall

French proficiency test

Type of exam

Exam Date

Listening

Reading

Writing

Speaking

Overall

ECA ( educational certificate assessment ) YesNo

Work Experience

Type of Job

From

Designation

City

Company

Job Role & Responsibilites

Work Experience 2

Type of Job

From

Designation

City

Company

Job Role & Responsibilites

Work Experience 3

Type of Job

From

Designation

City

Company

Job Role & Responsibilites

MEMBERSHIP OR ASSOCIATION WITH ORGANISATIONS

What organizations have you supported, been a member of or been associated with? Include any political, social, youth or student organization, trade unions and professional associations. Do not use abbreviations. Indicate the city and country where you were a member.

From

Name of organisation

Type of organisation

Activities and positions held in organisation

City and country

TRAVEL HISTORY

List all trips you, and if applicable, your family members have taken outside your country of origin or of residence in the last ten years(or since your 18th birthday if this was less than ten years ago). Include all trips: tourism,business, training etc. If you or your family member did not For Example:

From

Length of stay

City and Country

Purpose of travel

From

Length of stay

City and Country

Purpose of travel

From

Length of stay

City and Country

Purpose of travel

Relatives in (country), who is Citizen or Permanent Resident of Country YesNo

Did You ever apply to come to foreign country visa?

If Yes, please provide details below:

YesNo

Type of Application (e.g. Visitor, PR, etc.)

When (Applied On)

Result

Type of Application (e.g. Visitor, PR, etc.)

When (Applied On)

Result

Type of Application (e.g. Visitor, PR, etc.)

When (Applied On)

Result

I hereby declare that the information given in this applicable is true, complete and correct to the best of my knowledge. I hereby acknowledge and agree that the company can keep me updated telephonically i.e. through calls/text message/emails on the above mentioned mobile no. & email ids regarding my case status or other relevant news/articles & promotional material concerning immigration.

Place

Name of Applicant

Detialed Assessment

ADDRESSES

FAMILY INFORMATION

Spouse

Children

Siblings

Parents

Education/ Ielts

English proficiency test

French proficiency test

Spouse education details

English proficiency test

French proficiency test

Work Experience

Work Experience 2

Work Experience 3

MEMBERSHIP OR ASSOCIATION WITH ORGANISATIONS

TRAVEL HISTORY

Did You ever apply to come to foreign country visa?

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