In order to help us determine your prospects of qualifying for Canadian Immigration programs, please provide the following information.
You will receive an email with our assessment within 48 hours in most cases. |
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| * Indicates mandatory information |
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| First Name : * |
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| Last Name : * |
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| Email Address : * |
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| Mailing Address : * |
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| Country : * |
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| Phone No.: * |
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| Fax No.: |
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| Gender : * |
Male
Female |
| Date of Birth : * |
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| Marital Status : * |
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| You can attach a resume or fill a separate assessment form for your spouse / fiance(e) if he/she is working and has atleast one year of work experience. |
| Full Name : |
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| Date of Birth : |
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| Education : |
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| Occupation : |
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Experience
(No. of years) : |
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| Describe the relationship clearly such as father's real brother, mother's real sister etc |
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EDUCATIONAL RECORD |
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| Please provide the Educational Record since matriculation with dates, names and addresses of Institutions attended, courses taken (i.e. Business Administration, BE-Mechanical, Chemistry etc.), details of degree/ diploma / certificate received. Include all full time and part time courses : |
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| WORK HISTORY Please provide detailed employment record with dates, names & addresses of employers and job designations held. If your job was part-time, state no. of hours in a week. |
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JOB RESPONSIBILITIES |
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Please give detailed description of job responsibilities you performed in each position since you started working. The occupational description that you use should give a clear indication of the nature of work you do and the duties you perform. General terms such as service, employee, engineer are not clear. |
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LANGUAGE PROFICIENCY |
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FLUENT :- Very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
WELL :- Can communicate reasonably well about personal and familiar things.
WITH DIFFICULTY :- Command of just a few basic words. |
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HAVE YOU EVER OWNED AND OPERATED YOUR OWN BUSINESS? |
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| If yes, please provide brief business profile of your company. |
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TOTAL NET WORTH |
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MISCELLANEOUS INFORMATION |
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| Please enter other miscellaneous information here. e.g. Prior applications for Canadian Immigration/Visas, any refusal/rejection, Medical/criminal issues or any other information that can effect your case. |
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| I declare that information in this form is truthful, complete and correct. |
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