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All the details filled in the Assessment form will be strictly confidential. Please provide as many details as possible.
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Family Name:
*
First Name
*
Email
*
Phone Number
*
Date of Birth
*
Country of Current Residence & Address (pls. mention City and Pincode) & how long have you been living there:
*
Country of Citizenship
*
Married / Single:
*
Married
Single
Male / Female:
*
Male
Female
Number of Children:
*
Ages of Children:
*
Are these your birth children?
*
Yes
No
Earnings of Principal Applicant in the last one year : (pls specify currency)
*
Spouse - Family Name:
*
Spouse - First Name:
*
Spouse - Date of Birth:
*
Spouse - Country of Current Residence:
*
Spouse - Country of Citizenship:
*
Spouse - Male / Female
*
Male
Female
FULL NAME OF QUALIFICATION (GIVE FULL DETAILS)
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
NAME OF UNIVERSITY, CITY, COUNTRY
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
FROM dd/mm/yy & To dd/mm/yy
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
MAJOR SUB.
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
F-T Or P-T
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
Pass Grade?
*
QUALIFICATIONS of Applicant - Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
Principal Application
*
- In the last 3 years, how long have you worked? Pls mention Years & Months
Principal Application
*
In the last 4 years, how long have you worked? Pls mention Years & Months
[Spouse] FULL NAME OF QUALIFICATION (GIVE FULL DETAILS)
*
Qualifications of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse ] NAME OF UNIVERSITY, CITY, COUNTRY
*
QUALIFICATIONS of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse] FROM dd/mm/yy - TO dd/mm/yy
*
QUALIFICATIONS of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse] Major Subjects
*
QUALIFICATIONS of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse] F-T or P-T
*
QUALIFICATIONS of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse] Pass Grade?
*
QUALIFICATIONS of Spouse- Include exact dates studied (month / year), MAJOR SUBJECTS, grades, division, pass mark
[Spouse] In last 3 years, how long have you worked?
*
Specify Years and Months
[Spouse] In last 4 years, how long have you worked?
*
Specify Years and Months
[Principal Application] NAME OF EMPLOYERS
*
EMPLOYMENT - List ALL work experience, latest first.
[Principal Application] POSITION and DUTIES
*
EMPLOYMENT - List ALL work experience, latest first.
[Principal Application] FROM dd/mm/yy - TO dd/mm/yy
*
EMPLOYMENT - List ALL work experience, latest first.
[Principal Application] FULL-TIME or PART-TIME
*
EMPLOYMENT - List ALL work experience, latest first.
[Principal Application] How Many Years
*
EMPLOYMENT - List ALL work experience, latest first.
[Principal Application] Recent Job Duties in DETAIL:
*
[Spouse] NAME OF EMPLOYER
*
EMPLOYMENT - List ALL work experience, latest first.
[Spouse] POSITION and DUTIES
*
EMPLOYMENT - List ALL work experience, latest first.
[Spouse] FROM dd/mm/yy - TO dd/mm/yy
*
EMPLOYMENT - List ALL work experience, latest first.
[Spouse] FULL-TIME or PART-TIME
*
EMPLOYMENT - List ALL work experience, latest first.
[Spouse] How Many Years
*
EMPLOYMENT - List ALL work experience, latest first.
Country of Interest
*
Canada
USA
Australia
UK
NZ
Open to any Country
English ability of Principal Applicant:
*
Fluent
very good
conversational
limited
none
English ability of Spouse:
*
Fluent
very good
conversational
limited
none
Do you have Blood Relations who are residents in Australia
*
Select
Yes
No
Do you have Blood Relations who are residents in Canada
*
Select
Yes
No
Do you have Blood Relations who are residents in NewZealand
*
Select
Yes
No
If YES, - What relationship? (Brother, Sister, Parent, Blood Uncle/Aunt, etc)
*
Do you have Blood Relations who are residents in
Which place do they live?
*
Do you have Blood Relations who are residents in
Resident for how long?
*
Do you have Blood Relations who are residents in
Have you visited Australia, Canada or UK? If Yes, Where and for How long?
*
Have you Studied there? If Yes, Where and for How long?
*
Australia, Canada or UK
Have you Worked there? If Yes, Where and for How long? (copy)
*
Australia, Canada or UK
Indicate MAXIMUM FUNDS you can bring in (Indicate Currency)
*
Are YOU and YOUR FAMILY in good health?
*
Select
Yes
No
Any disabilities?
*
Select
Yes
No
Deported from any country?
*
Select
Yes
No
Do you currently own a business? Describe the nature of your business.
*
Sole Proprietor
Partnership
Limited Company
Others
For Business Applicants only
Your Net worth. Indicate currency.
*
For Business Applicants only
No of employees ?
*
For Business Applicants only
Share of ownership (%)
*
For Business Applicants only
Indicate the sales in the last 5 years
*
For Business Applicants only
Indicate the net profits in last 5 years
*
For Business Applicants only
Indicate the Equity Capital in last 5 years
*
For Business Applicants only
Are you interested in OWNING a business in Canada / Australia ?
*
Select
Yes
No
For Business Applicants only
What type of business are you interested in?
*
For Business Applicants only
Have you been involved in bankruptcy?
*
Select
Yes
No
For Business Applicants only
Have you been involved in bankruptcy? Give Details
*
For Business Applicants only
OTHER INFORMATION (e.g. previous visas lodged, rejected, awaiting decision, Employment offers, etc:)
*
Phone
Submit
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