Permanent Residency Profile Evaluation Form (In Canada)
Fill out the form carefully
Primary Applicant Name:-
First Name
Middle Name
Last Name
Birth Date:-
*
-
Month
-
Day
Year
Date
Gender:-
*
Please Select
Male
Female
N/A
Residential Address:-
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail Id:-
*
example@example.com
Mobile Number:-
*
EDUCATION HISTORY:- Primary Applicant
Highest Qualification you have gained in Canada ?
Please Select
Diploma
Graduate
Post Graduate
Others
Field of Study In Canada:-
Level of Education in Canada:-
Please Select
One Year Diploma/Certificate
Two Year Diploma/Certificate
Degree,Diploma,Certificate of 3 years or more
University/College - Canada Education:-
Course Completion Date:-
-
Month
-
Day
Year
Date
Course Completion Date Home Country:-
-
Month
-
Day
Year
Date
University/College - Home Country Education:-
WORK HISTORY:- Primary Applicant
Educational Qualification:-
Rows
Education
University
Result
From (MM/YY)
To (MM/YY)
Country
1.
2.
3.
4.
Employment In Canada:-
Rows
Employer'Name
Designation/Role
From (MM/YY)
To (MM/YY)
Part/Full Time
1.
2.
3.
Employment In Home Country:-
Rows
Employer'Name
Designation/Role
From (MM/YY)
To (MM/YY)
Part/Full Time
1.
2.
3.
Marital Status:-
*
Please Select
Single
Married
Divorced
Spouse Name:-
DOB of Spouse:
-
Month
-
Day
Year
Date
Spouse Qualification:-
Rows
Education
University
Result
From (MM/YY)
To (MM/YY)
Country
1.
2.
3.
4.
Spouse Employment Details:-
Rows
Employer
Designation/Role
From (MM/YY)
To (MM/YY)
Country
Part/Full Time
1.
2.
3.
English Language Proficiency Test:-
*
Please Select
IELTS-GENERAL
TOEFL
CELPIP
Date of Examination:-
*
-
Month
-
Day
Year
Date
Date of Examination (Spouse):-
-
Month
-
Day
Year
Date
Score of English Language Test:-
Rows
Listening
Reading
Writing
Speaking
Overall
Primary Applicant:-
Spouse
Score:-
ADDITIONAL INFORMATION:-
Have you or your Spouse applied for any Visa before for any Country ?
*
Please Select
Yes
No
If Yes, Please provide details like Country,Type of Visa and outcome of Visa
Previous Immigration Details:- Visa refusal (If Any) Please mention details of it
*
Please Select
Yes
No
Do you have any relative in Canada (Blood Relative)
*
Please Select
Yes
No
If Yes, Please provide details like Relation with their Status in Canada:-
Where did you hear about Precious Migration & Education Consultancy ?
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