Student Assessment Form

NOTE: PLEASE FILL COMPLETE FORM FOR YOUR ASSESSMENT AND AVOID DELAYS
Consultant Name or Company*
First and Last Name of applicant*
Date Of Birth*

MonthDayYear
Date
College Preference 1st
College Preference 2nd
College Preference 3rd
Program Preferences 1st
Program Preferences 2nd
Program Preferences 3rd
Intake Preferences 1st
Intake Preferences 2nd
Intake Preferences 3rd
Address Line #1*
Address Line #2*
Phone Number*
Please enter a valid phone number.
Primary Email ID (Valid)*
example@example.com
Emergency Contact Name *
Emergency Contact Person Address line # 1*
Emergency Contact Person Address line # 2*
Relation with person*
Phone number *
Email*
example@example.com
Academic Details (Please attach colored SCANNED AND NOTARISED copies of all documents with a plain background)
Grade 10 Start Date:*
Grade 10 End Date:*
School name and Address*
Grade 10 Percentage *
Grade 12 Math/No Math or Diploma*
School name and Address*
Grade 12 Start Date:*
Grade 12 End Date:*
Grade 12 Percentage*
Bachelors Degree College/University Name
Bachelors Degree College/University Address
Bachelors Degree Start Date:
Bachelors Degree End Date:
Bachelors Degree Percentage
BACKLOGS SUMMARY
Masters Degree College/University Name
Masters Degree College/University Address
Masters Degree Start Date:
Masters Degree End Date:
Masters Degree Percentage
BACKLOG SUMMARY
If in Canada, Provide College and Program Name:
Do You have Offer Letter from a College?
If yes, Please provide College & program name:
Language Test*
Listening*
Writing*
Speaking*
Reading*
Overall Score*
IELTS Test Date*

MonthDayYear
Date
IELTS Expiry Date*

MonthDayYear
Date
Passport*

Please upload Front & Back page, also any pages with visa and stamps
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Education Documents*

Grade 10, Grade 12, Bachelor Degree and transcripts, Masters Degree and Transcript any other education documents
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Backlog Summary/Certificate

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Resume/ CV*

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Job Reference Letter/s

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Study Permit/ Work Permit or any other document for status in Canada

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Letter of Acceptance or Letter of Enrollment from Canadian College

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Canadian College Transcripts

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Digital Picture with White background

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PLEASE CHECK DOCUMENTS UPLOADED FROM LIST BELOW:
Please confirm that documents uploaded are clearly scanned ?
if documents are not clearly scanned that can result in delays on your file.
Should be Empty: