PR ASSESSMENT FORM
Personal Details
Name
*
First Name
Middle Name
Last Name
Gender
*
Male
Female
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Marital Status
*
Please Select
Married
Unmarried
Divorced / Separated
Passport No
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Country code
Phone Number
Email
*
example@example.com
Educational Qualifications
(Only Degrees, Diplomas, Certificates or Other Certification Tests)
Rows
Qualifications
Board/University
Year of Passing
Marks Obtained (%)
Major Subjects /
Specialization
1
2
3
4
5
Work Experience
Total Duration of Employment
*
Rows
Designation Held
Name of the
Company
From
mm/yy
To
mm/yy
Job Functions /Brief description of the work
1
2
3
4
5
Questionnaire
Have you ever traveled outside of your country? If yes, please specify the date, purpose and total duration of stay
Have you ever applied for any visa of any country? If yes, pleasespecify the visa category and the result
Have you ever refused a visa for any country? If yes, please specify the date and reason of refusal
Do you have any relative or friend in any country? If yes, please specify their relation to you and immigration status in that country
How much funds are available for your settlement?
*
If married, what is your spouse’s qualification and level of English language proficiency?
Do you have any job offer from the country you are applying to be a PR? If yes, please specify.
Have you ever appeared for any English proficiency Test like IELTS / TOEFL? If yes, please provide date and score.
Have you ever appeared for any French Language proficiency Test?If yes, please provide date and score.
Additional Information:
If you wish to provide any other additional information pertaining to youracademic qualifications, work experience, travel history, finances or achievements, please specify.
Submit
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