Assessment Form

1. Your Contact Information:

Last Name

Gender:

Email Address:

Residence Address:

Telephone: (Include Country and City code)

Nationality:

2. Your Personal Profile:

Age

Marital Status:

If yes then enter below details:

Spouse Education:

Spouse Experience:

Have you previously been married or in a common law relationship?

3. What is your Country of Residence?

4. The country where you are currently located?

5. What is your preferred destination in Abroad?

6. Do you have any Dependent Children?

7. Have you previously submitted a visa application? Yes/No

8. Your Personal Net Worth:

10. Education:

Part time/Full time

Start date/End Date

11. Have you ever worked in any other country in a skilled occupation for at least one year?

Have you done any paid work anywhere in the world during the last 10 years?

Preferred Consultation Type

Total Years of Work Experience:

DETAILS OF WORK EXPERIENCE:

Designation

Country

Additional Information: -

*Annual Income (INR):

12. Do you have an abroad Job Offer?

13. Family and Friends in Any other country:

Which country do they reside?

14. Do you have any criminal records? If Yes, Explain:

15. Have you ever refused any visa? If Yes, Explain:

16. Are you able to obtain a clean Police Clearance Record with no criminal record?

17. Do you have any medical problem? If Yes, Explain:

Experience

Visa Type

Country to immigrate

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