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Canadian Immigration Assessment Form This assessment is free. Canada Immigration - Points Calculator Call the Ahmedabad - India Office on +91 79 30000 6767 for a consultation or an appointment. Alternatively complete the following form for an immigration e-assessment.   Canadian Immigration Assessment Form ABOUT YOU: Title:  * required First name:  * required Last name:  * required Date of Birth:  * required Nationality:  * required Country of Residence:  * required Address and contact details: Street Address: Town/City:  * required Post code/Zip code:  * required Country:  * required Email:  * required Telephone:  * required Fax:  * required Employment details: Present Occupation:  * required Nominated Occupation:  * required How long have you been working in nominated occupation?:  * required  Annual Income in Canadian Dollars:  * required Relatives or ancestors in Canada Do you have relatives or ancestors in Canada who might be able to sponsor your application for migration? Relationship to you Nationality Immigration Status Date of arrival in Canada Emigration details: Are your plans for emigration Temporary or permanent? up to one year up to three year permanently Do you have family or dependants who will emigrate with you? Yes No If "Yes" please give details Age Relation to you Occupation Have you ever held any type of visa for Canada? Yes No If yes, please give the following details Type Date Issued Place Issued Length of validity Have you ever been refused a visa? Yes No If yes, please give details Have you ever been convicted of any crime however minor the offence Yes No If yes, please give details Have you or any of your immediate family had any serious health problems? Yes No If yes, please give details Why do you wish to emigrate to Canada? Funds Please see universal currency convertor for exchange rate How much do you have in the way of funds? (in Can$) Savings on deposit Value of other assets Amount you intend to take with you Canada? English language ability: On a scale of one to five (1-5), five standing for complete fluency, one standing for no English language ability at all. Speaking -select your skill level- 1 2 3 4 5 Reading -select your skill level- 1 2 3 4 5 Writing -select your skill level- 1 2 3 4 5 Understanding -select your skill level- 1 2 3 4 5 French language ability: Speaking: -select your skill level- 1 2 3 4 5 Reading: -select your skill level- 1 2 3 4 5 Writing: -select your skill level- 1 2 3 4 5 Understanding: -select your skill level- 1 2 3 4 5 Job offer in Canada Do you have a job offer * Yes No If so what is the occupation? Has the job been approved by Human Resources Development Canada? Yes No Work Experience: Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to immigration@visa4u.net 1. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country 2. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country 3. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country Work Experience for your Spouse or Common Law Partner Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to immigration@visa4u.net 1. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country 2. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country 3. Work experience Dates of Employment Employing Company Job Title Skills used /Responsibilities Country Qualifications: Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to immigration@visa4u.net 1. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Subject Qualification Country 2. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Subject Qualification Country 3. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Date Qualification obtained Qualification Country Qualifications for your Spouse or Common Law Partner Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to immigration@visa4u.net 1. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Date Qualification obtained Qualification Location of Institution 2. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Date Qualification obtained Qualification Location of Institution 3. Qualification Dates of study dd/mm/yyyy - dd/mm/yyyy University/College/School Subject Qualification Location of Institution Additional information: How did you hear of visa4u.net? -any select answer- Search engine Link from another web-site Exiting or formar client Exhibition or seminar meeting Visa4u staff member Recommened by a friend Visa4u newsletter Other Comments: Please provide any additional information that you think might help us evaluate your situation. Any comments on improvements that can be made to this form and other parts of our web-site are welcome Subscribe to Newsletter!: Yes, I want to subscribe to the visa4u.net immigration newsletter. 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