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Assessment Questionnaire

* Indicates Compulsory Fields
1. LAST NAME/SURNAME*   FIRST NAME*  MIDDLE NAME  
 
2. GENDER 3. DATE OF BIRTH (DD/MM/YYYY)    4.PLACE OF BIRTH  5. CITIZENSHIP  
Male Female  
6. CURRENT MAILING ADDRESS:
6. TEL NO.: OFF: RESI: EMAIL*:
7. YOUR COUNTRY OF PREFERENCE* :
CANADA    AUSTRALIA NEW ZEALAND:
 
8. PRESENT MARITAL STATUS* : Unmarried Married Widow Divorced     
   
9. DETAIL OF SPOUSE & CHILDREN :
LAST NAME FIRST NAME CITIZENSHIP DATE OF BIRTH MARITAL STATUS RELATIONSHIP
10. DETAIL OF EDUCATIONAL QUALIFICATION SINCE MATRICULATION : (Full Time/Part Time)
From Year To Year Univ./Board Regular/
Correspondence		 Degree Division %age
11. NUMBER OF YEARS OF FORMAL EDUCATION :
     
YEARS AT SCHOOL (Grade 1 to 12) : UNIVERSITY/COLLEGE FORMAL APPRENTICESHIP/TRAINING :
 
12. PLEASE INDICATE YOUR CAPABILITY TO COMMUNICATE IN ENGLISH AND FRENCH LANGUAGE:
   
     English                 French
   
  Fluently Well Difficultly Not at All
SPEAK
READ
WRITE
LISTEN
  Fluently Well Difficultly Not at All Tests Score
SPEAK IELTS
READ TOEFL
WRITE GMAT
LISTEN GRE
13. detail of Work History for last 20 years :
From Date To Date   Name & Address of Employer Designation
 14. DETAILED DESCRIPTION OF JOB RESPONSIBILITIES PERFORMED SINCE YOU STARTED WORKING :
15. PRESENT DESIGNATION    16. CURRENT GROSS MONTHLY EARNINGS    17. INTENDED OCCUPATION      
   
18.&19. NAME AND ADDRESS OF RELATIVES IN CANADA/AUSTRALIA/NEWZEALAND AND THEIR RELATIONSHIP:
Name & address  Country Relation
20. DETAILS OF ASSETS : TRANSFERABLE MONEY PROPERTY & FIXED ASSETS  BANK BALANCE & LIQUID ASSETS 
21. DETAIL OF HIGHEST  EDUCATION COMPLETED BY SPOUSE :      
22. SPOUSE Work History for last 20 years :
From Date To Date   Name & Address of Employer Designation
23. HAVE YOU STUDIED IN CANADA/NEW ZEALAND/AUSTRALIA FOR 2 YEARS : YES NO
24. HAVE YOU WORKED FULL TIME IN CANADA/NEW ZEALAND/AUSTRALIA FOR 1 YEARS : YES NO
25. DO YOU HAVE A JOB OFFER, INFORMAL/CERTIFIED FROM CANADA/NEW ZEALAND/AUSTRALIA : YES NO
26. HAVE YOU EVER APPLIED FOR IMMIGRATION : YES NO
27. HOW DID YOU KNOW ABOUT P2P STUDY ABROAD :

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