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Free Assessment Form


The questions in this form are designed to enable CGS Consultants to assess your chances for Immigration to Canada and may be completed online. There is no charge for this service and you are under no obligation to use our company's services once you have obtained our free assessment. All information given to us will be kept confidential and will not be passed on to any other person or agency without your express written consent. Please, fill out one form for you and another one for your spouse.


PERSONAL DETAILS:

Name:
Date of Birth:
Address:
Telephone No:
Fax No:
E-mail Address:
Marital Status:never married   married   divorced   separated   widowed
No.of Children:
Any serious disease or physical or mental disorder?Yes   No
If Yes, please give details:
Applied previously for an immigrant or visitor visa to Canada?Yes   No
If Yes, please give details:
If ever refused, please give details:


EDUCATIONAL DETAILS:

Secondary School Information:
No. of years:
Received: Certificate   Diploma
University Information:
Name:
Faculty:
Graduation Year:
No. of years:
Received: Diploma   Bachelor Degree
Post University:
Name:
Received: Master   Ph.D.
Vocational/Technical School:
Name:
No. of Years:
Received: Certificate   Diploma
Total Number of Years of Education from Grade 1 to Graduation:
(Include only the normal length of the programs.  Do NOT include delays or repeats!)
Total No. of Years:


LANGUAGES:

English:
Read:Fluently   Well   With difficulty   Not at all
Write:Fluently   Well   With difficulty   Not at all
Speak:Fluently   Well   With difficulty   Not at all
French:
Write:Fluently   Well   With difficulty   Not at all
Write:Fluently   Well   With difficulty   Not at all
Speak:Fluently   Well   With difficulty   Not at all


WORK HISTORY SINCE GRADUATION:

Present occupation:
Employment period:
Describe in detail your personal duties : 
Type of company's activity:
Location (country):

Previous occupation:
Employment period:
Describe in detail your personal duties : 
Type of company's activity:
Location (country):

Previous occupation:
Employment period:
Describe in detail your personal duties : 
Type of company's activity:
Location (country):


RELATIVES IN CANADA:

Do you have relatives in Canada?Yes   No
Relationship to relative(s):brothersisterparentsgrandparents 
grandchildrenuncleauntnephewniece


PERSONAL NET WORTH IN US DOLLARS (US$):

Cash (US$):
Property (US$):
Business assets (US$):
Total funds available to transfer to Canada (US$):




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