Free Assessment

CANADA IMMIGRATION ASSESSMENT FORM

Personal Information:

Family Composition:

Education:(Just write the highest qualification)

Work History (Last 10 Years):

Ability in Language – ENGLISH: (High/Moderate/Basic/None) Mention IELTS results:

Ability in Language – FRENCH: (High/Moderate/Basic/None) Mention TEF results:

Information about Spouse

Spouse Personal Information

Spouse Education:(Just write the highest qualification)

Spouse Work History (Last 10 Years):

Ability in Language – ENGLISH: (High/Moderate/Basic/None) Mention IELTS results:

Ability in Language – FRENCH: (High/Moderate/Basic/None) Mention TEF results:

Protection of personal information

The personal information appearing on this form, and in any documents that must be appended to it, is required for processing your application for Immi-gration to Canada or for a selection certificate and the application of the Actrespecting immigration to Québec, the Regulation respecting the selection of foreign nationals, the Regulation respecting the immigration consultants and their administrative regulations. Your personal information is confidential and may not bedisclosed without your consent unless explicitly authorized by you.

DECLARATION

The personal information appearing on this form, and in any documents that must be appended to it, is required for processing your application for Immi-gration to Canada or for a selection certificate and the application of the Actrespecting immigration to Québec, the Regulation respecting the selection of foreign nationals, the Regulation respecting the immigration consultants and their administrative regulations. Your personal information is confidential and may not bedisclosed without your consent unless explicitly authorized by you.

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