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Assessment Form

The purpose of this form is to collect the client’s information in order to assess eligibility in one or more areas of immigration. This assessment is simply intended for reference and consultation. By completing this form, you consent to receive communication from Cverse Immigration & Visa Consulting Inc.

Personal Details

Name(Required)
*Provide a valid phone number
Email(Required)
*Provide a valid email address
YYYY dash MM dash DD
*What is your country of citizenship? (Type the country’s name above).
*One’s country of birth is not always necessarily the same as their country of citizenship.
Dependents (if applicable)
Dependent's Name
Date of Birth (yyyy-mm-dd)
 
*If you have any dependent children (22 years or younger), provide their details here.
Education
Level of Education
Field of Study
Number of Years
Graduation (yyyy-mm)
Country
 
*Type NA under Level of Education if this section is not applicable to you/ you don’t have any educational training or qualification.
Work History
Designation
Start Date (yyyy-mm)
End Date (yyyy-mm)
Employer
Country
 
*Type NA under Designation if this section is not applicable to you/ you don’t have work experience.
Max. file size: 100 MB.
*Upload your resume to help us better evaluate your educational, training and professional background.
*Choose an option if you’ve taken any of these tests.
YYYY dash MM dash DD
Test Score
Listening
Speaking
Reading
Writing
Total
 
*Type your individual scores for each module above.
Max. file size: 100 MB.
*If you have a valid language test certificate, upload it here.

Spouse/ Common Law Partner Details (if applicable)

*Fill in the following section is you’re Married or in a Common Law Relationship.
Select one option
*Select your partner type.
Name
YYYY dash MM dash DD
*What is your country of citizenship? (Type the country’s name above).
*One’s country of birth is not always necessarily the same as their country of citizenship.
Education
Level of Education
Field of Study
Number of Years
Graduation (yyyy-mm)
Country
 
*Type NA under Level of Education if this section is not applicable to you/ you don’t have any educational training or qualification.
Work History
Designation
Start Date (yyyy-mm)
End Date (yyyy-mm)
Employer
Country
 
*Type NA under Designation if this section is not applicable to you/ you don’t have work experience.
Max. file size: 100 MB.
*Upload the resume for your Spouse/ Common Law Partner to help us better evaluate their educational, training, and professional background.
*Choose an option if you’ve taken any of these tests.
YYYY dash MM dash DD
Test Score
Listening
Speaking
Reading
Writing
Total
 
*Type your individual scores for each module above.
Max. file size: 100 MB.
*If you have a valid language test certificate for your Spouse/ Common Law Partner, upload it here.

Additional Questions

*Answer the following to the best of your knowledge. Some questions are optional.
*If you and/ or your spouse have a travel history, write the details here. Include the name of the country(ies), date of entry and exit, and purpose of visit.
Max. file size: 100 MB.
*If you were refused a visa to Canada, upload the refusal letter here.
*This questions is not mandatory but answering it is important for certain immigration options.
*Select what best applies to you.
*Describe briefly about your plans and expectations. Provide any additional information that you think would be relevant to your immigration assessment.
*If you heard about us from reference, simply type the referrer’s name above.

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