Global Vision Immigration



ASSESSMENT FORM – STUDENT

Personal Information:

|Name: |

|Date of Birth (dd/mm/yy): |

|Sex (Male/Female): Country of Citizenship: |

|Address: |

|Email: |

|Tel (with Country code): |

|Marital Status: First Language: |

|No. of dependent children (Including step-children): |

Details of Education (From Grade 10):

|Duration |Name of Institution |Complete address with Postal |Type of Certificate/Degree/ Diploma Issued |Overall % / Grade|

| | |Code |(Mention Full Time or Part Time) |/ CGPA |

|From |To | | | | |

|D-M-Y |D-M-Y | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

| | | | | | |

Employment History (During Last 10 years only) // Please attach CV/Resume

|Duration |Name of the Company, Location (City/Country) |Designation and Detailed Job Duties (Attach Resume/CV) |

|From |To | | |

|D-M-Y |D-M-Y | | |

| | | | |

| | | | |

| | | | |

Language Ability: (If you have IELTS (Academic) score, write the band)

|ENGLISH: (High/Moderate/Basic/None) |FRENCH: (High/Moderate/Basic/None) |

|SPEAKING: |SPEAKING: |

|LISTENING: |LISTENING: |

|READING: |READING: |

|WRITING: |WRITING: |

Program interested in:

| |1 Y |2 Y |3 Y |4 Y |

|Post Secondary Diploma (PS Diploma) | | | | |

|Post Graduate Diploma (PG Diploma) | | | | |

|Bachelor Degree – 4 years (Undergraduate) | | | | |

|Masters Degree (Graduate) | | | | |

Which country you are interested (You can choose more than 1)?

Canada Australia New Zealand Austria USA Germany

Background Information:

Have you ever applied for any type of immigration into Canada/USA? (eg. New Express Entry)

[pic]Yes[pic]No

Have you ever been refused a Visa for Canada/USA or any other country?

[pic]Yes[pic]No

Were you ever removed from Canada/USA or any other country?

[pic]Yes[pic]No

Have you ever visited Canada/USA before?

[pic]Yes[pic]No

Have you ever overstayed your authorized stay in any country where you were legally admitted?

[pic]Yes[pic]No

Have you ever been convicted of a criminal offence?

[pic]Yes[pic]No

Do you suffer from a serious medical condition?

[pic]Yes[pic]No

Do you currently hold a valid Canadian or USA Visa?

[pic]Yes[pic]No

Are you currently residing in Canada or the USA?

[pic]Yes[pic]No

If you answered "Yes" to any of the following questions above, please provide more details below:

Note:

Additional application fee of US$500 will be charged by our network:

If an applicant is older than 25 years and is applying for undergraduate studies

If an applicant is older than 35 years and is applying for graduate studies

If an applicant is from Algeria, Bangladesh, Iraq, India, Nepal, Syria, Pakistan, or Sri-Lanka and does not meet the minimum English requirements for non-conditional acceptance

If an applicant has an educational gap of more than 5 years

If an applicant has been refused a visa from Canada, the USA, the United Kingdom, New Zealand or Australia (these countries share biometric information with each other)

If an applicant is pursuing the same or lower level of education. e.g. The applicant has a bachelor degree and wants to do an undergraduate

If an applicant is pursuing a nonrelated educational field. e.g. The applicant has a game design degree and is pursuing Master of Law

Please send the completed Assessment form to: info@.

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