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Free Assessment The page you are trying to view is under maintenance .   Please complete this free assessment form for evaluation of your case. Your Full Name :* Email Address :* Telephone with area code : Fax Number : Country of Residence : Date of Birth : Day : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month : January February March April May June July August September October November December Year : Your highest level of Education : High School Diploma College Diploma,2 years College Diploma,3 years Bachelor's Degree Master's Degree Ph.D Medical Doctor (M.D.) Others Not completed Occupation : Experience : 1 year 2 year 3 year 4 year More than 4 years Sex : Male Female Marital Status : Married Single Seperated Divorced Widowed Common Law Full name of your spouse(wife/husband) : Spouse's (wife/husband) highest level of Education : No Spouse High School Diploma College Diploma,2 years College Diploma,3 years Bachelor's Degree Master's Degree Ph.D Medical Doctor (M.D.) Others Not completed Number of chlidren:   Their ages : Relatives in Canada and your relationship with them : No Relataives in Canada Mother or Father Brother or Sister Grandmother or Grandfather Aunt or Uncle Niece or Nephew(19 years old or older) Spouse or Fiance(e) Daughter or Son Your language skills in English: Reading Writing Speaking Listening Very good Average Basic Not at all  Very good Average Basic Not at all Very good Average Basic Not at all Very good Average Basic Not at all Your language skills in French: Reading Writing Speaking Listening Very good Average Basic Not at all  Very good Average Basic Not at all Very good Average Basic Not at all Very good Average Basic Not at all If non of the above applies, please explain : Describe your work experience including number of years and your daily duties : Do you have an offer of employment from a Canadian employer? Yes No If yes, describe your job offer including the employer's name : Are you able to invest in Canada? No Yes Are you interested to obtain a student visa? No Yes Have you ever worked in Canada? No Yes Have you ever studied in Canada? No Yes Have you ever applied for a Canadian Visa? No Yes Has your request for a Canadian Visa ever been rejected? No Yes How did you find us? Additional Commnets:

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