ImmigrationEvaluationForm

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Shreeji Consulting Immigration Evaluation Form

Full-check IMMIGRATION EVALUATION FORM

all fields marked* are required

Do you have a preferred city or region to settle in?

For your protection

The information requested on this form is essential to provide an accurate evaluation as to your eligibility for attaining residence status. This is not an official form. Please be assured that all your personal information will be treated in the strictest confidence.

Your personal details

Home address

Postal address

Address*

City*

State / Province / County*

Country*

Postcode*

Home Phone*

Day-time ph*(yourself)

Fax

Mobile ph.(yourself)

Email*(yourself)

Day-time ph (partner)

Mobile ph.(partner)

Email (partner)

Page No. 1 out of 6

Shreeji Consulting Immigration Evaluation Form

all fields marked* are required

Family name*

First names*

Title*

Nationality*

Do you hold citizenship to other countries? If Yes, please specify:

Date of birth*
(Day/Month/Year)

City and country of birth*

Sex*

Occupation*

Do you or any of those accompanying you have any health problems or chronic illnesses?*
If Yes, please specify:

Is ENGLISH your Mother Tongue?*

Your personal details

If no, please indicate your level of ENGLISH language ability.

Read

Write

Speak

Yourself

Partner (where applicable)

(Canada only)
Please indicate your level of FRENCH language ability.

Read

Write

Speak

Indicate other languages spoken
Please state level of ability

Have you ever visited your destination country?*
If Yes, when and for how long?

Do you have friends in your destination country?*
If Yes, state where they are located

Have you resided outside your current country of residence for 12 months or more?*
(If yes, please list countries time resident there)

Page No. 2 out of 6

Shreeji Consulting Immigration Evaluation Form

Your educational history

(principal applicant)

Please list the details of all YOUR formal degrees, diplomas and certificates of more than ONE YEAR study. For trades, list the qualification or apprenticeship completed. For supervised industry training, list the number of years of training completed (include the number of days worked studied per week). IMPORTANT; STATE IF YOU HAVE AN INCOMPLETE QUALIFICATION.

Start Date
Month / Year

Grad. Date
Month /Year

Full Name of Institution
Indicate City, Country and website (if known)

Name of Obtained Qualifications

Completion Time
(Full time OR Part-time)

Your employment history

(principal applicant)

Please list the details of your work history. List any gaps in employment. .

Start Date
Month / Year

Finish Date
Month /Year

Employers Name
Indicate City, Country and website (if known)

Position Held

Nature of Work

No. of months (Full time or Part lime)

Your marital status

Are you?*:

If in a De Facto or same-sex relationship, when did you start living together?:

Please indicate the amount of time spent apart since this date (if longer than 4 weeks at any one time) and explain why:

If divorced, is the divorce legal and final? Please indicate who has custody of children:

If separated, do you plan to divorce and, if so, when?

If applicable, list the personal details of your dependant children

Name of Child

Sex

Date of Birth

Emigrating with you?

Details of your other children not living with you

Name of Child

Sex

Date of Birth

Emigrating with you?

Country of residence

If any of your dependant children are not emigrating with you, please indicate why not;

Page No. 3 out of 6

Shreeji Consulting Immigration Evaluation Form

Your partner's educational history

(partner)

Start Date
Month / Year

Grad. Date
Month /Year

Full Name of Institution
Indicate City, Country and website (if known)

Name of Obtained Qualifications

Completion Time
(Full time OR Part-time)

Your partner's employment history

(partner)

Please list the details of your work history. List any gaps in employment. .

Start Date
Month / Year

Finish Date
Month /Year

Employers Name
Indicate City, Country and website (if known)

Position Held

Nature of Work

No. of months (Full time or Part lime)

Page No. 4 out of 6

Shreeji Consulting Immigration Evaluation Form

Your financial status

Do you?*:

Your financial details. Please specify currency;

Property equity (value less mortgage)

Value of your cars vehicles (value less finance)

Valuables (i.e. Jewelry, Gold, Antiques, etc)

Savings / Bank deposits / Cash

Value of shares in a business (deduct debts)

Stocks / Share / investments (exclude pensions)

Other

MINUS outstanding debts

TOTAL

Are you expecting any additional payments in the next two years (i.e. pension or redundancy payments, inheritances, etc)
If Yes, please specify.

Do you own a business?

Are you a senior executive of a company (but not a shareholder)?

If your answer is YES to EITHER question, please complete this section:

Number of employees:

Annual Turnover:

Your share of ownership (business owners only)

Your general data

Have you or any of those accompanying you ever:

been refused a visa to any country?
applied for a residence visa to your destination country and been refused?
been charged with an offense of any kind, convicted, and/or sentenced to detention ?
been deported from a country?
committed a criminal offense or acts against humanity?

If Yes, please specify

Are you or any of those accompanying you currently subject to investigation by a law enforcement agency or civil legal proceedings in any country?
If Yes, please specify

If planning to work, do you have a job arranged?
If yes, please state the company name, job title, work duties, salary, and start date;
If no, do you require further assistance in finding employment?

Are you planning a business or investment?
If yes, please state the type of business that interests you:

Is there any further important information about you that may affect your application?
For instance, if you are currently resident in the country to which you wish to migrate, please explain the reasons why and email a copy of your current residence visa.

For our records

Assuming you are eligible, when do you plan to proceed with a residence application:
State Proceed_plan or in how many months or Undecided about proceeding.

How did you hear about the Shreeji consulting? (Please be specific, where possible, listing the publication):*

Have you already spoken to a Shreeji consulting consultant, representative or agent?

Page No. 5 out of 6

Please choose a method for payment of fee of AUD$165.00

Page No. 6 out of 6

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Full-check IMMIGRATION EVALUATION FORM

For your protection

Your personal details

Your personal details

Your educational history

Your employment history

Your marital status

Your partner's educational history

Your partner's employment history

Your financial status

Your general data

For our records