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Welcome to Online Immigration Assessment

Please fill out the form Completely. This form will take at least15 Minutes to fill out properly. Please fill out the entire Form. Any missing information may not allow us to make a proper assessment of your situation.  No assessment will be provided unless all the Required Fields are properly filled out.  
Please DO NOT USE ANY ABBREVIATIONS when Filling out forms. 

This Form only Works with FireFox Browser - It No Longer Works with MS-Explorer - Please make sure you are using FireFox.

If you have not heard back from us within 7 Working Business Days, then you probably have left out information on this questionnaire.

Without a Valid Email Address their is no way for us to contact you.

If you prefer you can download the Adobe Acrobat pdf version,  Questionnaire.pdf of the Questionnaire and fill it offline at your leisure and Fax - it into our office and phone in for the assessment.

Again,  the Quickest way to get information is to fill out the Questionnaire and Phone our office in NJ at .+1-732-821-6077

(Red represents required fields) 

1. Name in Full:

            Please refer to Immigration Assessment for Any applicable Fees for providing the Assessment
            Additionally, Payment for the Assessment, which have fees associated, must to be done in Advance 
   
         or along with Assessment w/Credit Card Payment.

            You may pay by Credit Cards: visamaster cardamerican express, PayPal Account, Use Any Credit Card or Even Your Checking Account OR Please postal mail the fees in US$ funds via a check, 
            money order or certified check to the office. If you needed further instructions please telephone our office.)

2. Country Most Interested in Migrating to or Employment Services:  1st: ,   

What Service(s) are you requesting? 
(Example, Visa service x, or Temporary Work Permit, or 
Assessment For Canadian Permanent Residence etc. Review the types of visas from Web pages earlier):  

Reason for the Above Services (reason to go the country)

 

2nd Country Interested in for Migration or Employment Services: ,  

What Service(s) are you requesting? (Example,  Visa service X, or Temporary Work Permit, etc.):  

Reason for the Above Services (reason to go the country, etc.)

 

           

3rd Country Interested in for Migration or Employment Services: 

What Service(s) are you requesting? (Example,  Visa service X, or Temporary Work Permit, etc.):   

Reason for the Above Services (reason to go the country, etc.)

 

 

3. Present Address:

    City: , State/Province: , Zip/Pin:

   Country:

4. Phone No's: Home: , Work:

5. Email Id:    Fax:

(Please note: Without a Valid Email Address their is no way for us to contact you)

6. Nationality:

7. Passport No: , Expiration Date (mm/dd/yyyy):

8. Place of Birth: , Date of Birth (mm/dd/yyyy):    

9. Social Security / Identity Card No, if Any:

10. Current Visa Status or Visa Holding(s), If Any: ,
            Expiry Date of that Visa(s) (mm/dd/yyyy):

11 Sex Male
             Female

Marital Status:Single

                     Married     Date of Marriage:  

Place of Marriage:   

Highest Level of Degree Attained by Spouse:  

(If Spouse is Employed or has 1 year College or higher please fill out an Additional questionnaire for the Spouse)

Separated;    Number of Years Separated:
Divorced
Engaged;      Date of Engagement:

12: Dependents:                                             
Total Number of Children:   

Family Information

Name

Place of Birth

Date of Birth (mm/dd/yyyy)

Nationality

Spouse*

Note*: If Spouse is Employed please fill out a Second questionnaire for the Spouse as well 

1st Child

2nd Child

3rd Child

4th Child

(Note*: If Spouse is Employed please fill out an Additional questionnaire for the Spouse)

13. Total Number of Years of Education Completed:

Highest Level of Degree Attained:  

High School Education (12th Grade): Again, Please DO NOT USE Any ABBREVIATIONS when filling out this form. Use full and complete names. We have to check if these institutions are credited with the Immigration Authorities. 

Again do not USE ANY ABBREVIATIONS in any of the fields for this form.
Name of Institution
Location: (Include Complete Street Address, 
City, State & Country)
Date From: Date To:

Part Time  Full Time

 
Degree (example: Yes got High School Diploma)
Special Mentions:

Post Secondary Education (After High School):
Institution #1 (If none,  Skip to: Language Ability ) :
Name of Institution
Do not USE ANY ABBREVIATIONS.
Location: (Include Complete Street Address, 
City, State & Country)
Date From: (month/year) Date To: (month/year)

Part Time  Full Time

 
Degree or Program of Study (Certificate, Apprenticeship, Diploma, Bachelor's, Masters or Ph. D.) :
(example: Bachelor of Arts In Economics w/emphasis in Accounting)
 

Special Mentions:

Institution #2  (If done,  Skip to: Language Ability ) :
Name of Institution
Location: (Include Complete Street Address, 
City, State & Country)
Date From: (month/year) Date To: (month/year)

Part Time  Full Time

Degree or Program of Study 
(example: Bachelor of Arts In Economics)
Special Mentions:

Institution #3  (If done, Skip to: Language Ability ) :
Name of Institution
Location: (Include Complete Street Address, 
City, State & Country)
Location (Include Complete Street Address, City, State and Country)
Date From: (month/year) Date To: (month/year)

Part Time  Full Time

 
Degree or Program of Study  
(example: Bachelor of Arts In Economics w/emphasis in Accounting)
Special Mentions:

Institution #4  (If done, Skip to: Language Ability ) :
Name of Institution
Location: (Include Complete Street Address, 
City, State & Country)
Date From: (month/year) Date To: (month/year)

Part Time  Full Time

 
Degree or Program of Study  
(example: Master in Business Administration w/emphasis on Finance)
Special Mentions:

14. Language Ability:    Mother Tongue:  Other Languages:
Fluent: Very Good Command of the Language in range of Social and Work situations, No difficulty in communicating in a professional capacity.
Well: Can Communicate Reasonably Well about Personal & Familiar Things.
With Difficulty: Command of just Few Basic Words.
English French
Speak
Read

Write

15. If Self Employed (otherwise skip to Question 16: Employment)

    Name of Company:                      
    Owner of Company:                     
    Your % Ownership in Company:    Business Start Date
(month/year): 
    Type of Business:                       
   
    Your Role / Duties in the Company:

16.    Employment History:


If Self Employed, Entrepreneur, or Investor, then indicate those as your Occupation, 
OTHERWISE: 
If applying for Canada in the Skilled Worker / Independent Visa, or Temporary Worker Category, 
Please make sure your Occupation is listed in Canadian Open Occupations


E
nter Occupation appropriately, If the occupation is not Listed Then YOU DO NOT QUALIFY, so please check the lists and requirements.

Your Current Occupation: .

Please review List: If applying for Canada in the Skilled Worker / Independent Visa, or Temporary Worker Category, 
Please make sure your Occupation is listed in Canadian Open Occupations.

If the Occupation is Not Listed, and you are Seeking Assessment for Canada, then DO NOT PROCEED Further, As you PROBABLY will NOT Qualify.

Intended Occupation in Country of Migration:

Name and Address of Employers Since 18th Birthday: 

16.1  Employer #1 (Start with most Recent / Current job, If none: Stop, You Don't Qualify.  Skip to Assets:)
Name of Company (most recent / current First)
Complete Mailing Address / Location:
(include city, state, country, and pin/zip code)
Start Date:  (month/year) End Date:    (month/year)
Full Time or Part Time, If Part time, No. of Hrs per Week Working
Title or Position:
Monthly Salary (most current, If any) in local currency): (example: Aus$1000/month, or Indian Rs. 2,000/month)
Duties (Please provide a one
paragraph description of your day to day
duties in this profession which mentions the
most important aspects of your work
experience in this designation.
Providing little or no information in this section
will delay assessment, or result
in an inaccurate assessment
):

16.2 Employer #2 ( next most recent, If done,  Skip to Assets:)
Name of Company:
Complete Mailing Address / Location:
(include city, state, country, and pin/zip code)
Start Date:  (month/year) End Date:    (month/year)
Full Time or Part Time, If Part time, No. of Hrs per Week Working
Title or Position:
Monthly Salary (most current, If any) in local currency): (example: Aus$1000/month, or Indian Rs. 2,000/month)
Duties (Please provide a one
paragraph description of your day to day
duties in this profession which mentions the
most important aspects of your work
experience in this designation.
Providing little or no information in this section
will delay assessment, or result
in an inaccurate assessment
):

16.3 Employer #3 ( next most recent, If done,  Skip to Assets:)
Name of Company:
Complete Mailing Address / Location:
(include city, state, country, and pin/zip code)
Start Date:  (month/year) End Date:    (month/year)
Full Time or Part Time, If Part time, No. of Hrs per Week Working
Title or Position:
Monthly Salary (most current, If any) in local currency): (example: Aus$1000/month, or Indian Rs. 2,000/month)
Duties (Please provide a one
paragraph description of your day to day
duties in this profession which mentions the
most important aspects of your work
experience in this designation.
Providing little or no information in this section
will delay assessment, or result
in an inaccurate assessment
):

16.4 Employer #4 ( next most recent, If done,  Skip to Assets:)
Name of Company:
Complete Mailing Address / Location:
(include city, state, country, and pin/zip code)
Start Date:  (month/year) End Date:    (month/year)
Full Time or Part Time, If Part time, No. of Hrs per Week Working
Title or Position:
Monthly Salary (most current, If any) in local currency): (example: Aus$1000/month, or Indian Rs. 2,000/month)
Duties (Please provide a one
paragraph description of your day to day
duties in this profession which mentions the
most important aspects of your work
experience in this designation.
Providing little or no information in this section
will delay assessment, or result
in an inaccurate assessment
):

16.5 Employer #5 ( next most recent, If done,  Skip to Assets:)
Name of Company:
Complete Mailing Address / Location:
(include city, state, country, and pin/zip code)
Start Date:  (month/year) End Date:    (month/year)
Full Time or Part Time, If Part time, No. of Hrs per Week Working
Title or Position:
Monthly Salary (most current, If any) in local currency): (example: Aus$1000/month, or Indian Rs. 2,000/month)
Duties (Please provide a one
paragraph description of your day to day
duties in this profession which mentions the
most important aspects of your work
experience in this designation.
Providing little or no information in this section
will delay assessment, or result
in an inaccurate assessment
):

 
17. Assets: Country Where Located Value in Local Currencies

Converted Roughly to US$
(Need a Currency Converter ?)  UCC - Currency Assistant

Liquid Assets:, Such as Cash in Bank, Stocks, Bonds:
Equity in Business, If Any:
Other Assets:

 
18. DEBITS: Country Where Located Value in Local Currencies Converted Roughly to US$
(Need a Currency Converter ?)  UCC - Currency Assistant
Loan from Banks, Mortgages, Loans on Real Estate :
Business Loans, If Any:
Other Debts / Loans, Such as Credit Cards:

19. Any Family in Country of Migration (Destination)? Yes, or No
     If Yes, Relationship: , Location / Address of Relative:

    What Status does your relative have in the country ?: 
    (example: Citizen, Permanent Resident (green card holder), Temporary Work Permit, etc.)

 
20. If Applying for Entrepreneur / Business Category, Type of Business that you want to establish in the Migrating Country ?
21. Do you or Any Member of your Family Have any Medical Illness for which Medical Care is Required: Yes, or No If yes, please provide Details:
22. Have You or Any member of Your Family been Convicted of Any Crime: Yes, or No If yes, please provide Details:

 

Comments (Please include any information that would be important to your case. If you like, you may include your Resume / Curriculum Vitae / Bio-Data):
Do you wish to receive details of Immigration and Visas International services and fees with your assessment result? Yes, or  No
Declaration:

(Information Shared is Restricted and Client Confidential)

 

  I Certify and Solemnly Declare that the above information provided by Me to Immigration and Visas International (IVI) for the purposes of processing My Immigration Application is TRUE, to the Best of My Knowledge and I have not Withheld Any Information.

Name of Person Making the Declaration: Date:

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Enter the code as it is shown (required):
 

    If you have Selected Assessment(s), which have fees associated (US$ 25), Payment must to be done in 
    Advance or along with Assessment w/Credit Card Payment.
Please note: There are NO REFUND(s), and assessments are based on IVI's best opinion on your qualifications, and based on how completely this questionnaire has been filled out.
You may pay by Credit Cards: Visa Credit CardMasterCardAmerican Express PayPal Account, Use Any Credit Card or Even Your Checking Account

This Form only Works with FireFox Browser - It No Longer Works with MS-Explorer - Please make sure you are using FireFox.

Two Step process, This is STEP 1.

PLEASE NOTE:
  If you have a spouse who is also employed, s/he should also complete another/second Online Assessment Form for the spouse.

(Version 2.5, 12/12/2005, Name issue - Version 2.4,  11/28/2003, Version 2.2, Nov. 23, 2002, Version 2.1,  11/01/2002)

Contact Information

Primary Address:

Immigration and Visas International

7 Village Road
Kendall Park, NJ 08824

Telephone: +1-732-821-6077
FAX:            +1-732-821-1615


Need a phone consultation, please click here to schedule one.

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