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Verma Immigration Services

- 37 Berry Hill Rd Winnipeg Manitoba R3Y2A5

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Assessment Form
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(204) 952-7113

Assessment Form

The purpose of this form is to evaluate your file and help you to get started on your immigration process.

Assessment Form

First Name (required)

Middle Name (required)

Last Name (required)

Gender

Male
Female
Prefer Not to Say

Age (required)

Email Address (required)

Phone Number (required)

Level of Education

High School
Bachelors Degree
Masters Degree
PhD
College Diploma
Other

Specific Subject of Study (required)

Job Title (required)

Country of Residence (required)

Nationality (required)

English/ French Proficiency Exam Results (i.e IELTS, CELPIP)

Yes
No

	IELTS	CELPIP	TEF
LISTENING
READING
WRITING
SPEAKING
Overoll Score

Do you have any criminal background? If answered yes, please provide details.

Yes
No

Details

Do you have any medical issues?

Yes
No

Do you have any relatives residing in Canada who are permanent residents or Canadian Citizens ?

Yes
No

If you have answered yes to the above question, fill in the details below.

Relationship (required)

Their province of Residence (required)

What is your marital status? (required)

Do you have any children?

Yes
No

What is your ( and if applicable your spouse) net worth in Canadian Dollars?
(required)

How may we assist you?

I would like to receive assessment regarding permanent residency of Canada (PR status).

I would like to receive assessment regarding Study Permit.

I would like to visit and travel to Canada.

I would like to receive assessment regarding work permit.

Assessment Form

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Verma Immigration Services | Copyright 2019 ©

Verma Immigration Services

MENUMENU

Home
Why Canada ?
Our Services
Assessment Form
Contact us