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Complete
the following questionnaire for free assessment of your
Qualifications for USA Immigration. Please make sure you provide
us with your valid email id.
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About Yourself
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Full Name: |
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| Sex: |
Male
Female
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| Date
of Birth: |
Day Month Year
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| Place Of Birth:
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| Citizenship: |
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| Current Mailing Address:
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| E-mail:
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| Tel
/ Fax: |
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Marital
Status :
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(Never Married, Engaged, Married, Widowed, Separated, Divorced/Annulled
Marriage)
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Do you or your spouse have relatives in USA
(Spouse, Partner, Parents, Grandparents, Grandchildren, Brother,
Sister, Nephew, Niece, Uncle and Aunt) If yes, please give details
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| Name : |
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| Relationship
: |
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| Address
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| Phone :
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| E-mail :
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Status in USA
(Citizen or H1 Visa, Green Card etc) |
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| Please indicate your
ability to communicate in English and French |
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English
| Speak |
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| Read |
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| Write |
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| Understand |
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French
| Speak |
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| Read |
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| Write |
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| Understand |
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Your Education :
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Education Details :
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Employment details :
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Have
you or your spouse ever completed more than one year's full-time
work in USA with an Employment Authorization?
If yes, please complete following information:
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Name of Employer :
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Address :
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Postal Code :
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Phone No :
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Occupation/Designation :
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Duration of Employment :
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From:
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To:
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Have you or your spouse ever completed a minimum
of two years of full time Post Secondary study in USA with Student
Authorization?
If yes, please complete following information:
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Name of Educational Institute :
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Address :
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Postal Code :
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Phone No :
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Name of the course attended :
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Duration of Course :
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From:
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To:
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Do you
or your spouse have an Offer of employment from a US employer, which
would be effective upon your arrival in USA?
If yes, please complete following information:
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Name of Employer :
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Address :
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Phone No :
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Job/Designation offered :
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Do you or your spouse
have Arranged Employment in USA
If yes, please complete following information:
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Name of Employer :
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Address :
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Postal Code :
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Phone No :
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Job/Designation offered :
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Your current net worth (Assets less liabilities).
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Please include all Banks deposits, Property and other
assets.
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Your current monthly income :
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| Spouse
Details |
| Full
Name: |
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| Sex: |
Male
Female
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| Date
of Birth: |
Day Month Year
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| Place Of Birth:
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| Country of Birth: |
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| Citizenship: |
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| Has he/she
been married more than once? |
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| Education
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| Education
Details : |
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| Employment
details : |
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Please indicate your spouse's ability to communicate
in English and French
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English
| Speak |
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| Read |
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| Write |
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| Understand |
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French
| Speak |
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| Read |
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| Write |
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| Understand |
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| Provide
details of all your children - Provide details of all your children |
| Full
Name : |
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| Son / Daughter : |
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| Date
of Birth : |
Day Month Year
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