Scribd
Upload
23 views4 pages

DM New Doc 1

Uploaded by

Shivendu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
23 views4 pages

DM New Doc 1

Uploaded by

Shivendu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

DREAM WINGS IMMIGRATION.

ASSESSMENT FORM

Note: Please don’t use short forms. Kindly write the full name of study, board / university,
employer organization, job designation, job responsibilities etc.
NAME Date of Birth

ADDRESS

CONTACT NO. E-MAIL

MARITAL STATUS (Married / Unmarried)

Educational & Professional Qualification

Qualification Stream of Study / Start End Percentage Board / University Mode of Study
Subjects studied Year Year
(Regular /
Distance /
Correspondence)

Work Experience

Name of Designation Joining Date Leaving Part time / Job Duties


Organization Date Full time
(in brief)

Have you ever been refused from any country under any visa category? (Yes / No)

Office Number 214 Kartik Complex opp. Laxmi


Industrial Estate Andheri West Mumbai 400053
Phone: +91 7777033340 Email: [email protected]
If yes, kindly give the How many times got refused -
following details.
Country -

Visa Category Date


of Refusal Reason
of Refusal -

IELTS/PTE
(Embassy requirement is General IELTS but Assessing Authority may demand Academic IELTS)

Date of Listening Reading Writing Speaking Overall Academic / General


Exam

Applicant

Spouse

SPOUSE DETAILS

NAME Date of Birth

Educational & Professional Qualification of Spouse

Qualification Stream of Study / Start End Percentage Board / University Mode of Study
Subjects studied Year Year
(Regular /
Distance /
Correspondence)

Office Number 214 Kartik Complex opp. Laxmi


Industrial Estate Andheri West Mumbai 400053
Phone: +91 7777033340 Email: [email protected]
Work Experience of Spouse

Name of Organization Designation Joining Leaving Part time / Full Job Duties
Date Date time
(In brief)

Have your spouse ever been refused from any country under any visa category? (Yes / No) NO

If Yes, kindly give the following details. How many times got refused -

Country Visa Type


Date of Refusal
Reason of Refusal -

CHILDREN DETAILS

Name of Child Gender Date of Birth (dd-mm-yy)

Relatives / Friends in the concerned country

Name Date of Birth Relation State / Province Residing Visa Status (PR / Citizen /
since Student / Work Permit)

(dd-mm-yy)

- - - - - -

Office Number 214 Kartik Complex opp. Laxmi


Industrial Estate Andheri West Mumbai 400053
Phone: +91 7777033340 Email: [email protected]
How did you come to know about us?

FAMILY FRIEND

Date: Applicant Signature

Office Number 214 Kartik Complex opp. Laxmi


Industrial Estate Andheri West Mumbai 400053
Phone: +91 7777033340 Email: [email protected]

You might also like