Assessment Form

Personal Information

Name *

Middle Name

Last Name *

Gender *

Male Female

Birthday *

Nationality * Select... Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Email Address *

This email already exists

Phone Area Code *

Phone Number *

Marital Status * Select... Married Single Divorced Separated Widowed Common-law Partner Conjugal Relationship

Do you have any children under the age of 22? *

Yes No

Education Outside Canada

Highest level of Education * Select... Master PHD Bachelor Secondary Diplomas Certificates Vocation School High School Diploma

Field of Study *

Date of Graduation *

Education Inside Canada

Do you have education inside Canada? *

Yes No

Highest level of Education * Select... Master PHD Bachelor Graduate Diplomas Certificates Vocation School High School Diploma

Field of Study *

Date of Graduation *

English Language Ability

Have you taken any official English Language? *

Yes No

Which English Test * Select... IELTS General Traning IELTS Academic CELPIP General PTE Core TOEFL

English Test Date *

English Listening Score *

English Speaking Score *

English Reading Score *

English Writing Score *

French Language Ability

Have you taken any official French Language? *

Yes No

Which French Test * Select... TEF TCF

French Test Date *

French Listening Score *

French Speaking Score *

French Reading Score *

French Writing Score *

Work Experience Outside Canada

Job Title *

Years of work experience *

Select... None Less than a year 1 2 3 4 5 More than 10 years

Have you been self-employed or have managerial experience in the last 5 years? *

Yes No

Work Experience Inside Canada

Job Title

Years of work experience

Select... None Less than a year 1 2 3 4 5 More than 10 years

Travel History

Please write your travel history, especially Schengen, Canada, USA, and Australia visas in the last 10 years.

Family Memeber

Do you have immediate family members in Canada who are permanent residents or citizens? *

Yes No

The Purpose of Immigration

What kind of Canadian immigration help are you looking for? *

Select... Visitor Visa Study Permit Work Permit Permanent Residency Family Sponsorship Refugee/Asylum Citizenship Status Restoration/Extension Other (Please explain)

Explain the Immigration purpose *

Additional Information

Please write any additional information that might be helpful for your assessment below

About Abbas Ghods

How did you hear about Abbas Ghods Immigration Services Inc.? * Select... Linkdin Instagram Google Search Friends Other