Evaluation Australia Personal Information Applicant’s Name * Number * Email Address * Nationality * Current Place of Residence * DOB * Gender * Male Female Marital Status * Please SelectSingleMarriedDivorced/seperatedWidowed Spouse’s DOB * Spouse’s Education * Please SelectHigh School or lessSecondary Diploma (after 10th)1 yr program (diploma or certificate)2 yr program (diploma or certificate)Bachelors DegreeMaster’sDoctrate ( PHD) Spouse’s total years of education * Spouse’s field of study * Spouse’s Working Experience * Spouse’s Language Ability in French * Please SelectHighModerateBasicNot at All Number of Dependant Children * (*) Mandatory Ability in English & French English * Read * Please SelectHighModerateBasicNot at All Write * Please SelectHighModerateBasicNot at All Speak * Please SelectHighModerateBasicNot at All Listen * Please SelectHighModerateBasicNot at All French * Read * Please SelectHighModerateBasicNot at All Write * Please SelectHighModerateBasicNot at All Speak * Please SelectHighModerateBasicNot at All Listen * Please SelectHighModerateBasicNot at All (*) Mandatory Educational Profile Total Years of education * 1.Certificate * Please SelectHigh School or lessSecondary Diploma (after 10th)1 yr program (diploma or certificate)2 yr program (diploma or certificate)Bachelors DegreeMaster’sDoctrate ( PHD)Other Field of Study * Date Started * Date of Graduation * Name of Institution * City * Country * 2.Certificate * Please SelectHigh School or lessSecondary Diploma (after 10th)1 yr program (diploma or certificate)2 yr program (diploma or certificate)Bachelors DegreeMaster’sDoctrate ( PHD)Other Field of Study * Date Started * Date of Graduation * Name of Institution * City * Country * 3.Certificate * Please SelectHigh School or lessSecondary Diploma (after 10th)1 yr program (diploma or certificate)2 yr program (diploma or certificate)Bachelors DegreeMaster’sDoctrate ( PHD)Other Field of Study * Date Started * Date of Graduation * Name of Institution * City * Country * Employment History 1.Name of Company or Organization * Job Title * From: (Month, Year) * To: (Month, Year) * Employment Status * Number of Hours Worked per Week * Do You Presently Still Work at this Company * Employment Duties * City * Country * 2.Name of Company or Organization * Job Title * From: (Month, Year) * To: (Month, Year) * Employment Status * Number of Hours Worked per Week * Do You Presently Still Work at this Company * Employment Duties * City * Country * 3.Name of Company or Organization * Job Title * From: (Month, Year) * To: (Month, Year) * Employment Status * Number of Hours Worked per Week * Do You Presently Still Work at this Company * Employment Duties * City * Country * Others Relationship to Closest Blood Relative in Australia * Blood Parent * Blood Aunt/Uncle * Blood Brother or Sister * Blood Son/Daughter * Blood Niece/Nephew (22 years or older) * Blood Grand Parent * Blood Cousin * Relative Province of Residence * Personal Net worth * Do you currently have an offer of employment from a Canadian employer? Yes No If your answer to the above question is “Yes” provide details here Have you or spouse/common law partner or dependent children ever Had any serious disease Yes No Been convicted of or currently charged with any crime or offence in any country Yes No Applied previously for an immigrant visa to Australia Yes No Visited Australia (visit,study,work) Yes No Are you able to obtain a visitors visa to Australia Yes No If answer to any of above is “Yes” provide details here PLEASE INFORM US HOW YOU WERE INTRODUCED TO THIS SITE Search Engine Newspaper or Magazine Newsgroup General Recommendation Additional Comments if Any