Standard Questionnaire Form For Evaluation
Standard Questionnaire Form For Evaluation
Standard Questionnaire Form For Evaluation
Personal Information
Name:
Date of birth:
Nationality:
Gender (Male/Female):
Contact number:
Email id:
Family Composition
Marital status:
Number of children:
Child Age:
Employment Details
Total Experience in months and years:
Current CTC:
Information of Spouse:
Name:
Date of birth:
Sex (Male/Female):
Education
Present Address:
Permanent Address:
The personal information appearing on this form, and in any documents that must be appended to it, is required for processing your
application for immigration to specific country, the Regulation respecting the selection of foreign nationals, the Regulation respecting the
immigration consultants and their administrative regulations.
Your personal information is confidential and may not be disclosed without your consent unless explicitly authorized by you.
DECLARATION
I declare that the information contained in this application and appended documents, if any, is complete and accurate and I will notify the
representative of any change in answers given on this form before the submission of application to Immigration department.
I acknowledge that I have read the notice on the protection of personal information in the section above.
I further acknowledge that by saving this document and sending the same to my legal representative electronically, constitute my consent
to use the information and no physical signature is required.
I also agree that Pleco Migration will be making an initial assessment on the basis of the limited information provided on this form.