Technical Assesment Form
Technical Assesment Form
Technical Assesment Form
Residence Address:
13-90100 MACHAKOS
Telephone: +254714668559
(Include Country and City code)
Nationality: KENYAN
Age: 29
Experience: 9yrs
www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
4. The country where you are currently located? KENYA
NO
10. Education:
Course Detail Course name Part Start
time/Full date/End
time Date
PHD (Regular/Correspondence):
Master Degree
(Regular/Correspondence):
Bachelor Degree BACHELORS FULL SEPTEMBER
(Regular/Correspondence): DEGREE IN TIME 2013-
www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
EDUCATION(ARTS) AUGUST
2017
Other Diploma/Certificate
(Regular/Correspondence):
10th& 12th (Regular/Correspondence):
Have you ever worked in any other country in a skilled occupation for at
least one year?
Yes /No NO
Have you done any paid work anywhere in the world during the last 10
years?
Yes No
YES
Employment 4
Employment 5
www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
Additional Information: -
(*Current Salary and If not working then kindly mention last salary)
Do you have any family members, relatives, or close friends living in abroad?
Yes / No No
NO
www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
15. Have you ever refused any visa? If Yes, Explain:
NO
16. Are you able to obtain a clean Police Clearance Record with no
criminal record?
Yes / No
YES
www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41