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    DM New Doc 1

    Uploaded by

    Shivendu

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DM New Doc 1

    Uploaded by

    Shivendu
    3 views4 pages

    Original Title

    DM NEW DOC 1

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views4 pages

    DM New Doc 1

    Uploaded by

    Shivendu

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 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]

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