Student Assessment Form

First Name

Middle Name

Last Name

Phone/Mobile

Country of citizenship

Current country of residence

Date of Birth

Do you have a valid passport?

Gender

Marital Status

Address Line 1

Address Line 2

City

State

Zip Code

Country

Faculty

University / College Preference ?

Where is your preferred destination in Canada?

Course Interested (1st Choice)

Course Interested (2nd Choice)

Which course level are you applying for?

Programme level you wish to apply.

Intake

ACADEMIC DETAILS

Please fill the complete academic details . *Percentage or GPA / CGPA has be overall average of all the years (Bachelors / Masters Course)

What is your highest level of education?

Enter the school attended for Grade 10

Name of the School (Class 10 /'O' Level )

Please write the name of the School / Institution

Attended Institution From (Date)

Attended Institution to (Date)

School Address

Enter the school attended for Grade 12 / High School

Name of the School/College/ Institution

Please write the name of the School / College / Institution

Attended Institution From (Date)

Attended Institution to (Date)

Stream

Please mention your stream of Education in Class 12 / HSC / Diploma

College/Institution Address

Enter the school attended for 3-Year Bachelor's Degree

Name of the College/ University

Please write the name of the School / College / Institution

Degree Name

Attended Institution From (Date)

Attended Institution to (Date)

College/Institution Address

Other Additional Qualification (If Any)

Please mention additional qualifications e.g. Masters Degree, Diploma etc.

Do you hold an English language qualification ?

Speaking

Reading

Writing

Listening

Speaking

Reading

Writing

Listening

Speaking

Reading

Writing

Listening

Language test taken date

Financial means

Please specify the amount of funds, in Canadian dollar, available for your studies in Canada (Approximate Budget)

15000

include Total Tuition Fee, Living Expenses, Air Tickets, Insurance, Visa Fee, Medical, miscellaneous etc.

Funds

Self

Parents / Family

Bank / Financial Institution

All the above

Who will provide the funds for education abroad and related expenses

Admissibility – Questionnaires

Had any serious disease

If answer of above is "Yes" provide details here:

Been convicted of or currently charged with any crime or offence in any country

If answer of above is "Yes" provide details here:

Applied previously for an immigrant visa to Canada

If answer of above is "Yes" provide details here:

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