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1. I am interested to immigrate to               CANADA      AUSTRALIA    
                                                              NEW ZEALAND                     UK
2. Full name
3. Date of Birth
4. Sex  Male Female
5. Email
6. Address
7. Phone Number (with area code)
8. Your EDUCATIONAL QUALIFICATION:
Please list your educational information starting from Metric as per the format given:
Degree Univ./Board From Year To Year Regular/
Correspondence
Division %age
Please Mention the Exact Name of Degree/Diploma Here (if Selected Others above ) ,  Others Details Viz. Univ/Board etc to be filled in columns above ONLY :               
9. Your WORK EXPERIENCE:
Please list all past and present employment as per the format given
No. of Years of Experience         
Name & Address of Employer Designation From Date To Date Job Responsibilities

 

10. Marital Status:  

Please give details of your spouse:

Full Name   

Date of Birth 

EDUCATIONAL QUALIFICATION of Your Spouse:
Please list your educational information starting from Metric as per the format given:
Degree Univ./Board From Year To Year Regular/
Correspondence
Division %age
Please Mention the Exact Name of Degree/Diploma Here (if Selected Others above ) ,  Others Details Viz. Univ/Board etc to be filled in columns above ONLY :               
WORK EXPERIENCE of your Spouse:
Please list all past and present employment as per the format given
No. of Years of Experience         
Name & Address of Employer Designation From Date To Date Job Responsibilities
No. OF Dependent Children:

11. Any visa held previously or visa rejected? Yes            No
DETAILS OF ANY VISA HELD / REJECTED
 
 
12. Applying in which category? Business     General
Year in which business was established in India 
Existing Business Type 
Others (Please specify your business type & your role)
Number of Employees 
Capital Invested 
Turnover of your business for the latest Three Years
Year Figures (Rs.)
Net Business Assests for the latest Three Years
Year Figures (Rs.)
Net Profit of your business for the latest three years 
 

Year Figures (Rs.)

 

 
 
 
13. Do you or your spouse have any relative in Canada,  Australia or New Zealand? Yes            No
State relation and country
 
 
 

14. PERSONAL NET WORTH

   Market Value of Property : Rs.
   FDR/CASH                          : Rs.
   JEWELLERY                        : Rs.
   Other Assets                     : Rs.

 

   
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