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* - Required Fields 
Personal Information
* Salutation
* First Name  
 Middle Name
 * Last Name  
Gender
* Date of Birth
* Marital Status
* Citizenship
Language Proficiency
Language Prefered
Rate yourself between 1-10,
10 being good
Contact Information
Phone
Mobile
Fax
 * E-Mail

  
Please ensure this email address is active and valid as your assessment result will be sent on this address.

Educational Qualification
Did not complete secondary school (also called high school)
Obtained a secondary school credential  
Obtained a one-year diploma, trade certificate or apprenticeship and completed at least 12 years of full-time or full-time equivalent studies  
Obtained a one-year diploma, trade certificate or apprenticeship and completed at least 13 years of full-time or full-time equivalent studies 
Obtained a one-year university degree at the bachelor’s level and completed at least 13 years of full-time or full-time equivalent studies
Obtained a two-year diploma, trade certificate or apprenticeship and completed at least 14 years of full-time or full-time equivalent studies
Obtained a university degree of two years or more at the bachelor’s level and completed at least 14 years of full-time or full-time equivalent studies  
Obtained a three-year diploma, trade certificate or apprenticeship (other than university) and completed at least 15 years of full-time or full-time equivalent studies
Obtained two or more university degrees at the bachelor’s level and completed at least 15 years of full-time or full-time equivalent studies  
Obtained a master’s or Ph.D. and completed at least 17 years of full-time education or full-time equivalent studies
Work / Business Experience
Experience 1: 
Profession / Nature of Business / Employment
Position
No of Years
Experience 2:
Profession / Nature of Business / Employment
Position
No of Years
Experience 3:
Profession / Nature of Business / Employment
Position
No of Years
Experience 4:
Profession / Nature of Business / Employment
Position
No of Years
Dependents Information (Under the Age of 22)
Dependents No.1:
Name
Age
Relationship
Dependents No.2:
Name
Age
Relationship
Dependents No.3:
Name
Age
Relationship
Dependents No.4:
Name
Age
Relationship
Dependents No.5:
Name
Age
Relationship
Dependents Information (Over the Age of 22)
Dependents No.1:
Name
Age
Relationship
Dependents No.2:
Name
Age
Relationship
Dependents No.3:
Name
Age
Relationship
Dependents No.4:
Name
Age
Relationship
Dependents No.5:
Name
Age
Relationship
  
Other Information
Spouse Education
Do you or your spouse have any blood relatives in Canada?
Do you have any arranged Employment?
Countries visited in the last 10 years
Provide any additional information here that you think may be important to access your eligibility:
Declaration I hereby declare that the information given in this assessment form is true to the best of my knowledge and belief. I understand that Kannan Ramnath Barrister & Solicitor can use this information to contact me via all modes of communication and send information as required.




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