General Assessment Form: (For PR, Visitor Visa and Work Permit)

Inquiry No.
_____________
Date :__________________
GENERAL ASSESSMENT FORM Centre : ________________
(For PR, Visitor Visa and Work Permit)
Name: ________________________________________________ Surname: _______________________________________________

Date of Birth: _________________________Age:________ Gender ______________________ Marital Status ___________________
Address_______________________________________________________________________________________________________
________________________________________________________________________________ Pin__________________________
Occupation _________________________________ Mobile No.: _____________________ WhatsApp No.: _____________________
Alternative Phone No._______________________________________ E-mail Id: __________________________________________
Type of Visit Call Walkin Revisit
EDUCATIONAL QUALIFICATION
Examination Passed Board/University Year of Passing Stream Marks Obtained %)
10th Grade
12th Grade
U.G. Diploma
Bachelor Degree
Master Diploma
P.G. Diploma `
Others
WORK EXPERIENCE:
From Date To Date Employed by Designation Responsibility Experience Full Time /
duration Part Time
BUSINESS DETAILS:
Type of Business Net Worth (in Rs.) Designation Total Exp. Gross Sales No. of Employees Equity Shares
Applying for: 1) __________________________________________ 2) ___________________________________________________
Name of country where you want to migrate ________________________________________________________________________
Do your Relatives Live in Overseas? Yes No
If yes, in which country do they live? _____________________________________________________________________________
In which State Do they Live? (State) ____________________________________ (City) _____________________________
Relationship to you _________________________________ Relative’s Immigration Status __________________
Have your relatives been working in the past 2 years? Yes No.
Give their type of job/business and in which Country/State City/Province _________________________________________________
_____________________________________________________________________________________________________________
Your English Language Ability Very Good Good Poor Unknown
Your French Language Ability Very Good Good Poor Unknown
1
Any Additional information you feel relevant or you want to tell: ________________________________________________________
_____________________________________________________________________________________________________________
Entrance Test Take: IELTS Test taken or not? Yes No.
Exam/Test Date Reading Writing Listening Speaking Total Score

IELTS
TOEFL
TEF
Previous Visa Application:
Have you applied for any type of visa? Yes No.
If yes, give details:-_____________________________________________________________________________________________

_____________________________________________________________________________________________________________
Have your Visa been refused previously? Yes No.
If yes, mention country and reason of refusal: ________________________________________________________________________
_____________________________________________________________________________________________________________
Spouse Name : ______________________________________ Occupation ___________________ Date of Birth __________________
SPOUSE EDUCATIONAL QUALIFICATION:

Examination Passed Board/University Year of Passing Stream Marks Obtained %)
10th Grade
12th Grade
U.G. Diploma
Bachelor Degree
Master Diploma
P.G. Diploma
Others
SPOUSE WORK EXPERIENCE:

From Date To Date Employed by Designation Responsibility Experience Full Time /
duration Part Time
FAMILY DETAIL :
Name Date of Birth Gender Educational Remarks
qualification
How did you hear about us: - News Paper Attended Seminar Job Sites TV Channel
Media Advertisements Mailer Response
If news paper give name of news paper____________________________ Name of TV Channel_______________________________
Signing below subscribes you for SMS alerts and newsletters from Eagle Eye Immigration
Signature of Visitor _______________________
Remarks by counsellor, if any _______________________________________________________________________________
_________________________________________________
2 Signature of Counsellor ________________________

General Assessment Form: (For PR, Visitor Visa and Work Permit)

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Inquiry No.

Name: ________________________________________________ Surname: _______________________________________________

Applying for: 1) __________________________________________ 2) ___________________________________________________

Name of country where you want to migrate ________________________________________________________________________

Do your Relatives Live in Overseas? Yes No

If yes, in which country do they live? _____________________________________________________________________________

In which State Do they Live? (State) ____________________________________ (City) _____________________________

Relationship to you _________________________________ Relative’s Immigration Status __________________

Give their type of job/business and in which Country/State City/Province _________________________________________________

Your English Language Ability Very Good Good Poor Unknown

Your French Language Ability Very Good Good Poor Unknown

Entrance Test Take: IELTS Test taken or not? Yes No.

Exam/Test Date Reading Writing Listening Speaking Total Score

If yes, give details:-_____________________________________________________________________________________________

If yes, mention country and reason of refusal: ________________________________________________________________________

Spouse Name : ______________________________________ Occupation ___________________ Date of Birth __________________

SPOUSE EDUCATIONAL QUALIFICATION:

SPOUSE WORK EXPERIENCE:

Media Advertisements Mailer Response

If news paper give name of news paper____________________________ Name of TV Channel_______________________________

Signature of Visitor _______________________

Remarks by counsellor, if any _______________________________________________________________________________

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Name: __ Surname: _

Applying for: 1) 2) _________

In which State Do they Live? (State) ________ (City) _

Relationship to you _______________ Relative’s Immigration Status

Spouse Name : ____________________________ Occupation _ Date of Birth __________

If news paper give name of news paper Name of TV Channel___