6. Nationality:

7. Passport No: , Expiration Date (mm/dd/yyyy):

8. Place of Birth: , Date of Birth (mm/dd/yyyy):    

High School Education (12th Grade): Again, Please DO NOT USE Any ABBREVIATIONS when filling out this form. Use full and complete names. We have to check if these institutions are credited with the Immigration Authorities. 

Again do not USE ANY ABBREVIATIONS in any of the fields for this form.

Name of Institution
Location: (Include Complete Street Address,  City, State & Country)	Street: City: State: Country:
Date From:	Date To:
Part Time  Full Time
Degree (example: Yes got High School Diploma)
Special Mentions:

Post Secondary Education (After High School):
Institution #1 (If none,  Skip to: Language Ability ) :

Name of Institution Do not USE ANY ABBREVIATIONS.	Education Institute One
Location: (Include Complete Street Address,  City, State & Country)	Street: City: State: Country:
Date From: (month/year)	Date To: (month/year)
Part Time  Full Time
Degree or Program of Study (Certificate, Apprenticeship, Diploma, Bachelor's, Masters or Ph. D.) : (example: Bachelor of Arts In Economics w/emphasis in Accounting)
Special Mentions:

Institution #2  (If done,  Skip to: Language Ability ) :

Name of Institution
Location: (Include Complete Street Address,  City, State & Country)	Street: City: State: Country:
Date From: (month/year)	Date To: (month/year)
Part Time  Full Time
Degree or Program of Study  (example: Bachelor of Arts In Economics)
Special Mentions:

Institution #3  (If done, Skip to: Language Ability ) :

Name of Institution
Location: (Include Complete Street Address,  City, State & Country)	Street: City: State: Country:
Location (Include Complete Street Address, City, State and Country)
Date From: (month/year)	Date To: (month/year)
Part Time  Full Time
Degree or Program of Study   (example: Bachelor of Arts In Economics w/emphasis in Accounting)
Special Mentions:

Institution #4  (If done, Skip to: Language Ability ) :

Name of Institution
Location: (Include Complete Street Address,  City, State & Country)	Street: City: State: Country:
Date From: (month/year)	Date To: (month/year)
Part Time  Full Time
Degree or Program of Study   (example: Master in Business Administration w/emphasis on Finance)
Special Mentions:

14. Language Ability:    Mother Tongue:  Other Languages:

Fluent: Very Good Command of the Language in range of Social and Work situations, No difficulty in communicating in a professional capacity. Well: Can Communicate Reasonably Well about Personal & Familiar Things. With Difficulty: Command of just Few Basic Words.
English		French
Speak	Ability of Speak English Not at All With Difficulty Well Fluently	Ability of Speak French Not at All With Difficulty Well Fluently
Read	Ability to Read English Not at All With Difficulty Well Fluently	Ability to Read French Not at All With Difficulty Well Fluently
Write	Ability of Write English Not at All With Difficulty Well Fluently	Ability of Write French Not at All With Difficulty Well Fluently

15. If Self Employed (otherwise skip to Question 16: Employment)

    Name of Company:                      
    Owner of Company:                     
    Your % Ownership in Company:    Business Start Date (month/year): 
    Type of Business:                       
   
    Your Role / Duties in the Company:

16.    Employment History:

If Applying in the Skilled Work / Independent Category for USA, Canada, Australia or New Zealand,
If Self Employed, Entrepreneur, or Investor, then indicate those as your Occupation, 
OTHERWISE:  If applying for Canada in the Skilled Worker / Independent Visa, or Temporary Worker Category, 
Please make sure your Occupation is listed in Canadian Open Occupations. 

If Applying for Australian in the Skilled Worker / Independent Visa, or Temporary Worker Category, Please make sure your Occupation is listed in the Australian Skills Occupation List. 
Enter Occupation appropriately, If the occupation is not Listed Then YOU DO NOT QUALIFY, so please check the lists and requirements.

Your Current Occupation: .

Please review List: If applying for Canada in the Skilled Worker / Independent Visa, or Temporary Worker Category, 
Please make sure your Occupation is listed in Canadian Open Occupations.

If applying for Australian in the Skilled Worker / Independent Visa, or Temporary Worker Category, Please make sure your Occupation is listed in the Australian Skills Occupation List.

If the Occupation is Not Listed, and you are Seeking Assessment for Australia or Canada, or Canada, then DO NOT PROCEED Further, As you PROBABLY will NOT Qualify.

Intended Occupation in Country of Migration: .