Assessment Form Step 1 of 5 20% Target country/ies:* New Zealand Canada Australia Target date of departure:* Your Personal DetailsName* Family Name First Name/s Middle Name Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age*Gender*MaleFemalePartnership Status*Never MarriedMarriedLegally SeparatedPartnerContact InformationAddress*LandlineMobile*Email* Preferred means of communication*EmailPhoneSkype id Education History (Local and/or International)School and LocationCourseDate CompletedHigh SchoolHigh School LocationHigh School CourseMonth / YearVocationalVocational School LocationVocation CourseVocational Date CompletedCollegeCollege School LocationCollege CourseCollege CompletedPost GraduatePost Graduate School LocationPost Graduate CoursePost Graduate Date CompletedWork Experience (Please list ALL employment - local or abroad, business or volunteer work)Date from (dd/mm/yy)Date to (dd/mm/yy) Company Name & LocationPosition HeldDate From 1Date To 1Company and LocationPosition HeldDate From 2Date To 2Company and LocationPosition HeldDate From 3Date To 3Company and LocationPosition HeldDate From 4Date To 4Company and LocationPosition HeldDate From 5Date To 5Company and LocationPosition HeldPRC Registered (If applicable)*YesNoLicense no.English Language TestEnglish Language Test - None None Target Date of TestIELTS a. IELTS b. OthersNo. of IELTS test taken:Date of Test ResultReadingWritingListeningSpeakingOverall Score Partner's DetailsName Family Name First Name/s Middle Name Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeGenderMaleFemalePartner's QualificationHighest Educational AttainmentCourseSchool and LocationDate CompletedPresent WorkCompany & LocationYears of relevant work experienceDependent Children (18 years old & below)NameAgeDependent NameDependet AgeDependent NameDependent AgeDependent NameDependent Age3A Do you have friends, relatives, or contacts in your target country?YesNoPlease indicate below.NameAddressRelationshipRelative's NameRelative's AddressRelative's RelationshipRelative's NameRelative's AddressRelative's RelationshipRelative's NameRelative's AddressRelative's Relationship IMMIGRATION HISTORY 1. Have you ever travelled out of country for residence in the last 10 Years?*YesNoPlease indicate the following:What Country?WhenApproximate duration of stay2. Have you ever been refused a Visa for any country?*YesNoPlease indicate the following:What Country?What type of Visa?When were you refused?Reason for refusal?3. Have you ever been granted a Visa for any country in the last 10 Years?*YesNoPlease indicate the following:What Country?When granted?4. Have you ever been deported, removed or otherwise required to leave any country?*YesNoPlease indicate the following:What Country?When?5. Do you have any criminal convictions in any country (including any traffic offenses)?*YesNo6. Have you ever been charged in any country with a criminal offense for which you have not been tried (including traffic offenses)?*YesNo7. Have you been refused entry on arrival to any country in the last 10 Years?*YesNoPlease indicate the following:Country?When refused entry?ReasonUpon clicking on submit, you will be prompted to pay a 2,000PHP assessment fee. In case you cannot make an online payment, you may still submit your assessment. Upon submitting, contact us and we will be happy to give you other payment options.* I agree.