Assessment for International Students
 
     
  Free assessment for people interested in studying in Canada.  
1.Contact Information
         
  Family Name   First Name  
  Phone             Email        
You must enter a valid email address here.
 
         
2.Principal Applicant (fill dotted area only if different from Contact Information)
         
  Family Name   First Name  
  Phone             Email          
         
         
  Current Mailing Address
  Permanent Mailing Address
 
  Current Occupation
  Name and address of current Employer or School
 
  Status in country where currently living
  If you have Temporary Status: Date of Visa Expiry. (DD/MM/YYYY)
 
  Gender
  Marital Status
 
  Date of Birth (DD/MM/YYYY)
  Place of Birth (city, country...)
  Citizenship
  City , Country where you are living now
 
  Passport Number
  Passport Expiry Date (DD/MM/YYYY)
 
  Passport, Country of Issue:    
 
Accepted at following educational institution in Canada:
Canadian currency $
 
  Tuition  
  Room and Board  
  Other Expenses  
  Funds available for my stay in Canada  
  Source of Financing  
         
3.Spouse and Children Accompanying Principal Applicant
    A    
  Family Name
  First Name
 
  Relationship to Principal Applicant
  Date of Birth (DD/MM/YYYY)
 
  Place of Birth
  Citizenship
 
  Passport Number
  Passport Expiry Date (DD/MM/YYYY)
 
  Passport, Country of Issue  
    B    
  Family Name
  First Name
 
  Relationship to Principal Applicant
  Date of Birth (DD/MM/YYYY)
 
  Place of Birth
  Citizenship
 
  Passport Number
  Passport Expiry Date (DD/MM/YYYY)
 
  Passport, Country of Issue:  
    C    
  Use following space for additional family members
 
         
         
4.Admisibility Criteria
     
  Have you, or any members of your family ever (If yes, check box):  
a) Been treated for any serious physical or mental disorders or any communicable or chronic diseases?
b) Committed a criminal offence in any country?
c) Been refused admission to or ordered to leave Canada?
d) Been refused a visa to travel to Canada?
e) In periods of either peace or war, have you ever been involved in the commission
of a war crime or crime against humanity?
  If you checked any of the above, please provided detailed explanations
 
         
 
During the past five years have you or any family member accompanying you live in any other country other than your country of citizenship or permanent residence for more than six months? Provide Details Below:
 
         
5.Comments
     
   
       
 
By submitting the above answers, I declare that I have answered all the required questions in this application fully, truthfully, and to the best of my ability. I waive all present and future liability on evaluations provided by Samintel technologies Inc. has I understand that my case assessment will be based on the above answers that I have provided.
 
     
         
 
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