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Please Fill Out all items, user back key, if needed. Don't skip any question.

Form Preparation Instruction: .Fill-out all fields including separate duties and responsibilities. When completed, submit to my mail. If you think your wife/husband have any professional qualification and experience, please also use another set of this form for his/her as well. No-cost is only for email response from me to your own email account/address, otherwise not free. Please read below info for charges of non-email answer before sending the form.

INTENDING APPLICANTS FOR IMMIGRATION TO USA/CANADA/AUSTRALIA/ NEW ZEALAND. FREE ASSESSMENT FOR DIRECT APPLICANTS ONLY IF HAVE OWN EMAIL; NOT FREE IF I GET ASSESSMENT REQUEST THROUGH ANY THIRD PERSON, OR AGENT, IN THAT CASE A MINIMUM CHARGE OF TK.500 PER CASE NEED TO BE PAID FIRST, OTHERWISE I WILL NOT BE ABLE TO KNOW YOU MY FINDING YES/NO RESULT. Direct applicants having no email can use my another HTML print form or its photocopy but need to pay advance Tk. 200 for registration/handling costs to get assessment result through regular mail. For confidentiality, no over-phone assessment result. Answer to all fields blocks, DON’T skip any question. Incomplete form will not be assessed, I will never call you for missing data, it is your responsibility to re-check any incomplete block. Use extra sheets if needed. All data entered here should be accurate per documentary evidence. Tick appropriate one or write N/A if inapplicable. Recheck latest regulations before formal application submission, if not submit immediately. This Free Assessment does not constitute any client-consultant relationship. This is not a guaranty or acceptance. Do not quit your job, sell or give away your possessions until you have been issued an immigration visa. I’m not bound to disclose details of my assessment findings or calculation points, you will just know positive or negative only. Don’t attach your original document, documents submitted are not returnable, be careful. If assessed ok, you are free to apply own; if want our service, our total processing fee is a fraction of other foreign lawyers/consultants visiting Dhaka. You need only to sign, provide us certificates etc, and money, we will do everything till visa issue. You may need to attend for interview and MUST need medical exam. Most recent version of all forms readily available with us. Shah Jamal 20 August 2000.
End of instruction, page 1

 

Shah Jamal
Visa and Immigration Consultant

Mail87-40 165th St, Apt 4J, Jamaica, 

NY 11432,USA;

PhonePhone: 1-(718)-523-4123
Fax: 1-(718)-523-4133

 

Bangladesh Contact Office:

 

Visa & Com World
MailPRABASH,KHA-71/4/A,

 TanPara,(Nikunja-2)Khilkhet, 

Dhaka-1229,Bangladesh;

PhonePhone: 880-2-8923089
Fax: 880-2-8923089
E-mail: shahjamal@yahoo.com

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(This is not a legal document, see disclaimer above, and for any clarification please contact me or for correct provisions, please contact relevant visa/immigration offices.

Immigration Prequalification Assessment Form - Shah Jamal

CONTENTS - [ Applicant | Family | Language | Education | Work | Assets | Bottom of Form ] - CONTENTS

Applicant: Mr. / Mrs. / Miss / Ms.

Family Name(Last part):
Other Names (1st & middle):
Permanent Address: House #:
Road/Street No & Name:
Post Office/Code:
District/Province:
Country:
Telephone:
Fax:
E-mail:
Date of birth ( day - month - year ) -- day - month - year
Marital Status: NeverMarried / Engaged - Widowed - Separated - Divorced - Married. - Married more than once
Your Citizenship:

Spouse and Children

Spouse Name
 Present Citizenship/immigration status
Date of birth ( day - month - year )
day - month - year 		Birthplace
 Present Occupation
Highest Education of spouse (years of formal education)
 No. of Children
Date of your marriage ( day - month - year )
day - month - year 		Place of marriage
 Age of eldest child
Other comments regarding spouse / children.
Do you have any relatives immigrant/citizen in Canada/Australia/NZ (only brother, sister, mother, father, grandparent, aunt, uncle, niece or nephew of you or your spouse? - Yes - No.
Comments regarding relatives / relationship(s)

Language

  1. Do you speak/read/write English?
    - fluently, well, with difficulty, or not at all.
    TOEFL/IELTS SCORE if available
  2. Do you speak/read/write French?
    - fluently, well, with difficulty, or not at all.
  3. Your mother's language?

      Education & Training (secondary & postsecondary successfully completed/passed, please write exact major subject also)

    1. Year(s) attended - (month/year to month/year): - / - to - /
      Type of program: - secondary, college, university, other.
      Institution Name
      		 Degree obtained & result date
    2. Year(s) attended - (month/year to month/year): - / - to - /
      Type of program: - secondary, college, university, other.
      Name of Institution
      		 Degree obtained & result date
    3. Year(s) attended - (month/year to month/year): - / - to - /
      Type of program: - secondary, college, university, other.
      Institution Name
      		 Degree obtained & result date

      Additional information about your education or training (like private/correspondence, details if not a full-time course)

    Work Experience (since age 18 years)

    1. Year(s) - (month/year to month/year): - / - to - /
      Position Held
      		 Employer's name & duty place

      Detailed description of job (weekly duty hrs):

    2. Year(s) - (month/year to month/year): - / - to - /
      Position Held
      		 Employer's name & duty place

      Detailed description of job (weekly duty hrs):

    3. Year(s) - (month/year to month/year): - / - to - /
      Position Held
      		 Employer's name & duty place

      Description of job (weekly duty hrs):

    4. Year(s) - (month/year to month/year): - / - to - /
      Position Held
      		 Employer's name & duty place

      Detailed description of job (weekly duty hrs):

    What Assets and Liabilities Do You and your spouse own?
    ( in equivalent Canadian dollar )

    1. Cash / Bank balance
    2. Business
    3. Property
    4. Liabilities
    5. Other
    6. Assets and Liabilities Details:

      Other Areas

      Any medical problems for you, spouse and/or children?

      Details of medical background:

      Did your or any of your adult family member reside at a time in any country outside home country since reached age 18? If yes write details below. - Yes - No.

      List of all countries:

      Any refusal of refugee status in, or an immigrant, student or visitor visa application; or refused admission to or ordered to leave any country or illegal overstay of yourself and/or spouse in any country?

      Details of visa refusal/overstay:

      Any criminal record for you, spouse and/or children?

      Details of criminal background:

      When you are finished with filling the form, select Submit, otherwise recheck before Submit. Clear Form means all input out, & you need to re-enter it again.

© 2003 Shah Jamal,  All Right Reserved, Last updated Dec 24, 2003