The market leaders in overseas careers

CONFIDENTIAL
Y AXIS OVERSEAS CAREER EVALUATION FORM
Please use CAPITAL LETTERS to fill this form

Step 1 Step 2 Step 3 Step 4 Step 5 Step 6

Educate yourself of Fill Form Speak to a Consultant Develop Sign up Begin career
the company and Page 1 and 2 Strategy overseas
opportunities. are common.
Select relevant
Go through the section
Reading Material
available

PRIMARY OBJECTIVE
(You can choose multiple options)
I would like to Work Study Visit Migrate Invest/Do Business Working Holiday
In USA Canada UK Australia New Zealand Ireland Germany Switzerland Russia
Singapore Dubai China Other ______________________________________________

Personal Information
First Name: _________________Middle Name_________________ Last Name_____________

Email ID: ________________________________________________________________

Check here if you like to receive regular updates on overseas careers and visas

Mailing Address:
___________________________________________________________________________________
Address 2:
_________________________________________________________________________
City _________________________________State_______________________ Zip
________________

Contact Number (Mobile) __________________________ Res:

_____________________________

Date of Birth: _________________ Age: _______________

Profession: ______________________________ Years of

experience________________

Marital Status: Single Engaged Married Divorced

All information furnished in this form is true and can be supported by documentary evidence.

__________________________ ________________________
Signature of the Applicant Date

Please fill this page and the next page before a consultant can meet with you.
© Y AXIS Overseas Careers
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 PROFESSIONAL PROFILE
ACADEMIC PROFILE
Level Degree Institute Year of Passing Grade
Masters
Bachelors
Diploma
XII

WORK EXPERIENCE
Are you Salaried Self Employed?
If self employed, please specify the nature of business:_________________________________

WORK EXPERIENCE
Name of the Company Title Years of Industry Location
Experience

Total number of years of full time work experience ________

ENGLISH PROFICIENCY
Have you taken the IELTS/TOEFL exam? Yes No Date Taken
_____________________________________
If yes, which module have you taken? General Academic Band______________

Do you have knowledge of French? Yes No

If yes, please tick appropriate level of Proficiency
Beginners Medium High Level

FINANCES
What has been your annual income during the previous year?______________________
What is the total value of the assets you hold?
Fixed Assets ____________________ Liquid Assets ____________________________
Do you file IT Returns? Yes No

FAMILY DETAILS
If married, please give the following details for your spouse:
First Name: _______________________Middle Name___________ Last Name_____________
Age: ___________________ Qualification: ________________________
Total number of years of full time work experience: ____________ None
Do you have children: Yes No
If yes, where do your spouse & children live? Inside India Outside India

OVERSEAS TRAVEL HISTORY

Have you ever traveled overseas before? Yes No
Name of the country Purpose Year Duration of stay

Do you currently hold a visa for any country? Yes No

Have you been rejected by any consulate? Yes No If yes, please provide details below:

Name of the consulate Type of Visa Applied When rejected?

for
This Month Last month less than 6 months 1
year more than 1 year
This Month Last month less than 6 months 1
year more than 1 year

© Y AXIS Overseas Careers

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 MIGRATION SERVICES SECTION
For Migration Applicants only
I would like to Migrate through the following program:
Canada: Federal Migration Regional Migration
UK HSMP Australia SIMS ENS New Zealand XYZ
Singapore Other ______________________________________________
I don’t have a specific idea. I request you to recommend whatever is best for me.
I require Post Landing Services

REASON FOR MIGRATION

Children education Dollar income Healthcare facilities Better retirement Better career prospects
Better work environment Career Break

Time Frame
Less than 6 month less than 1 year 1-2 years 2-3 years More than 3 years

Relationship
Do you have a close blood relative (Brother, Sister, Uncle, Aunt, Niece, Nephew, Father, Mother) in Australia
/Canada/New Zealand? Yes No
If yes:

COUNTRY RELATIONSHIP LOCATION

Australia
Canada
New Zealand
USA
UK

WORK OVERSEAS SECTION

For those wanting to search for work from India itself
Country of Interest:
USA Canada UK Australia New Zealand Ireland Germany Switzerland Russia
Singapore Dubai China Other _______________________________
My migration petition has been approved. I do not want to enter the country without a job
offer.
I would like to apply for a job where the employer will be able to sponsor my migration
papers.
I would like to apply for a job from India itself and a work permit is sufficient.

CONSULATE SERVICE SECTION

For Temporary/Short Stay/Visit Visa Applicants only
Student: Please use the forms on Page 5 Businessmen: Please use the form on Page 6

I require Documentation Services Visa Interview Orientation Schedule an Interview Date

Purpose: Tourist Business Job Search Working Holiday

Country of visit: in USA Canada UK Australia New Zealand Ireland Germany

Switzerland Russia Singapore Dubai China Other _______________________________

Purpose of visit Visit friends Holiday Attend a conference Attend an interview Trade
Show Working Holiday
Specify ____________________________________________________________________

Which type of Specific Visa are you holding/intending to hold?______________ (E.g. F-1Visa)

Who is going to finance your visit? ______________________________

Do you have any contacts in the country to be visited? Yes No

Do you have any invitation from overseas contacts? Yes No
How long do you want to go on your first visit? 1 wk 2 wks 1-month 2 months 3
months More than 3 months

Have you already scheduled the interview with the Consulate? If so, when is the date_________________

© Y AXIS Overseas Careers

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 REFER A FRIEND OR RELATIVE
and get a 5% referral fee*
Name of the Referrer:
Name________________________ E-mail
______________________Mobile______________________________

Enter your referral’s name/s below:

_______________________E-mail________________
Mobile__________________________________________
_______________________E-mail________________ Mobile
__________________________________________
_______________________E-mail________________ Mobile
__________________________________________

If you have received this application by mail:

Mail it by back or
Fill it up and visit any of our offices
Y AXIS Hyderabad:
First Floor, GS Chambers, Nagarjuna circle, Banjara Hills, Hyderabad – 5000 82
Y AXIS Secunderabd:
Ground Floor, Mayfair, SD Road, Secunderabad – 5000 03
Y AXIS Somajiguda:
3rd Floor, Dega Towers, Raj Bhavan Road, Somajiguda, Hyderabad - 500 082
Y AXIS M G Road:
11th Floor, Prestige Meridian, MG Road, Bangalore – 560 001
Y AXIS Koramangala
# 612, 2nd floor, 80 feet road, 6th Block, Koramangala, Bangalore - 560 095
Y AXIS Chennai:
Ground Floor, Aashirvaad Towers, McNichols Road, Chetpet, Chennai – 600 031
Y AXIS Pune:
1st Floor – 121 & 122, Connaught Place, Bund Garden Road, Pune – 411001
Y AXIS Mumbai:
Kotian Nirman, B-306, Third Floor, Andheri Link Road, Andheri (West), Mumbai – 58
Y AXIS Delhi:
LG 25, International Trade Tower, Nehru Place, Delhi - 110 019
Y AXIS Gurgaon:
Vipul Agora, First Floor, Suite 117, M.G. Road, Gurgaon – 122002
Any questions or comments?
Call 939 640 1515
E-mail customerservice@y-axis.com
SMS NRI to 7333

FOR OFFICE USE ONLY

NOTES: ________________________________________________________________________________________

Referrers Name ___________________Counselor Name _____ ______________Office ______________________

Suitable for: ___________________________________________
Recommended: _________________________________________
Next Action:
Suitable for
Follow up Will call Will visit Ignore

Grade: A B C D

© Y AXIS Overseas Careers

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