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Migrate2Mapleland Immig

www.migrate
Initial Assessmen
Which program are you interested to Immigrate to Canada?
Personal Informati
First Name (as per passport)
Middle Name (as per passport)
Last Name (as per passport)
Email Address
Passport Expiry Date (DD/MM/YYYY)
Nationality
Current Place of Residence: (City,Country)
Current Address
Daytime Telephone number preceded by the area code: (areacode , phone number) Home,
Office, or Mobile
Date of Birth (DD/MM/YYYY)
Sex
Marital Status
As of today does your passport have 1 year validity before expiration date?
If Married, please provide Sp
Spouse's Date of Birth (DD/MM/YYYY)
First Name (as per passport)
Middle Name (as per passport)
Last Name (as per passport)
Passport Expiry Date
Spouse's Level of Education and duration
Spouse's Number of Years and Months of Working Experience
Number of Children
Ability in English
IELTS
Read
Write
Speak
Listen
French(Prim
French TEF
Read
Write
Speak
Listen
Ability in Eng
IELTS Already Taken?
Read
Write
Speak
Listen
French(Prim
French TEF already Taken?
Read
Write
Speak
Listen
Educational Profi
Educational Credential Assesment completed? If Yes
Canadian Education Equivalency?
Phd or Doctorate
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Master Degree
Name of Master Degree awarded?
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Bachelors Degree
Name of Bachelor Degree Awarded?
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Total Years of education:
(Including Primary, Secondary, and Post Secondary)
Certificate if any
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Educational P
Educational Credential Assesment completed? If Yes
Canadian Education Equivalency?
Phd or Doctorate
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Master Degree
Name of Master Degree awarded?
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Bachelors Degree
Name of Bachelor Degree Awarded?
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Total Years of education:
(Including Primary, Secondary, and Post Secondary)
Certificate if any
Field of Study
Date Started: (DD/MM/YYYY)
Date of Graduation: (DD/MM/YYYY)
Name of Institution
City
Country
Employment Histo
Name of Company or Organization - 1
Full Time
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)
Employment Duties:

City:
Country:
Name of Company or Organization - 2
Full Time
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status:
Number of Hours Worked per Week:
Do You Presently Still Work at this Company? (Yes/No):
Employment Duties:

City:
Country:
Name of Company or Organization - 3
Full Time
Job Title
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)
Employment Duties

City
Country
Name of Company or Organization - 4
Job Title
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)

Employment Duties

City
Country
Employment H
Name of Company or Organization - 1
Full Time
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)
Employment Duties:

City:
Country:
Name of Company or Organization - 2
Full Time
Job Title:
From: (Month, Year)
To: (Month, Year)
Employment Status:
Number of Hours Worked per Week:
Do You Presently Still Work at this Company? (Yes/No):
Employment Duties:

City:
Country:
Name of Company or Organization - 3
Full Time
Job Title
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)
Employment Duties
City
Country
Name of Company or Organization - 4
Job Title
From: (Month, Year)
To: (Month, Year)
Employment Status
Number of Hours Worked per Week
Do You Presently Still Work at this Company? (Yes/No)

Employment Duties

City
Country
Relationship to Closest Blood Relative in Ca
Blood Parent
Blood Aunt/Uncle
Blood Brother or Sister
Blood Son/Daughter
Blood Niece/Nephew (22 years or older)
Blood Grand ParentBlood Cousin
Relatives presence in which Province?
Proof of Fund

Do you currently have an offer of employment from a Canadian employer?

If your answer to the above question is "Yes" provide details here:


Have you or spouse/common law
Had any serious disease
Been convicted of or currently charged with any crime or offence in any country
Applied previously for an immigrant visa to Canada
Visited Canada (visit,study,work)
Are you able to obtain a visitors visa to Canada
If answer to any of above is "Yes" provide details here:
PLEASE INFORM HOW YOU WERE INTRODUCED TO US

Additional Comments if Any:


pleland Immigration and Visa Services Inc.
www.migrate2mapleland.ca
Initial Assessment data collection form
Provincial Nomination Program
Personal Information(Primary Applicant)
Thaarini

Doraiswami
thaarini160593@gmail.com
12/22/2024
India
Chennai, India
Plot No.44, Flat No. S3, Second Floor, VGN Harmony Apartments, Guruswams street, Nolambur, Chenna
91-7358581993

5/16/1993
Female
Married
Yes
, please provide Spouse's data's in the fields below

1
Ability in English (Primary Applicant)
Yes
Advanced 6-7
Advanced 6-7
Advanced 6-7
Advanced 6-7
French(Primary Applicant)
Not Applicable
N/A
N/A
N/A
N/A
Ability in English (Dependant)
Not Applicable
N/A
N/A
N/A
N/A
French(Primary Dependant)
Not Applicable
N/A
N/A
N/A
N/A
Educational Profile(Primary Applicant)
Not Applicable
Equal to Masters
Not Applicable

Yes
Yes
ME Cmputer Science with Specialisation in Networks

Sri Venkateswara College of Engineering (Affilated to Anna University)


Chennai, India
India
Yes
Yes
B.Tech Information Technology

RMD Engineering College (Affilated to Anna University)


Chennai, India
India
20 years

Educational Profile(Dependant)
Not Applicable
Equal to Masters
Not Applicable
Not Applicable

Not Applicable
Not Applicable

Employment History(Primary Applicant)

Yes
Digital Associate
11/1/2018
1/1/2020
Employed

No
Collection of Ground data and performing testing for a Robot development

Chennai, India
Yes
Yes
Test Engineer
1-Jul-21
1-Oct-22
Employed

Yes
Working as a Test Engineer in Maveric Systems for First Abu Dhabi Bank

Chennai, India
India

Yes
Employment History(Dependant)

Yes

Yes

Yes
lood Relative in Canada (Canadian Citizen or Landed Immigrant):

$19390-3

N/A

ouse/common law partner or dependent children ever:


No
No
No
No
No

By a Family Friend

Married but seperated and not divorced

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