RWI Technical Assessment Form

1. Your Contact Information:

First Name: JAEL MOLLY Last Name: GILO

Gender (M/F/other): FEMALE

Email Address: mollyjael@gmail.com

Residence Address:
13-90100 MACHAKOS
Telephone: +254714668559
(Include Country and City code)

Nationality: KENYAN

2. Your Personal Profile:

DOB (DD/MM/YY):
03/01/1994

Age: 29

Marital Status: Yes: YES No:

If yes then enter below details:

Spouse Name: CYPRIAN AENDE ODERO

Education: BACHELORS DEGREE

Experience: 9yrs

Have you previously been married or in a common law relationship? NO

3. What is your Country of Residence? KENYA

www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
4. The country where you are currently located? KENYA

5. What is your preferred destination in Abroad? CANADA

6. Do you have any Dependent Children? YES

7. Have you previously submitted a visa application? Yes/No

NO

8. Your Personal Net Worth:

(Your Personal Net Worth is the current value of all the assets (e.g. properties,
investments, stocks, bonds, bank accounts) that you (and your spouse/common-law
partner, if applicable) personally own, MINUS the current value of all your combined
personal liabilities (e.g. mortgages, loans, credit card balances).
Please be sure to include your share of the value of any businesses that you own.
*Net worth (INR): 279,069
9. Your Language Skills:

Speak Read Write Listen

English: YES YES YES YES
French: NO NO NO NO

10. Education:
Course Detail Course name Part Start
time/Full date/End
time Date
PHD (Regular/Correspondence):

Master Degree
(Regular/Correspondence):
Bachelor Degree BACHELORS FULL SEPTEMBER
(Regular/Correspondence): DEGREE IN TIME 2013-

www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
 EDUCATION(ARTS) AUGUST
2017
Other Diploma/Certificate
(Regular/Correspondence):
10th& 12th (Regular/Correspondence):

11. Your Work History:

Have you ever worked in any other country in a skilled occupation for at
least one year?
Yes /No NO

Have you done any paid work anywhere in the world during the last 10
years?
Yes No
YES

Total Years of Work Experience: 5 YEARS

DETAILS OF WORK EXPERIENCE:

Company Designation Start End Date Full time/ Country

Name Date Part time/
Internship
Employment 1 MACHAKOS Teacher May Currently Full time Kenya
GIRLS HIGH 2018 works
SCHOOL here
Employment 2 St. Theresa teacher May August internship kenya
girls 2016 2016
Employment 3

Employment 4

Employment 5

www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
Additional Information: -

*Annual Income (INR): 279,069

(*Current Salary and If not working then kindly mention last salary)

12. Do you have an abroad Job Offer?

Yes/No
No

13. Family and Friends in Any other country:

Do you have any family members, relatives, or close friends living in abroad?
Yes / No No

Which country do they reside?

14. Do you have any criminal records? If Yes, Explain:

NO

www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41
 15. Have you ever refused any visa? If Yes, Explain:

NO

16. Are you able to obtain a clean Police Clearance Record with no
criminal record?

Yes / No
YES

17. Do you have any medical problem? If Yes, Explain:

NO

www.roundworldimmigration.com
Address: 912, Chiranjiv Tower 43 Nehru Place , New Delhi – 110019
Contact No: 011-415-415-20 , 011-415-415-41