Student Assessment

Name*
Prefix First Middle Last
Date*
Phone*
Enter your email*
Passport number*
Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Class 10th
Subject/Stream
Percentage/GPA
Number of Backlogs
End Month and/or Year
Start Month and/or Year
University/College/ Board
Class 12
Subject/Stream
Percentage/GPA
Number of Backlogs
Start Month and/or Year
End Month and/or Year
University/College/ Board
Graduation
Subject/Stream
Percentage/GPA
Number of Backlogs
Start Month and/or Year
End Month and/or Year
University/College/ Board
Masters
Subject/Stream
Percentage/GPA
Number of Backlogs
Start Month and/or Year
End Month and/or Year
University/College/ Board
Others
Subject/Stream
Percentage/GPA
Number of Backlogs
Start Month and/or Year
End Month and/or Year
University/College/ Board
IELTS SCORE
Reading
Writing
Speaking
Listening
What is your highest level of education?*
Gap between education (if any, answer with reason)
Your work experience?
Martial Status*
Date of birth*
Number of Kids*
Are dependent Children accompanying applicant?*
Do you, or your Spouse/Common-Law Partner, have any family members and or extended relatives living in Canada?*
Your Preference?
Course Preference (if any)
University/ College/ Location Preference (if any)
Comments or Notes (if any)

Address