Technical Assessment Form | LEFT & RIGHT Immigration

Name * Please enter your first and last name.

Date of Birth * Please enter a valid date of birth.

Email * Please enter a valid email address.

Contact No. * Please enter a valid contact number.

Address * Please enter your address.

Country Preference *

Please select your preferred country.

Nationality *

Dependent Children * Please select number of dependent children.

Marital Status * Please select your marital status.

Net Worth *

Country of Education * Please select your country of education.

Name of the Diploma / Certificate / Degree * Please enter your degree / diploma name.

Name of Institution * Please enter your institution name.

Passing Year of Diploma * Please select your passing year.

Area of Training * Please select your area of training.

Did you work in a job related to your education? *

Yes No

Please select an option.

Current Designation * Please enter your current designation.

Employer Name

When Did You Start Working? *

Total Years of Experience * Please select your total years of experience.

Annual Income *

IELTS Taken?

Yes No

IELTS Overall Band Score

PTE Score (if taken)

English Language Command *

Intermediate Moderate Excellent

Please select your English language level.

French Language Command *

Intermediate Moderate Excellent Not Applicable

Do you have friends/relatives living in Canada/Australia/Hongkong? *

Yes No Maybe Not applicable

Please select an option.

Have you visited Quebec/ Australia/ Hongkong? *

Yes No Maybe Not applicable

Please select an option.

Have you studied in Canada/ Australia/Hongkong? *

Yes No Maybe

Please select an option.

Have you worked in Canada/Australia/Hongkong? *

Yes No Maybe

Please select an option.

Do you have job offer of Canada/Australia/Hongkong? *

Yes No Maybe Not applicable

Please select an option.

Do you or any of your immediate family members have a medical condition? *

Yes No

Please select an option.

Have you ever been convicted of a criminal offence? *

Yes No

Please select an option.

Passport Available?

Yes No

Passport Expiry Date

Preferred Intake / Visa Timeline

How did you hear about us? * Please tell us how you heard about us.

Counsellor Name * Please enter counsellor name.

I confirm that all information provided is accurate. I consent to be contacted by LEFT & RIGHT TOUR & TRAVEL IMMIGRATION PVT LTD regarding this assessment. *