Initial Assesment Quiz

Country of first choice
Country of second choice
   
First name
Middle names
Surname
Gender:   M    F
   
Telephone Number (include country code)
Mobile Number
Fax (Optional)
Email
   
Date of birth (mm/dd/yy)
Spouse date of birth (mm/dd/yy)
Birthplace
Country of citizenship
   
Are you single or Married?     Single     Married
Spouse Age
Number of Children
   
Qualifications:  
Date(mm/yy): From to
Name of University/College:
Degree certificate awarded:
   
Date(mm/yy) From to
Name of University/College:
Degree certificate awarded:
   
Work Experience:  
Date(mm/yy): From to
   
Details of position/occupation:  
Date(mm/yy) :From to
   
Details of position/occupation:  
   
Spouse qualifications:  
   
Spouse work experience:  
   
Income over the last 12months
   
Main migration goals: Tick two only
Living in a better country
Better economic prospects
Citizenship
First step to moving to another EU country
Other (Please specify):
 
   
What is your work or business plan when you migrate to the country of your choice?
   
Do you have a relative residing in the country of your choice (if yes, relationship to you and citizenship of that person):
 
   
Indicate your English language proficiency in the boxes below
( E – Excellent V- Very Good G – Good F – Fair P – Poor)
Listening     Reading     Speaking     Writing  
 
   
Spouse language proficiency in the boxes below
( E – Excellent V- Very Good G – Good F – Fair P – Poor)
Listening     Reading     Speaking     Writing
 
   
   
   
Other Relevant Information:  
© Coongie Pty Ltd
Website by Southside I.T Solutions