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Worldwide Immigration Consultancy Services Ltd.

A-12, Industrial Area, Phase-6,


Mohali (Punjab) INDIA.
Phone: +91-172-4698200,
4698300, 6513223-24
Fax: +91-172-5063889

Application for Free Assessment WWICS Ltd.

For Office use only Application No.


Branch

(For Professional / Skilled Workers)

Section: A

1) Full Name:

2) Sex: Male/Female:

3) Date of Birth:

4) Country of Birth:

5) Citizenship Details:

6) Current Address:

7) Phone No.:

8) Mobile No:

9) Email Id:

10) Marital Status:


Worldwide Immigration Consultancy Services Ltd.
A-12, Industrial Area, Phase-6,
Mohali (Punjab) INDIA.
Phone: +91-172-4698200,
4698300, 6513223-24
Fax: +91-172-5063889

Please provide education details:

Qualification Stream i.e. Fro To Name of the Fulltime/


(Arts, Engg. m Month Month Uni./School/Coll Corresponden
Commerce) Year Year . ce/ Part-time/
Distance
O Level / CXC
(Matriculation)
A Level
(Higher Sec.)
Diploma

Bachelor’s in

Master’s in

Please provide detailed employment record:

Position/Designation From To Name of the


Month Year Month Year Employer
Worldwide Immigration Consultancy Services Ltd.
A-12, Industrial Area, Phase-6,
Mohali (Punjab) INDIA.
Phone: +91-172-4698200,
4698300, 6513223-24
Fax: +91-172-5063889

Section: B

1) Your Spouse Highest Qualification:

2) Blood relative in Canada/Australia..

References with Email ID:


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2.
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