Consultation Booking May 2017

Consultation Booking with Amir Ismail in 2017

Amir Ismail & Associates (AIA) - Authorized & Licensed Immigration Consultants (Members of ICCRC & CAPIC)
Basic Information:
Full Name *

First Name Last Name

Address *

Phone Number *

- Area Code Phone Number
Cell Phone *

- Prefix Phone Number
E-mail *
Your Age *
Marital Status *
Education:
Educational Qualification *
Select your highest education
Previous assessments
Have you previously been assessed by Amir Ismail & Associates
Professional background:
What is your profession
# of years of experience *
Language Skills:
I can score 7 or more bands in each skill in the IELTS General Track (Reading, Writing, Speaking and Listening) *

Yes, I am confident to score 7 No, I am not confident
Spouse information:

IF APPLICABLE
Spouse's Age
Spouse's Education
Spouse can score 7 or more bands in each skill in the IELTS General Track (Reading, Writing, Speaking and Listening) *

Yes, he/she is confident to score 7 No, He/she is not confident
Spouse's profession
# of years of experience of spouse
Number of Kids 18 years or younger
Number of Kids 19 years or older
Relationship in Canada:
Do you have relatives in Canada *

Yes No
Relationship with Canadian relative *
Where in Canada do your relatives reside
Settlement fund
How much savings do you have to bring to Canada *
Name of Person who referred you to us *
Consent to pay consultation fee toward in-person or Skype/Telephone/Whatsapp appointment

Consultation fee is refundable to those who retain our services and become our client subsequently.
I will be paying US$150 before my one on one appointment with Mr. Ismail *

Yes No
Should be Empty:

Settlement fund