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This is the candidate evaluation form of a career company...


The market leaders in overseas careers
CONFIDENTIAL
Y AXIS OVERSEAS CAREER EVALUATION FORM
Please use CAPITAL LETTERS to fill this form

Step 1 Step 2 Step 3 Step 4 Step 5
Step 6






Educate yourself of the company and opportunities.

Go through the Reading Material available Fill Form
Page 1 and 2 are common.
Select relevant section

Speak to a Consultant Develop Strategy Sign up Begin career overseas

PRIMARY OBJECTIVE
(You can choose multiple options)
I would like to  Work  Study  Visit  Migrate  Invest/Do Business  Working Holiday
In  USA  Canada  UK  Australia  New Zealand  Ireland  Germany  Switzerland  Russia  Singapore  Dubai  China  Other ______________________________________________

Personal Information

First Name: _________________Middle Name___________ Last Name_______________________

Email ID: ________________________________________________________________
 Check here if you like to receive regular updates on overseas careers and visas

Mailing Address: ___________________________________________________________________________________
Address 2: _________________________________________________________________________
City _________________________________State_______________________ Zip ________________

Contact Number (Mobile) __________________________ Res: _____________________________

Date of Birth: _________________ Age: _______________

Profession: ______________________________ Years of experience________________

Marital Status:  Single  Engaged  Married  Divorced

All information furnished in this form is true and can be supported by documentary evidence.

__________________________ ________________________
Signature of the Applicant Date

Please fill this page and the next page before a consultant can meet with you.
PROFESSIONAL PROFILE

ACADEMIC PROFILE
Level Degree Institute Year of Passing Grade
Masters
Bachelors
Diploma
XII

WORK EXPERIENCE
Are you  Salaried  Self Employed?
If self employed, please specify the nature of business:_________________________________

WORK EXPERIENCE
Name of the Company Title Years of Experience Industry Location










Total number of years of full time work experience ________

ENGLISH PROFICIENCY
Have you taken the IELTS/TOEFL exam?  Yes  No Date Taken _____________________________________
If yes, which module have you taken?  General  Academic  Band______________

Do you have knowledge of French?  Yes  No
If yes, please tick appropriate level of Proficiency
 Beginners  Medium  High Level


FINANCES
What has been your annual income during the previous year?______________________
What is the total value of the assets you hold?
Fixed Assets ____________________ Liquid Assets ____________________________
Do you file IT Returns?  Yes  No


FAMILY DETAILS
If married, please give the following details for your spouse:

First Name: _______________________Middle Name___________ Last Name_____________
Age: ___________________ Qualification: ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬________________________
Total number of years of full time work experience: ____________  None

Do you have children:  Yes  No
If yes, where do your spouse & children live?  Inside India  Outside India

OVERSEAS TRAVEL HISTORY
Have you ever traveled overseas before?  Yes  No
Name of the country Purpose Year Duration of stay







Do you currently hold a visa for any country?  Yes  No
Have you been rejected by any consulate?  Yes  No If yes, please provide details below:

Name of the consulate Type of Visa Applied for When rejected?
 This Month  Last month  less than  6 months  1 year  more than 1 year
 This Month  Last month  less than  6 months  1 year  more than 1 year
 

MIGRATION SERVICES SECTION
For Migration Applicants only

I would like to  Migrate through the following program:
 Canada:  Federal Migration  Regional Migration
 UK  HSMP  Australia  SIMS  ENS  New Zealand  XYZ
 Singapore Other ______________________________________________
 I don’t have a specific idea. I request you to recommend whatever is best for me.
 I require Post Landing Services

REASON FOR MIGRATION
 Children education  Dollar income  Healthcare facilities  Better retirement  Better career prospects  Better work environment  Career Break

Time Frame
 Less than 6 month  less than 1 year  1-2 years  2-3 years  More than 3 years

Relationship
Do you have a close blood relative (Brother, Sister, Uncle, Aunt, Niece, Nephew, Father, Mother) in Australia /Canada/New Zealand? Yes  No
If yes:
COUNTRY RELATIONSHIP LOCATION
 Australia
 Canada
 New Zealand
 USA
 UK
WORK OVERSEAS SECTION
For those wanting to search for work from India itself
Country of Interest:
 USA  Canada  UK  Australia  New Zealand  Ireland  Germany  Switzerland  Russia Singapore  Dubai  China  Other _______________________________
 My migration petition has been approved. I do not want to enter the country without a job offer.
 I would like to apply for a job where the employer will be able to sponsor my migration papers.
 I would like to apply for a job from India itself and a work permit is sufficient.
CONSULATE SERVICE SECTION
For Temporary/Short Stay/Visit Visa Applicants only
Student: Please use the forms on Page 5 Businessmen: Please use the form on Page 6

I require  Documentation Services  Visa Interview Orientation  Schedule an Interview Date
Purpose:  Tourist  Business  Job Search  Working Holiday

Country of visit: in  USA  Canada  UK  Australia  New Zealand  Ireland  Germany  Switzerland  Russia  Singapore  Dubai  China  Other _______________________________

Purpose of visit  Visit friends  Holiday  Attend a conference  Attend an interview  Trade Show  Working Holiday
Specify ____________________________________________________________________

Which type of Specific Visa are you holding/intending to hold?______________ (E.g. F-1Visa)

Who is going to finance your visit? ______________________________

Do you have any contacts in the country to be visited?  Yes  No
Do you have any invitation from overseas contacts?  Yes  No
How long do you want to go on your first visit?  1 wk  2 wks  1-month  2 months  3 months  More than 3 months

Have you already scheduled the interview with the Consulate? If so, when is the date_________________ 


For Student Applicants Only
For those requiring an admission and/or visa

Objective I want to become a ____________________________________________________________________

Preferences
Country:
 USA  UK  Canada  Australia  New Zealand  Germany  Switzeland  Singapore  Dubai  China Russia  Other ___________________________

Level:
 Bachelors  Masters  Doctorate  Diploma  Bridging program  Certificate
Degree:  BS  MS  MBA  MSC  MBBS  BDS  MDS  Other ________________________
Specialisation:  None  Priority 1_____________  Priority 2_____________  Priority 3_____________
Term:  Any  Summer  Winter  Fall or Month _____________ in  2005  2006
Duration of the Course:  3 months  6 months  12 months  18 months  24 months  3 years  4 years
Annual Tuition: Not more than  Rs. 3.0 Lakhs  Rs. 5.0 Lakhs  Rs. 7.0 Lakhs  Rs. 10 Lakhs

Who will be funding you  Parents  Self  Bank  Other __________________

When do you want to go?  Immediately  Next available term  ______________


Specific Interest:
 Work-Study Program in the USA  Graduate Migration to Australia  Other _____________________
 Specific College/University you want to get into ______________________________________________________

Test Scores
Name of the test Score Level If no score, scheduled date.




STUDENT VISAS
Those requiring Student visa documentation and visa orientation services only

Which country do you want a Visa for?
in  USA  Canada  UK  Australia  New Zealand  Ireland  Germany  Switzerland  Italy  France Russia  Singapore  Dubai  China   Other ______________________________________________

Type of the Visa you will be applying for?
 Student Visa  Exchange Student Visa  Dependent Visa

UNIVERSITY PROGRAM DETAILS

What is the name of the university you got an admission to? ______________________________________
City __________________________ State/Region______________________ Country__________________

When is the Reporting Date for the Orientation Session? _______________________
When is the Start Date for the Classes? ________________________

FINANCIAL DETAILS
How are you going to fund the study?  Family  Bank Loan  Own Funds

Have you already scheduled the interview with the Consulate? If so, when is the date_________________

 
BUSINESSMEN AND CORPORATE ONLY
Go Global/ Do Business/Invest Overseas /Business Visas

I would like to  Apply for a Business Visa  Invest Overseas  Migrate through Investor Route  Purchase/License Goods & Services Overseas  Register Trademark overseas  Incorporate  Open a Branch office overseas

 I would like to participate in a Trade Show.
Specify Event____________________________________
Location: ____________________Dates: ______________________________

Business Profile
Name of the Firm you are representing: ______________________________________

In what capacity do you represent it?
 Proprietor  Partner  Director  Employee  Other ___________________

Travel History

Have any of your company employees been abroad on company business?  Yes  No

If so, how many?  1  2  3  4  5  5-10  More than 10

Have they been to any of these countries? Check those that apply.
 USA  Canada  UK  New Zealand  Australia  Germany  France  Scandinavia
 Japan  Singapore  Other _________________________________________


Investment
What are you looking to purchase or establish? _________________________________________________________________________________________

Migration

Would you also want to apply for migration?  Yes  No

Would you want to make your adopted country your main home?  Yes  No

Product Service Research

Do you want to use Y AXIS Overseas Business Research & Liaison Services?  Yes  No
ALLIED SERVICES
Since we get a volume discount from related services, would you like to consider using our services to purchase any of the following products or services?
 Air ticketing Services
 Travel Insurance
 Foreign Exchange Services

HOW DID YOU HEAR ABOUT US?
 Television
 Hoarding located at _____________________________
 Newspaper Ad in ________________________ dated________________________
 Seminar
 Magazine
 Word of Mouth
 News Item
 Banner
 Other ____________________
 




REFER A FRIEND OR RELATIVE and get a 5% referral fee*

Name of the Referrer:
Name________________________ E-mail ______________________Mobile______________________________

Enter your referral’s name/s below:
_______________________E-mail________________ Mobile__________________________________________
_______________________E-mail________________ Mobile __________________________________________
_______________________E-mail________________ Mobile __________________________________________




If you have received this application by mail:
 Mail it by back or
 Fill it up and visit any of our offices
Y AXIS Hyderabad:
First Floor, GS Chambers, Nagarjuna circle, Banjara Hills, Hyderabad – 5000 82
Y AXIS Secunderabd:
Ground Floor, MayFair, SD Road, Secunderabad – 5000 03
Y AXIS Bangalore:
11th Floor, Prestige Meridian, MG Road, Bangalore – 560 001
Y AXIS Chennai:
Ground Floor, Aashirvaad Towers, McNichols Road, Chetpet, Chennai – 600 031
Y AXIS Panjim:
First Floor, Shiv Towers, Panjim, Goa – 403 001
Y AXIS Margao:
Third Floor, Osia Complex, Margao, Goa – 403 601

Any questions or comments?
 Call 939 640 1515
 E-mail customerservice@y-axis.com
 SMS NRI to 7333


FOR OFFICE USE ONLY
NOTES: ________________________________________________________________________________________

Referrers Name ___________________Counselor Name _____ ______________Office ______________________
Suitable for: ___________________________________________
Recommended: _________________________________________
Next Action:
Suitable for
 Follow up  Will call  Will visit  Ignore

Grade:  A  B  C  D