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Full Name
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Preferred Immigration Destination
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Native Language
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English Proficiency
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Highest Level of Education
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Have you previously applied for immigration to any of the selected destinations?
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Has your visa ever been refused?
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Have you ever overstayed your stay in any country?
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Spouse Name
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Country of Birth
Current Occupation
Highest Level of Education
Highest Level of Education
High School Diploma
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Do you have dependents?
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Do you have any family members currently living in your preferred immigration destination?
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Do you have any medical conditions that may require ongoing care?
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Have you ever been convicted of a criminal offense?
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What is your personal Income?
What is your family annual income?
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