Mansoureh Broujerdiani Evaluation form and immigration consultation appointment - Agent Mansoureh Broujerdiani Your representative is Mansoureh Broujerdiani and your immigration options will be assessed by her and official immigration consultants. All information entered by you on this form is considered confidential, and will only be reviewed by official attorneys to investigate the possibility of immigration, and will not be shared with any company, organization or individual. Contact informationEmailAll information and requests will be sent to the entered email. Please verify it carefully.Mobile phone*Please enter your whatsapp contact number.PhonePlease enter your landline number by mentioning the city prefix. Such as: 021xxxxxxxxPersonal informationFull Name*Name of the main applicantAge*Select ageLess than 17 years old1718192021222324252627282930313233343536373839404142434445Older Than 46 years oldGender*Select genderMaleFemaleOtherMarital status*Select marital statusSingleMarreidDivorcedWidowAddressEnter your city of residenceMilitary service statusSelect military service statusPermanent exemptionMandatory Military Service Completion CardSoldierI have not done military service yetDo you have children between 4 and 17 years old?YesNoEducation informationLast educational certificate*Select education degreeMiddle School degreeHigh school diplomaPre-universityAssociate degreeBachelor's degreeMaster's degreeMedical degreePHDField of educationNon-educational certificateJob InformationJob titleWork experienceSocial insurance history Foreign language knowledgeWhich languages can you speak? English French Arabic German Other Familiarity level with English language*Select familiarity levelVery weakWeakAverageGoodVery goodFamiliarity level with French language*Select familiarity levelVery weakWeakAverageGoodVery goodFamiliarity level with German language*Select familiarity levelVery weakWeakAverageGoodVery goodFamiliarity level with Arabic language*Select familiarity levelVery weakWeakAverageGoodVery goodWhat language are you fluent in?Language nameFamiliarity level IELTS CertificateYesNoIELTS score12344.555.566.577.588.59TOEFL CertificateYesNoTOFEL scoreSelect TOFEL scoreLess than 6060 - 8080 - 100100 - 120Other I have another certificate Certificate type and scoreFinancial informationAnnual turnover (gross income) of the company*Select turnover rangeLess than 200 million Tomans200 million to 300 million Tomans300 million to 500 million Tomans500 million to 1 billion Tomans1 billion to 2 billion TomansMore than 2 billion TomansYour per year turnover in cash Total assets*Select total assetsLess than 200 million Tomans200 million to 300 million Tomans300 million to 500 million Tomans500 million to 1 billion Tomans1 billion to 2 billion Tomans2 billion to 5 billion Tomans5 billion to 10 billion TomansMore than 10 billion TomansTotal cash and non-cash assetsCountriesDestination country*Select countryCanadaSwedenDenmarkNorwayPortugalAustriaFranceGermanyItalySpainAustraliaEnglandOtherPurpose of migration*Select purpose of migrationTourismVisiting relatives or acquaintances or attending a conferenceAccompanying the student's child / spouseFor educationFor businessInvestment and EntrepreneurshipOtherHave you or your spouse traveled to a Schengen area, Canada, the United Kingdom, the United States or Australia?*YesNoNames of countries you have visited so far*Have you ever had a history of rejection from a country?*YesNoNames of the countries which you have been rejected from*What countries have you traveled to in the last 5 years?Spouse informationSpouse's Full NameSpouse age*Select age1718192021222324252627282930313233343536373839404142434445Older Than 46 years oldSpouse's education degree*Select education degreeHigh school diplomaPre-universityAssociate degreeBachelor's degreeMaster's degreeMedical degreePHDSpouse's work historySpouse's language levelDescriptionPlease enter your explanation regarding the type of request and questions from your consultant and your reasons for migrating to the desired countryDiscount codeDiscount codeIf you have a discount code, enter it to apply the desired discount in your contractEmailThis field is for validation purposes and should be left unchanged.