Application Form. Two copies of government issued identification. Two recent passport photos of yourself that are no more than six months old.

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1 Application Form IMPORTANT: You must submit along with this form Verification of Experience Form. Verification of Experience Form and this Application form must be signed and submitted together with all of the required documents and fees for processing. APPLICATION CHECKLIST You must submit documents listed below for successful processing of your application. Any missing or incomplete documents will result in a delay of the processing of your application. You must complete this section of the Application form before submitting your application to ensure compliance of processing requirement. Please place a check mark once you enclose the item. Application Forms You have completed and signed the Application Form. You have completed and signed the Verification of Experience Form. Identity Documents One of the following primary identity documents: Two copies of government issued identification. Two recent passport photos of yourself that are no more than six months old. Education and Training Documents If you have attended any training, skills recognition, apprenticeship or traineeship, and have obtained documents such as certificates or diplomas please provide a copy. Proof of any industrial or occupational licensing or registration if required for your occupation. (Please provide photocopy). Do not submit originals. Translation of Documents If any of the documents you submit are not in English, you must have the document translated in English at your own expense. We only consider documents submitted in English. A translator's declaration Your translated document must also include the translator's name, the original language of the translated document and a statement signed by the translator that the translation is accurate.

2 Fees You have enclosed fee of CAD $680 for the processing of the Application. APPOINTMENT OF REPRESENTATIVE FORM If you wish to have your information shared with a a third party you must sign and enclose an AP- POINTMENT OF REPRESENTATIVE FORM along with your Application. We will not disclose your information to a third party until we receive instructions from you. The APPOINTMENT OF REPRESENTATIVE FORM is located towards the end of the Application Form. Submitting Application Mail your completed application to the appropriate partnership office in your region. The partnership office locations can be found by visiting If you are a resident of a country, which is represented by our partner office, you must send your application form with enclosed payment to the nearest office. You may also visit the office to apply in person. If you don't have a partner office in your region please send your completed application package along with the application fee to our office address below: Immskills Suite Burrard Street Vancouver, British Columbia V6C 3P6 CANADA. APPLICATION INFORMATION Date of Birth: M D Y Gender: Male Female Mr. Mrs. Miss Ms. First Name: Initial: Surname: Preferred Name: Have you ever applied for trade assessment before? Yes No Please Provide Previous IMM File Number: Citizenship: Designated Trade:

3 ADDRESS INFORMATION (PRESENT) Street Address Line 1: Town/City: Street Address Line 2: Country: Postal Code: Phone Number: Type: Address: Preffered Address: EDUCATION INFORMATION: HIGHEST EDUCATION OBTAINED (IF ANY) Education Type: Institution Name: Qualification Obtained: EMPLOYMENT INFORMATIION (PRESENT) Your Employer's Name: Street Address: Your Job Title: Town/City: Country: Postal Code: Work Phone Number: Work Address: Employment Category: Hours of Work per Week:

4 APPOINTMENT OF REPRESENTATIVE FORM REPRESENTATIVE INFORMATION Surname: Given name(s): Representative's Company Name (if applicable): Indicate which one of the following applies to the representative (choose one) The representative is UNPAID and: a family member or friend a member of a non-governmental or a religious organization a member in good standing of the immigration Consultants of Canada Regulatory (ICCRC), a provincial or territorial law society or the Chambre des notaires du Québec other (please describe): The representative is, has been, or will be PAID and: a member in good standing of the ICCRC MEMBERSHIP ID: a member in good standing with a Canadian law society PROVINCE/TERRITORY: MEMBERSHIP ID: a member in good standing with the Chambre des notaires du Québec MEMBERSHIP ID: other (please describe): DECLARATION I DECLARE THAT THE ABOVE INFORMATION IS TRUTHFUL, COMPLETE AND CORRECT. Signature of Applicant: Printed name of Applicant: (YYYY-MM-DD) Signature of Representative: Printed name of Representative: (YYYY-MM-DD)

5 TERMS & CONDITIONS Terms and Conditions: IMMSKILLS assessments are conducted in partnership with the Saskatchewan Apprenticeship and Trade Certification Commission (SATCC). IMMSKILLS will cancel, without refund, any application for evaluation if any submitted documents have been falsified, forged, misrepresented or altered in any way. IMMSKILLS will also retain all educational documents submitted with evaluation request and will cease any further services to the client if during process of the application any information provided is established to have been falsified. The evaluations conducted by IMMSKILLS are advisory only. IMMSKILLS evaluation reports do not guarantee, jobs/immigration to Canada. Any new educational documents submitted after an evaluation report has been completed will be subject to a re-evaluation fee. IMMSKILLS or its partner providing services in your country/region reserves the right to verify educational credentials with the issuing institution/authority including, but not limited to, sending copies of transcripts to the institution/authority for verification and/or authentication. IMMSKILLS or its partner providing services in your country/ region has the right to verify your on the job experience as part of the processing of the application. IMMSKILLS also has the authority to share information regarding forged and misrepresented documents with local and foreign government, law enforcement agencies and professional designation bodies. IMMSKILLS is not responsible for lost or misdirected mail. Applicant's Statement I agree that I have read and understand the information in the IMMSKILLS terms and conditions above. I accept and agree to the terms and conditions stated in it. I agree that, to the best of my knowledge, all information provided by me in this application is true, complete and correct. I understand that the evaluation report completed by IMMSKILLS and its partners is advisory and not legally binding on any individual, institution, or agency. I agree that if I meet the trade person eligibility requirements by the Saskatchewan Apprenticeship and Trade Certification Commission (SATCC), I will be responsible to pay additional fees and write the inter-provincial journey person examination at my own expense. I understand that once I am issued an evaluation report, I am not guaranteed employment or Permanent Residents Visa's in Canada in my occupation or in any other occupation based on the evaluation. By signing this form I agree to the above Terms and Conditions, and Applicant's Statement. Freedom of Information and Protection of Privacy The Saskatchewan Apprenticeship and Trade Certification Commission and IMMSKILLS will use the information collected herein for the purpose of conducting an evaluation. Information on altered or falsified documents will be shared with government and law enforcement and professional authorities.

6 IMPORTANT If any of the required documents are missing, your application will be returned. Please confirm that the following have been enclosed for the successful processing of your application: Application Form completed and signed along with payment of fees. If you are submitting your application in a country where IMMSKILLS services are provided by an approved partner all forms of payment should be directed to the approved partner office along with your completed application. The information regarding the approved partner in your country/region can be obtained by visiting the immskills.com/partners website. Certified copies of Education Documents (if available). Please include a completed, signed copy of Form 6A (Verification of on The Job Experience) along with your completed application and necessary documents. If you were self-employed, please refer to our requirements. A copy of any government issued Identification (i.e. passport, drivers license, government issued I.D etc). You will be required to produce the original copy of the identification you provide along with your application when you collect your assessment report. Translations of all documents if they are not in English. Trademarks: CITREC and Immskills are trademarks of the Canadian International Training & Education Corp. All other trademarks mentioned, if any, belong to their respective owners. Signature: