Complete the H.R. Azimi Immigration Services Inc. Free Assessment Form below. Date of Birth*---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember---01020304050607080910111213141516171819202122232425262728293031---201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 Sex*---MaleFemale Marital Status*---MarriedWidowedLegally SeparatedAnnulled MarriageDivorcedCommon-LawSingle Number of Children* English*---High ProficiencyModerate ProficiencyBasic ProficiencyNo Proficiency French*---High ProficiencyModerate ProficiencyBasic ProficiencyNo Proficiency Degree---B.A.B.S.MscP.H.DAssociate DegreeCollege and Etc.N/A Education Type Work Experience*---1 Year2 Year3 Year4 Years or More Family Relationship in Canada Previous Study in Canada Previous Work in Canada Spouse Date of Birth---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember---01020304050607080910111213141516171819202122232425262728293031---201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 Spouse English---High ProficiencyModerate ProficiencyBasic ProficiencyNo Proficiency Spouse French---High ProficiencyModerate ProficiencyBasic ProficiencyNo Proficiency Spouse Degree---B.A.B.S.MscP.H.DAssociate DegreeCollege and Etc.N/A Spouse Education Type Spouse Work Experience---1 Year2 Year3 Year4 Years or More Spouse Family Rel. in Canada Spouse Prev. Study in Canada Spouse Prev. Work in Canada