February 13, 2023 Pivot Up Consult Limited Welcome to the Visa Eligibility Assessment Full Name Email Occupation Phone Number 1. Gender Male Female 2. Age Please select your answer Under 18 18-24 25-29 30-39 40-49 50-60 3. Country of residence 4. Your country of citizenship 5. Highest Level of Education Please select your answer Diploma Degree Master’s Degree PhD 6. Which level of education are you applying for? Please select your answer Diploma Degree Master’s Degree PhD 7. Gap years between your last qualification Please select your answer 1-3 Years 3-5 Years 5-10 Years 10-15 Years 15 Years Above 8. English Level Please select your answer Beginner Intermediate Proficient 9. Have you done the Academic IELTS test? Please select your answer Yes No 10. If Yes to above, enter score in each component 11. Are you currently employed? Please select your answer Yes No 12. Years of Work Experience Please select your answer 1-3 Years 3-5 Years 5-10 Years 10-15 Years 15 Years Above 13. Do you own a registered company (Self Employed)? Please select your answer Yes No 14. Does the course you are applying for matches your current job role? Please select your answer Yes No 15. Sponsor Please select your answer Self Parent Relative Government Loan Company Others 16. Marital Status Please select your answer Never Married Married Divorced Widowed 17. Do you have any children? Please select your answer Yes No 18. Any permanent relatives in the country you have selected? Please select your answer Yes No 19. Have you been refused visa to another country? Please select your answer Yes No 20. If Yes to above, enter country you were refused 21. Have you been granted visa to another country? Please select your answer Yes No 22. If Yes to above, enter country you were refused Time is Up! Time's up