AIRIX TRAVELS IMMIGRATION INTAKE FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastDate Of BirthEmail *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone Number 1Phone Number 2Title:Prof.Dr.Mr.Mrs.Ms.Miss.Other Names:Date of Birth:Native Language:Your current Marital Status: (copy)MarriedWidowedLegally SeparatedDivorcedSingleGender:Country of Birth:Current Nationality:Do you have International Passport?YesNoHave you ever been refused a visa before?YesNoCHILDREN INFORMATIONYesNoFor each child, please select "Yes" and complete the requested information.Child #1:YesNoChild #2:YesNoChild #3:YesNoChild #4:YesNoChild #5:YesNoEMPLOYMENT (What Course did you study):Current Occupation:How many years have you spent in your current occupation:Employment HistoryGive details of all employment you have had in the last 10 years. For each Employment, please select "Yes" and complete the requested information.Employment #1:YesNoEmployment #2:YesNoEmployment #3:YesNoEmployment #4:YesNoEmployment #5:YesNoEDUCATIONGive the numbers of years you successfully completed for each of the following levels of education:Primary School:Secondary School:Trade/Apprenticeship:Post Secondary EducationGive full details of all post secondary education ( university, polytechnic, college and apprenticeship training) you have had. For each Education please select "Yes" and complete the requested information.Education #1:YesNoEducation #2:YesNoEducation #3:YesNoEMPLOYMENT OF SPOUSEWhat Course did you study:Current Occupation:How many years have you spent in your current occupation:Employment HistoryGive details of all employment you have had in the last 10 years. For each Employment, please select "Yes" and complete the requested information.Employment #1:YesNoEmployment #2:YesNoEmployment #3:YesNoEmployment #4:YesNoEmployment #5:YesNoSPOUSE LANGUAGEWhich of this language can you spouse speak?EnglishFrenchNoneHave you taken the International English Language Testing System (IELTS) exam (General Paper)?YesNoYour proficiency in English:Speaking:NoWith DifficultyWellFluentListening:NoWith DifficultyWellFluentReading:NoWith DifficultyWellFluentWriting:NoWith DifficultyWellFluentSTUDY IN THE COUNTRYHave you or, if applicable, your spouse previously completed a program of full-time study of at least two years at a post-secondary institution?YesYesWORK IN THE COUNTRYHave you or, if applicable, your spouse previously worked full-time in the country?YesNoDo you or, if applicable, your spouse, have a relative living who is a citizen or a permanent resident?YesNoDo you currently have an offer of employment from an employer?YesNoFUNDSHow much in Dollars will you take with you as total savings when traveling?$20,000$20,000 - $40000>$40000Please how did you get to know about us?Submit
