Canadian Immigration Assessment Form

1 - Personal Information
Name: CHAMUNORWA TAMBARA
Date of Birth : 17/09/91

Sex (Male/Female): MALE

Contact Number: +263 772540235

Email: chamutambara@gmail.com

2 - Family Composition
Present marital Status: Married
Number of Children with Age: 0

Relatives in Canada: None

3 – Education
Duration Academic &
From To Marks Name of School/University with
Professional
Obtained country
Qualification
Feb Nov MSc Information Pass Midlands State University
2018 2019 Systems
July June BSc Information 2.1 Midlands State University
2014 2017 System
Jan Dec Diploma PC Eng. Credit Trust Academy
2013 2013 & Networking
Jan Jan CCNA Pass Cisco Academy
2019 2020
June Nov Networking Pass Funtech Systems
2017 2017 Associate
Certificate
Jan Dec CCENT Pass Cisco Academy
2018 2018
4 - Work History
Total number of years of experience with complete history of past 10 years:
Duration
Name of the
Fro To Designation and Job Profile
Company
m
July Dat Stefitech Network Consulting Engineer
2019 e Systems
Feb July The Building Network Administrator
2014 201 Centre
9
Jan Jan Teezik Junior Network Support Officer
2013 201 Solutions
4

5 - Ability in Language – ENGLISH: (High/Moderate/Basic/None) Mention IELTS results

SPEAKING:
LISTENING:
READING:
WRITING:

6 - Ability in Language – FRENCH: (High/Moderate/Basic/None)

SPEAKING:
LISTENING:
READING:
WRITING:

Information on Spouse (Applicant’s Husband or Wife)

Name: Adelaide Karima Tambara
Date of Birth : 15/09/94
Sex (Male/Female): Male
7 – Education
Duration Academic &
Marks Name of School/University with
Fro Professional
To Obtained country
m Qualification
Jan Dec National Pass Zimbabwe Institute of Legal Studies
2015 2015 Certificate in
Applied Law
Jan Dec National Diploma Pass Zimbabwe Institute of Legal Studies
2016 2018 in Applied Law

8- Ability in Language – ENGLISH: (High/Moderate/Basic/None) Mention IELTS results

SPEAKING: n/a haven’t sit for the exam yet
LISTENING: n/a
READING:
WRITING:

9 - Ability in Language – FRENCH: (High/Moderate/Basic/None)

SPEAKING:
LISTENING:
READING:
WRITING:
10 - Work History of Spouse
Total number of years of experience with complete history of past 10 years:
Duration Name of the
From To Designation and Job Profile
Company
Jan Sept Mbare Public Prosecutor
2017 2017 Magistrate
Court
Sept Dec Mt Darwin Clerk of Court
2017 2017 Magistrate
Court

11: Any self-employed profession by applicant or spouse during last 5 years?

Signature of Staff:
Name of Office: