:: Free Assessment
In order for us to assess your eligibility, would you please complete the following basic information and we shall get back to you in due course.

Confidentiality: The information you provide in this form will be treated in the strictest confidence.

* Name : Working Experience : (no. of years)
* Tel : Marital Status :
* Occupation : Spouse's occupation :
* Qualification : Spouse's qualification :
* Age : Spouse's age :
* E-mail : No. of children :
    Country of Interest :
    Close relative in Canada/Australia :
    Do you have your own business? :
Comments  :
* Compulsory fields

Whether you have a business enquiry, a suggestion or, seeking information on our range of services, you can e-mail us at mail@northernlights.com.my

Northern Lights Sdn. Bhd. 24-2, Jalan PJS 11/28, Bandar Sunway, 46150 Petaling, Selangor, Malaysia
Tel: 603-5632-5100/5101/5105 - Fax: 603-5632-5102

Copyright 2004 Northern Lights Sdn Bhd. All rights reserved.