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ENQUIRY FORMS
Personal Contact Details
Family Name
First Name
Middle Name
Date of Birth
Sex
Select One
Male
Female
Marital Status
Select One
Never Married
Widowed
Divorced
Seperated
Engaged
Married
De Facto Relationship
If Engaged - Proposed Date of Marriage
If Married - Date of Marriage
If De Facto Relationship - Date Relationship Commenced
Occupation
Mailing Address 1
Mailing Address 2
City
State
Postal Code
Telephone
Fax
Email
Passport / Visa Details
Date of Anticipated/Desired Arrival in Australia
Country of Residence
Country of Citizenship
Passport Number
Current Australian Visa Status
Select One
Current
Never Held
Previously Held Visa - Now
Current Australian Visa Number
Current Australian Visa Type
Current Australian Visa Expiry Date
Prior Visa Information
Visa Type
Date of Expiry
Date Departed Australia
Have you ever had a visa refused or cancelled?
Select One
Yes
No
If so, please provide details
Sponsorship Details
Full Name of person who is sponsoring you
Is your sponsor a citizen or a permanant resident?
What is your sponsors date of birth?
What is your relationship to the sponsor?
What is your sponsors occupation?
Is your sponsor currently employed?
Has your sponsor ever sponsored any other person to Australia?
If so please provide details
Please provide here any further information that you may wish to have considered
Language Details
English Language Ability
Select One
Excellent
Good
Average
Poor
Nil
Do you speak a Second language
Select One
Yes
No
What Other Languages do you speak?
IELTS Test Completed
Select One
Yes
No
Date of Test
Results of IELTS Test
Select One
At Least 6 in all Categories
At Least 5 in all Categories
At Least 4 in all Categories
Less than 4 in some Categories
Family Details
Spouse Family Name
Spouse First Name
Spouse Date of Birth
Spouse Sex
Select One
Male
Female
Spouse Citizenship
Spouse Passport Number
Spouse Current Australian Visa Status
Select One
Current
Never Held
Previously Held Visa - Now
Spouse Current Australian Visa Type
Spouse Current Australian Visa Number
Spouse Current Australian Visa Expiry Date
Prior Visa Information
Visa Type
Date of Expiry
Date Departed Australia
Spouse Education and Training
Dependant Details
Dependants
Select One
Yes
No
Dependant 1 Name
Dependant 1 Sex
Select One
Male
Female
Dependant 1 Date of Birth
Dependant 1 Education Level
Dependant 1 Employment History
Dependant 2 Name
Dependant 2 Sex
Select One
Male
Female
Dependant 2 Date of Birth
Dependant 2 Education Level
Dependant 2 Employment History
Dependant 3 Name
Dependant 3 Sex
Select One
Male
Female
Dependant 3 Date of Birth
Dependant 3 Education Level
Dependant 3 Employment History
Dependant 4 Name
Dependant 4 Sex
Select One
Male
Female
Dependant 4 Date of Birth
Dependant 4 Education Level
Dependant 4 Employment History
Dependant 5 Name
Dependant 5 Sex
Select One
Male
Female
Dependant 5 Date of Birth
Dependant 5 Education Level
Dependant 5 Employment History
Relatives Details
Relatives in Australia
Select One
Yes
No
Relatives Residency Status
Select One
Permanant Residency
Temporary Resident
Citizen
New Zealand Residency
Relative Relationship
Select One
Father
Step Father
Mother
Step Mother
Brother
Step Brother
Half Brother
Sister
Step Sister
Half Sister
Uncle
Aunt
Cousin
Nephew
Neice
Grand Father
Grand Mother
Relatives Address
Relatives Address1
Relatives City
Relatives State
Select One
NSW
QLD
WA
NT
VIC
SA
ACT
TASMANIA
Relatives Post Code
Relatives Employment History in the last 2 years only
Relatives Education and Training
Health and Fitness
Primary Applicant Health Status
Select One
Excellent
Good
Average
Poor
Nil
Secondary Applicant Health Status
Select One
Excellent
Good
Average
Poor
Nil
Dependants Health Status
Select One
Excellent
Good
Average
Poor
Nil
If any of the above have a pre-existing condition or the health status is not excellent, give full details.
Other Details
Do you or any other person to be included in your application have a criminal record?
Select One
Yes
No
Provide Details
Have you or any other person to be included in your application ever been a member of the armed forces?
Select One
Yes
No
Provide Details
Please provide details of any other aims or requirements that you may have.
Outline the matter upon which you need advice or insert your comment, question or enquiry
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Business
Family
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Japanese
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Spanish
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