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.
Occupational
and Professional Details
Are you still studying?
Select One
Yes
No
If so when will you complete your
studies?
If so, where are you studying?
If so, what will be your degree,
diploma, qualification?
What "Skilled Occupation"
do you intend to nominate in order to obtain permanancy
in Australia?
What is your current occupation?
Please provide details of your
employement history during the last 4 years
Are you currently employed?
Select One
Yes
No
If so, where?
What is the highest qualifications
you process?
What is the name of the educational
provider where you gained these qualifications?
Please provide details of your
further educational history
Have you ever studied in Australia?
Select One
Yes
No
If so, at what educational institution?
What qualification did you attain?
In what year?
Do you hold a qualification taught
in a language other than English to degree standard?
Select One
Yes
No
If so, please provide details
Have you made any application
for assessment of your qualifications with the relevant
Australian authority?
Select One
Yes
No
If so, please provide details
Has your spouse made any application
for assessment of his/her qualifications with the relevant
Australian authority?
Select One
Yes
No
If so, please provide details
Do you have a job offer or offer
of sponsorship from an employer in Australia?
Select One
Yes
No
If so, please provide details
Please provide here, further information
that you may wish to have considered as part of your application
ENQUIRY
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