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Visa Assessment
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Work Visa
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Visa of Interest
*
Work
Family
Employer Sponsored
Business
Student
Other
Unknown
Type of Visa
*
Permanent
Temporary
Where did you hear of our services?
Internet
Phone Book
Newspaper
Friend
MARA
DIAC
Other
If referred, referee's name
Main Visa Applicant
Title
*
Surname
*
First Name
*
Gender
*
Male
Female
Date Of Birth
*
Age
*
Address
*
Phone (H)
*
Phone (W)
Phone (M)
Preferred Method of Contact
*
Home
Work
Mobile
E-Mail
E-Mail
*
Place of Birth
Country of Citizenship
*
Country of Residence
*
Marital Status
*
Single
Married
De-Facto
Engaged
Widowed
Divorced
If De-Facto:
how long have you been in a de-facto relationship?
Dependent Children:
Name
DOB
Age
Migrating with you
No
Yes
Name
DOB
Age
Migrating with you
No
Yes
Name
DOB
Age
Migrating with you
No
Yes
Name
DOB
Age
Migrating with you
No
Yes
Have you ever had a visa refused or cancelled in Australia
No
Yes
Do you or anyone migrating with you suffer from a serious medical condition
No
Yes
Have you or anyone migrating with you ever been convicted of a serious criminal offence
No
Yes
Do you or your partner have any relatives who are permanent Australian residents or citizens
No
Yes
If Currently in Australia
(your passport will be required to answer this section)
Subclass of current visa
Date of Grant
Date of Expiry
Date of Initial Entry into Australia
Australian Address
Australian Contact Number
Employment/Education
Occupation
*
Qualifications:
Please detail all current and past studies and qualifications achieved
Institution
(e.g. College, University, City & Guild, TAFE)
Type of Qualification
(e.g. Trade Certificate, Degree, Masters)
Country of study
Duration of Study
(dd/mm/yy)
Completed
to
No
Yes
to
No
Yes
to
No
Yes
Employment:
Please detail your employment/business history over the last 5 years
Company Name
Position Held
Duration
(dd/mm/yy)
Related to Your Qualifications
to
No
Yes
to
No
Yes
to
No
Yes
Business Ownership
Do/have you or your spouse ever owned your own business
No
Yes
Type of Business
Estimated annual turnover of Business
0-AUD - $100,000
AUD$100,000 - AUD$200,000
AUD$200,000 - AUD$300,000)
AUD$300,000 - AUD$400,000
AUD$500,000 +
Any Additional Information
Partner's Details
Title
Surname
First Name
Gender
Male
Female
Date Of Birth
Age
Place of Birth
Country of Citizenship
Country of Residence
Occupation
Qualifications:
Please detail all current and past studies and qualifications achieved
Institution
(e.g. College, University, City & Guild, TAFE)
Type of Qualification
(e.g. Trade Certificate, Degree, Masters)
Country of study
Duration of Study
(dd/mm/yy)
Completed
to
No
Yes
to
No
Yes
to
No
Yes
Employment:
Please detail your employment/business history over the last 5 years
Company Name
Position Held
Duration
(dd/mm/yy)
Related to Your Qualifications
to
No
Yes
to
No
Yes
to
No
Yes
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