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IF
YOU HAVE A PARTNER OR SPOUSE PLEASE COMPLETE SEPARATE FORMS
Date:-
..
Where did you hear about our services?
.
1. Information about you:-
MR/MRS/MS:-
.
(Family Name) (First
Name) (Middle
Name/s)
Home Address:-
...
Phone:- (Home)
. (Work)
.. Fax:-
.. Mobile:-
.
E-mail:-
Neighbour or
relative contact number in case of
emergency:-
Date and Place of Birth: -
. Age:-
Sex:- Male □
Female □
Citizenship:-
Marital
Status:- Single □ Married □ De-facto □
Your highest Academic Qualification:-
2. Information about your
spouse/partner :-
MR/MRS/MS:-
.
(Family Name) (First
Name) (Middle
Name/s)
Date and Place of Birth: -
. Age:-
Sex:- Male □
Female □
Citizenship:-
Marital
Status:- Single □
Married □ De-facto
□
Her/his highest Academic Qualification:-
If you are in a de-facto relationship, how long have you lived together?:-
.
3. Information about your
children:-
Child 1.
Name:
...
(Family Name) (First
Name) (Middle
Name/s)
Date of birth:-
.. Age:-
Living with you? Yes
/ No
Working? :- Yes / No Student? :- Yes / No
Emigrating with
you? :- Yes / No
Child 2.
Name:
...
(Family Name) (First
Name) (Middle
Name/s)
Date of birth:-
.. Age:-
Living with you? Yes
/ No
Working? :- Yes / No Student? :- Yes / No
Emigrating with
you? :- Yes / No
4. Information about your
Educational & Academic qualifications
SCHOOL/COLLEGE/ UNIVERSITY(incl. country & language of study) |
DURATION OF STUDIES(from year to year & part- or full-time) |
NAME OF QUALIFICATION(indicate type of degree, post-graduate or diploma e.g. Bachelor of Science) |
DATE
QUALIFICATION AWARDED |
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IMPORTANT NOTE:- * If you have a degree, post-graduate degree or a
diploma, please indicate all subjects undertaken during the course of
your studies.
5. Information about your
Trade & Professional qualifications
SCHOOL/COLLEGE(incl. country & language of study) |
DURATION OF TRAINING(from year to year & part- or full-time) |
NAME/TYPE OF TRADE QUALIFICATION REACHED(please also indicate type of apprenticeship, on-the-job training etc.) |
DATE
QUALIFICATION AWARDED |
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IMPORTANT NOTE:- *Please indicate if you have a trade certificate or
if you are a member of any trade organisation:
6. Information about your
Employment History
What is your occupation?:-
Last date of work in your occupation:-
..
Have you worked in the occupation relevant to your qualification and if
yes for how long?:-
Complete the table below to show your employment/business history for
the last four years, starting with your present occupation
FROM |
TO |
NAME &
ADDRESS OF EMPLOYER |
TYPE OF BUSINESS |
OCCUPATION |
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7. Information about your
Net Worth
How much money (in A$) do you and your partner intend to bring to
Australia?
..
a) Property equity (value less mortgage) in A$:-
b) Savings/shares in A$:-
c) Other assets in A$:-
.
TOTAL NET WORTH in A$:-
..
If over A$250,000 do you want information on long-term business
migration?:- Yes □ (go to question
8.)
No □ (go to question
9.)
8. Information about your
Business Status (if applicable)
What is the approximate turnover (in A$) of your business?:-
How many people do you employ?:-
.. What are your approximate labour costs
(in A$)?:-
What are the total net assets (in A$) in your main business?:-
Are you interested in setting up a business or investing in an existing
business in Australia once you emigrate?:-
Yes
□ No □
Have you ever been declared bankrupt or had a history of unacceptable
business practices?:- Yes □ No □
9. Information about your
Migration Status
Your date of last arrival in Australia:-
..
Have you ever had a visa refused or cancelled in Australia & if so,
when:-
..
Have you ever overstayed your visa(s) in Australia & if so, when:-
...
Do you have any relatives in Australia?:- Yes
□ No □
FAMILY DETAILS (e.g., your mother, father, brothers, sisters, wife,
daughters, sons, aunts, uncles, step mother/father/brother/sister)
Full Name Relationship
to you
Sex Date of
Birth Age Marital Status Australian citizen/permanent resident
Fluent □ Social
□ Survival
□ Poor □
Other languages (or dialects) you speak and write:-
HEALTH
Yes □ No □ if yes please explain
...
CHARACTER
Yes □ No □ if yes please explain (give
details including any time served in prison)
...
10. Other information
Have you previously received immigration advice? Please give details:- ..
11. Your Migration Plans
Please indicate your level of interest in migration:-
12. Do you hold a current passport? Give details:-
13. Please indicate all the countries where you and /or your spouse have lived for a period of 12 months or more in the last 10 years:- ..
PLEASE PROVIDE ANY FURTHER INFORMATION OR COMMENTS WHICH MAY BE
RELEVANT TO YOUR APPLICATION
