| Migration & Visa Assessment Form |
| 1. About You
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| Your full name: |
Family Name
First Names
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| Date of birth (dd/mm/yyyy): |
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| Address: |
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| Phone: |
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| Email address: |
Please confirm your email address
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| Gender: |
Male Female |
| Nationality: |
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| Country of residence: |
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| Education - please provide details of your post-secondary education. Include the name of the institution and the qualification awarded: |
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| Trades and Apprenticeships � please provide details of any trade qualifications or training. |
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| Occupation: |
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| Brief employment history � please include employer, position title and dates. |
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| If you prefer, you can upload your CV. |
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| Please indicate your level of English language: |
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| Marital Status: |
If you are married, engaged or in a civil union, de-facto or same-sex relationship, please complete Part 2 �About your partner� below. Otherwise, proceed to Part 3. |
| 2. About your partner |
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| Full Name |
Family Name:
First Names:
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| Date of birth (dd/mm/yyyy): |
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| Address |
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| Phone |
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| Email address |
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| Gender: |
Male Female |
| Nationality: |
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| Country of residence: |
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| Education - please provide details of your partner�s post-secondary education. Include the name of the institution and the qualification awarded: |
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| Trades and Apprenticeships � please provide details of any trade qualifications or training. |
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| Occupation: |
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Brief employment history � please include employer, position title and dates.
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| If you prefer, you can upload your partner's CV. |
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| Please indicate your partner's level of English language: |
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| 3. About your children |
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| Number of children |
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| Names and date of birth of children |
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| 4. Character Requirements |
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| Do you or your partner have a criminal record? |
Yes No |
| If yes, please provide details of any arrests, cautions, charges, convictions and penalties: Depending on the severity of the crime, the Australian government may still grant a visa. |
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| 5. Health Requirements |
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| Do you, your partner or child(ren) have any medical conditions or health issues? |
Yes No |
| If yes, please provide details: Depending on the nature of any medical condition, the Australian government may still grant a visa. |
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| 6. Relatives in Australia |
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| Do you or your spouse have any relatives in Australia? |
Yes No |
| If yes, what is their relationship to you? |
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| Where in Australia do they live? |
Town & State
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| 7. Employment in Australia |
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| Please provide details of any previous employment in Australia or any current job offers: |
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| 8. Business & Investment |
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| Are you interested in establishing a business or investing in Australia? |
Yes No |
| If yes, please provide details of your business/investment career and an estimate of the value of your net business and personal assets. |
Value of Assets($AU)
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| 9. Retirement |
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| Are you interested in a retirement visa? |
Yes No |
| Please provide an estimate of your net assets ($AU) |
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