| Your Name: |
First Name(s)
Surname
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| Address: |
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Phone: (Please include applicable Country and Area Codes) |
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| Fax: |
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| E-mail: |
Please confirm E-mail Address |
Date of Birth:
(dd/mm/yyyy) |
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| Gender: |
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| Marital Status: |
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Name: (Spouse)
(Definition of Spouse/Partner: Either Married Couple or couple who have been in a married like relationship for over 12 months) |
First Name(s)
Surname
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| Your Spouse Date of Birth: (dd/mm/yyyy) |
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| Number of Children: |
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| Age of Children: |
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| Your Citizenship |
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| Do you have citizenship in a second country? |
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| Your Spouse/Partner’s Citizenship |
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| Does your Spouse/Partner have citizenship in a second country |
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| Your Current Country of Residence: |
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| Criminal Record: |
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| If yes, please provide details. The government may still grant your visa under certain circumstances. This includes arrests, charges, cautions, convictions etc. |
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| Health (Do you, your partner or children have any health issues?): |
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| If yes, please provide details. |
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| Your Education (Please list all qualifications held including name of institution and dates attended: |
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| Your Spouse/Partner’s (Please list all qualifications heldincluding name of institution and dates attended |
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| Your Occupation: |
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| Your Spouse/Partner’s Occupation: |
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| To which Professional Societies do you belong? |
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| To which Professional Societies does your Spouse/partner belong? |
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Your Employment
Please list your employment for the last 10 years working backwards from your current or last position. |
Date Started
(MM/YY) |
Date Finished
(MM/YY) |
Job Title |
Describe the Job |
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Your Spouse/Partner’s Employment
Please list your employment for the last 10 years working backwards from your current or last position. |
Date Started
(MM/YY) |
Date Finished
(MM/YY) |
Job Title |
Describe the Job |
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| Any other employment information you feel would be relevant: |
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| Business Background: You |
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| Business Background: Spouse |
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| Net Assets of you and your spouse/partner available to be brought to Australia ($AUD): |
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| Do you or your spouse/partner have relatives in Australia: |
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| Relationship: |
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| Are they Australian Citizens Permanent Australian Residents or Eligible New Zealand Citizens? |
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| Town or City where residing |
Current Postcode |
Related to |
How long have they lived in Australia? |
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| Do you have an Australian Partner (Husband, Wife, Fiance, Boyfriend, Girlfriend, Same Sex Partner): |
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| Have you or your spouse/partner completed any qualifications while living in Australia as a student? |
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| If Yes, please provide details of course(s) completed, when you start and finished the course and name of college or university: |
Your Australian Qualifications
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Your Spouse/Partner’s Australian Qualifications
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| Have you or your spouse/partner ever lived in Australia? |
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| From (mm/yy) |
To (mm/yy) |
Town/City |
Who? |
Post Code |
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| Have you or your spouse/partner ever worked in Australia (lawfully) for 12 months in the last 4 years? |
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| Your English Language Skill |
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| Your Spouse/Partner’s English Language Skill: |
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Have you sat for the IELTS test in the last 2 years?
If yes, please indicate scores |
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Has your spouse/partner sat for the IELTS test in the last 2 years?
If yes, please indicate scores |
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| Do you or your spouse/partner speak a language, other than English, fluently? |
Language(s)
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| Have you studied any other language to degree level? |
Language(s)
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| Please include any further questions or information that you may have and tell us what you want: |
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| How did you hear about us?: |
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Anti-spam question:
Please answer this question to confirm a person is submitting this form |
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