Visa Assessment Questionnaire

A:Personal Details

Main Applicant

First Name(required)

Last Name(required)

Email: (required)

Mobile Number: (required)

Phone (including country and area codes):

Street Address:(required)

State:(required)

City/Suburb:(required)

Postcode:(required)

Country:(required)

Skype Address:

Date of Birth:(required)

Mobile Number: (required)

Country of Citizenship:

Gender:
MaleFemale

Marital Status:
SingleMarriedDivorcedWidowedEngagedDe FactoSeparated

Names and Ages of Children

Children's Names:

Children's Ages:

Intentions in Australia

What do you intend to do in Australia? (find employment, start a business, retire, temporary work etc):

Where do you intend to live in Australia, and if you are already in Australia, what subclass visa are you on?

B: Skills and Qualifications

Occupation Details

What is your usual occupation:

Please provide details of any employment license or professional memberships:

Please provide details of any job offers from within Australia or from an Australian employee:

Education - Main Qualification

Institution:

Qualification Received:

Length of Study:

Date Completed:

Main Employment over the last 3 years

Employer:

Position:

Date From:

Date To:

Your English Language Ability:
Competent EnglishVocational EnglishLimited EnglishNo English

Australian Qualifications

Institution:

Qualification Received:

Date Completed:

C: Spouse/De Facto/Partner Details

Do you have a partner/spouse/de facto?
Yes - complete section CNo - complete section D

Personal Details of Spouse/Partner/De Facto

First Name:

Last Name:

Date of Birth:

Country of Citizenship:

Skills and Qualifications of Spouse/Partner/De Facto

What is their usual occupation?

Please provide details of any employment license or professional memberships::

Please provide details of any job offers from within Australia or from an Australian employer:

Education of Spouse/Partner/De Facto - Main Qualification

Institution:

Qualification received:

Length of study:

Date Completed:

Main employment of Spouse/Partner/De Facto over the last 3 years

Employer Organisation:

Position:

Date From:

Date To:

English Language Ability of Spouse/Partner/De Facto:
Competent EnglishVocational EnglishLimited EnglishNo English

D: Relatives In Australia

Do you or your partner have relatives in Australia:
Yes - complete section DNo - complete section E

Is this relative an Australian Citizen or Permanent Resident?
YesNo

E: General

Do you or any of your family members intending to migrate with you have any serious health problems?
YesNo

Have you or any of your family members intending to migrate with you been convicted or charged with a crime or offence in any country?
YesNo

F: Assets

What is the total value of the net assets that you and your spouse have available that can be transferred to Australia within 2 years?

BUSINESS OWNERS - complete if you are the owner of a business

Name of Business:

Nature of Business:

Period of Involvement:

Position in the Business:

Shareholding (You and your spouse):

Number of Employees:

Annual Turnover::

Annual Labour Costs::

Value of Business Assets::

Value of Business Liabilities:

SELF MANAGED INVESTMENTS - complete if you or your spouse has been managing your own investments

If in the past 5 financial years you have maintained direct and continuous involvement in managing investments of at least AUD $1.5 million, state the amount invested:

Is there anything else we should know about?::