Personal Details
Your Surname/FamilyName:
Your Given Names:
Gender:
Date of Birth:
Day - Month - Year
Place of Birth (Town/Country):
Current Residence (Town/Country):
Contact Phone Number:
Contact Fax Number:
Email Address:
Marital Status:
Spouse's Date of Birth:
Day - Month - Year
Number of Children:
Their Ages & Country of Residence:
Do you have any relatives in Australia?:
If yes, please list relationship and Town/State they live in:
Have you or any family members migrating with you ever visited Australia:
If yes, please list dates (dd/mm/yy) and length of stay:
Your current or most recent occupation in the last three years (eg. engineer, student, it professional, homemaker):
Do you wish to study fulltime in Australia:
Is English your first language:
If not, are you fluent in English:
Other languages spoken fluently:
Educational & Academic Qualifications
For each qualification, please include:
Type of qualification (eg degree, diploma, postgraduate etc);
Name of qualification;
Length of study;
Full or part-time;
Date completed;
Institution where obtained;
Language of tuition.
Trade & Professional Qualifications
For each qualification, please include:
Type of trade or profession;
Name of qualification;
Length of study;
Full, part-time or on-the-job;
Date completed;
Institution where obtained.
Employment History
Please list your periods and type of work experience for the past five years:
If married, please list your spouse's educational qualifications current occupation, and work experience for the past five years:
Do you know of an Australian company that would sponsor you for employment:
Your Business Status (if applicable)
Do you or have you ever owned your own business:
Nature of the business:
Approximate turnover per year:
Are you interested in setting up business in Australia:
Are you interested in investing in an existing business in Australia:
About Your Net Worth
Property Equity (value less mortgage):
Savings/Shares:
Other Assets:
Total Net Worth:
Other
Do you wish to retire to Australia on your investments and not work:
Please list what type/s of visa you would like to be considered under, if known:
If you have any additional information you feel we should know, please enter here:
How did you locate this website? If by using a search engine which one?:
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