Visa Eligibility Assessment Form
. To Do List
Please email us a filled version of this form.
Send us the following as attachments (if available):
* Copies of previous Australian/New Zealand Visas
* Resume/CV
* Work experience letters (if available)
* Transcripts of all your educational qualifications
* Copy of English Language Test Scores undertaken till date.
IMPORTANT:
IMPORTANT:
1. Your information will be kept confidential because we follow Australian Privacy Law.
2. Please do not contact us through WhatsApp or any other chat services. We will not be able to respond.
PERSONAL DETAILS
Today’s Date
How Did You Find Us
(Media/Name Of The Person:
Your Family Name/Surname:
Your Given Names/First Name:
Preferred Name(Nick Name)
(name you like us to address you by)
Home Tel # (include country code)
Work Tel # Best Time to Call (Your Local Time)
Mobile /Cellophane/Handphone Fax
Email Address
Address:(Residential Address)
Postal Code
SELF(You) YOUR SPOUSE
Sex (Male/Female)
Relationship Status
Married Divorced Separated De
facto Widowed
Age, Date Of Birth and your Place Of Age DOB Place Age DOB Place
Birth
Your present Country of citizenship
Current Passport number (valid till):
Passport number and Child 1 Child 2 Child 3
validity for children
Your Family Unit
(You, Your Partner/Wife, Children And Relatives Who Live With You And Are Dependent
Who will be applying with you? Name Age Date of Birth Relationshi
Spouse and dependent children only - please p
include age, date of birth of each and relationship
to you e.g natural child, you have sole & exclusive
custody & guardianship or you have shared
custody & guardianship)
Married & non-dependent children cannot be
included in your application. A remaining Aged
Dependent Parent you wish to include must
complete their own form (if possible we will include
them in your application
If any child is above 18 and below 25 mention
what they are doing
Are there any visas, which you think that you
may be eligible for?
Your Preferred Location (to settle) in
Australia?
(WA, QLD, NSW, VIC, NT, TAS, SA)
What are your reasons for choosing the
above location?
Your Purpose in Australia?
(work, employment, own business, retire,
holiday, study, business meeting)
Preferred timing of relocation to Australia
(month and year)
Are you or any other people included in this
application currently awaiting a decision on
an Australian visa application?
Have you or anybody included in the
application ever had an Australian visa
cancelled or refused?
Do you or any other person in the
application currently hold an
Australian/New Zealand visa? If so,
indicate visa class / type & when visa
expires.
LANGUAGE PROFILE
Yours Spouse
What is your English ability? Fluent Limited None Fluent Limited None
What is your main Language?
Languages other than English you speak or
write fluently
Language of Tuition /Medium of instruction
at the university / college when you obtained
your qualifications
English Language Test Scores
IELTS:
PTE Academic: or
Cambridge (CAE):
TOEFL iBT:
EDUCATIONAL PROFILE (Full information must be provided)
Give full details of formal education that you and your spouse have completed.
List diplomas, degrees, certifications and short courses, qualifications obtained after schooling.
Include your CV/Resume and send this to us together with this form
From To Type of Name of the University from which Qualification was Grade or
Qualification / obtained Class or
Month/ Month Diploma / Division
year /year degree e.g. BA (Years/month
degree, Trade required to
complete)
SELF
(You)
YOUR
SPOUSE
(Wife/Partn
er)
OCCUPATION AND EMPLOYMENT DETAILS
Your usual occupation/ What do you normally do? For example Cook/Manager/Housewife/Teacher
2
Main applicant for visa Spouse/Wife
Do you have a firm job offer in
Australia?
Your Employment History (if the space below is insufficient, add additional document with details)
Provide details only of the last 7 years including periods of unemployment
Please include: Your official position, job description and main tasks & duties.
MANAGERS: Include number of sub managers reporting to you, size of company and number of employees
TRADES (ex Electrician, Machinist, Cook): Include detail of your apprenticeship – where, when and for how long did you train
PROFESSIONALS: Include details of article periods, major subjects (accountants) and whether you have passed any Australian
exams or have an Australian licence
Teachers: Are you a primary or secondary school teacher?
From To
Day/Month Day/Mont Employer’s Name and Write
Position/Title in your office or business
/Year h/Year Location at least six tasks/responsibilities
with your employer/business
Main
Applicant
Spouse
This section on your Net assets this can help us identify if you qualify for regional/investment/business visas.
Personal Asset total Currency
Approximate total of all of your (including spouse) assets
Total in cash / assets that you can transfer to Australia
within 2 years after grant of visa
Are you prepared to invest in Australia? If yes how much
RELATIVES IN AUSTRALIA
Residency
Do you have any Relationship Stay Period(s) To whom is this
Child / sister / brother Status Location
family in Australia? parent / uncle /aunt / e.g. Permanent relative related ?
fiancé / spouse / first resident for X From: Main applicant /
years or citizen or (Post Code)
cousins only To: spouse
temporary resident
Family relation 1
Family relation 2
Health and character INFORMATION (all must complete)
Include any other relevant information you feel could support your application or you feel we should consider when we assess you
Have you ever been convicted of a criminal offence in any country? If yes please write
details, it will be kept confidential.
Have you ever suffered/currently suffer from a disease of serious nature, if yes, please
write details, your information will be kept confidential?
---- End of Questionnaire ---
