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Personal particulars

* required fields *Surname: *First Name: *Home Address: State: Postcode: *Country Home Telephone: + () Fax No.: + () Mobile No.: *Email Address: Gender: - Male Female Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1858 1859 1860 1861 1862 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Place of Birth: Town/City State Country Citizenship: Passport No.: Other Citizenships: Marital Status: - Never Married Engaged Married De Facto Seperated Divorced Widowed

1. How would you rate your English ability? (1=V Good & 5=V Bad)   Writing Skill 1 2 3 4 5 Speaking Skill 1 2 3 4 5 Reading Skill 1 2 3 4 5 Listening Skill 1 2 3 4 5 Are you fluent in any foreign language other than English?   - Yes No   2. Please specify your occupation:     3. Have you been working in this occupation for three (3) out of the last four (4) years? - Yes No   4.1  For how many months have you been in full time paid employment during the last 18 months?   4.2  Do you have a job offer for full-time employment in Australia? - Yes No   4. Work Experience   Present Employment Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   Previous Employment No.1 Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   Previous Employment No.2 Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   5. Education Qualifications   Have you successfully completed any study in Australia?   - Yes No Duration of studies:  years    months Highest Level achieved: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed Date of Completion: - January February March April May June July August September October November December     Please list all your qualifications:   Educational Diploma/Degree No.1 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed   Educational Diploma/Degree No.2 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed   Educational Diploma/Degree No.3 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed   6. Do any of the following apply to you?   I am willing to invest AUD100,000 in an Australian government security for a term of at least 12 months. I have been working legally in Australia in a Skilled Occupation for at least six months in the 4 years before I apply. I am fluent in a foreign language (other than English).   If yes, what language?    7. Do you have a relative in Australia who would be willing to sponsor you?   - Yes No If yes, please answer the following: Please nominate the region in which your sponsor lives Town: Postcode: What is your (or your spouse's) relationship to the relative? - Parent Child Uncle Aunt Nephew Niece First Cousin Other   8. Your Spouse's Particulars   Surname: First Name: Home Address: State: Postcode: Country Home Telephone: + () Fax No.: + () Mobile No.: Email Address: Gender: - Male Female Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1858 1859 1860 1861 1862 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Place of Birth: Town/City State Country Citizenship: Passport No.: Other Citizenships: Marital Status: - Never Married Engaged Married De Facto Seperated Divorced Widowed   9. Your Spouse's English ability? (1=V Good & 5=V Bad)   Writing Skill 1 2 3 4 5 Speaking Skill 1 2 3 4 5 Reading Skill 1 2 3 4 5 Listening Skill 1 2 3 4 5   10. Your Spouse's Work Experience   Spouse's Present Employment Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   Spouse's Previous Employment No.1 Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   Spouse's Previous Employment No.2 Joined in - January February March April May June July August September October November December Left in - January February March April May June July August September October November December   Month Year Employer City/Country Title Duties   11. Spouse's Education Qualifications   Have you successfully completed any study in Australia?   - Yes No Duration of studies:  years    months Highest Level achieved: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed Date of Completion: - January February March April May June July August September October November December     Please list all your qualifications:   Spouse's Educational Diploma/Degree No.1 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed   Spouse's Educational Diploma/Degree No.2 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed   Spouse's Educational Diploma/Degree No.3 Started in: - January February March April May June July August September October November December Ended in: - January February March April May June July August September October November December   Month Year Institution: City, Country: Field of Study: Certificate: - Diploma - 1 Year Diploma - 2 Years Diploma - 3 Years Bachelors - 2 Years Bachelors - 3 Years Bachelors - 4 Years Masters or Post-Graduate Diploma Doctorate or Ph. D. Other Not Completed

 

Please only complete these questions if they apply to you.

- Senior Executive Visa Applicant to Complete: 1. What is the annual turnover of your main business(es)? AUD$ 2. What is your position in the business(es)? 3. Please estimate the combined net assets of you and your spouse (if applicable). - Over AUD500 000 Less than AUD500 000

- Business Owner Visa Applicant to Complete: 1. What is the annual turnover of your main business(es)? - Over AUD500 000 Less than AUD500 000 2. What is your position in the business(es)? 3. Please estimate the combined net assets of you and your spouse (if applicable). - Over AUD500 000 Less than AUD500 000 3. Please estimate the combined net assets of you and your spouse IN MAIN BUSINESS(ES). - Over AUD200 000 Less than AUD200 000

- Investor Visa Applicant to Complete: 1. What is your ownership interest in the main business(es)? - Over 10% Less than 10% 2. Please estimate the combined net assets of you and your spouse in the last two (2) years. - Over AUD2.25 million Less than AUD2.25 million 3. Please estimate the total value of your investment in one of the last five (5) financial years. - Over AUD1.5 million Less than AUD1.5 million