Your Surname/FamilyName:

Your Given Names:

Gender:

Male
Female

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:

Single
Defacto
Married

Spouse's Date of Birth:

Day - Month - Year

Number of Children:

Their Ages & Country of Residence:

Do you have any relatives in Australia?:

Yes
No

If yes, please list relationship and Town/State they live in:

Have you or any family members migrating with you ever visited Australia:

Yes
No

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:

Yes
No

Is English your first language:

Yes
No

If not, are you fluent in English:

Reading
Speaking
Writing

Other languages spoken fluently:

- Type of qualification (eg degree, diploma, etc);

- Name of qualification;

- Length of study;

- Full or part-time;

- Date completed;

- Institution where obtained;

- Type of trade or profession;
- Name of qualification;
- Length of study;
- Full, part-time or on-the-job;
- Date completed;
- Institution where obtained.

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:

Do you or have you ever owned your own business:

Yes
No

Nature of the business:

Approximate turnover per year:

Are you interested in setting up business in Australia:

Yes
No

Are you interested in investing in an existing business in Australia:

Yes
No

Property Equity (value less mortgage):

Savings/Shares:

Other Assets:

Total Net Worth:

Do you wish to retire to Australia on your investments and not work:

Yes
No

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?: