Visa Assessment Questionnaire December 29, 2015 By Zaliet * indicates required field A: PERSONAL DETAILS Main Applicant First name: Last Name: Street Address: State: City/Suburb: Postcode: Country: Phone (including country and area codes): Mobile Number: Email:* Skype Address: Date of Birth: Country of Citizenship: Gender: Male Female Marital Status: Single Married Divorced Widowed Engaged De Facto Separated 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: No English Limited English Competent English Vocational 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 C No - 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: No English Limited English Competent English Vocational English D: RELATIVES IN AUSTRALIA Do you or your partner have relatives in Australia: Yes - complete section D No - complete section E Is this relative an Australian Citizen or Permanent Resident? Yes No What is the relationship of this relative? (parent, brother, sister etc) E: GENERAL Do you or any of your family members intending to migrate with you have any serious health problems? Yes No 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? Yes No 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 is 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?: CAPTCHA Code:*
