Australia Visa

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Australian Visa Assessment Form

Family Name First Name
Date of Birth Country of Current Residence
Country of Origin Marital Status
Married Single
Gender
Male Female
Address
Address City Address Country
Phone Fax
Email Current Visas held, if any
Current citizenship Number of Children
Ages of Children Are these your natural children?
Yes No
Spouse (i.e. husband / wife / fiancé ) details -
Family Name First Name
Date of Birth Country of Current Residence
Country of Origin Marital Status
Married Single
Gender
Male Female
List the countries you and your spouse have lived in during last 10 years
Principal Applicant Qualifications:
Highest Qualification Awarded Name of University + City + Country
From (dd/mm/yy) To (dd/mm/yy)
Major Subjects Percentage Obtained (%)
Principal Applic – In last 24 months, how long have you worked? yrs months.
Principal Applic – In last 4 years, how long have you worked? yrs months.
Spouse Qualifications:
Highest Qualification Awarded Name of University + City + Country
From (dd/mm/yy) To (dd/mm/yy)
Major Subjects Percentage Obtained (%)
Spouse Applic – In last 24 months, how long have you worked? yrs months.
Spouse Applic – In last 4 years, how long have you worked? yrs months.
Principal Applicant Employment (last 5 years) :
Current / Last Employment
Current Employer Job Responsibilities
From (dd/mm/yy) To (dd/mm/yy)
Employement Type No of Years
Previous Employment
Previous Employer Job Responsibilities
From (dd/mm/yy) To (dd/mm/yy)
Employement Type No of Years
Spouse Employment (last 5 years) :
Current / Last Employment
Current Employer Job Responsibilities
From (dd/mm/yy) To (dd/mm/yy)
Employement Type No of Years
Previous Employment
Previous Employer Job Responsibilities
From (dd/mm/yy) To (dd/mm/yy)
Employement Type No of Years
1 English ability of Principal Applicant
2 English ability of Partner
3 Do you have Blood Relations who are permanent resident / citizen in Australia? YES NO
Relationship(if applicable)
Which place do they live?
4 Can you bring money? YES NO
Money (if applicable)
5 Management & Self Employment Skills
6 Have you visited Australia? YES NO
Where(if applicable)
How long
7 Have you studied there? YES NO
Where(if applicable)
How long
8 Have you Worked there? YES NO
Where(if applicable)
How long
9 Interested in owning a Business? YES NO
Details (if applicable)
11 Have you been involved in bankruptcy or unacceptable and/or criminal activity? YES NO
Details (if applicable)
12 Are YOU and YOUR FAMILY in good health? YES NO
Any disabilities? YES NO
Deported from any country? YES NO
13 Other Information (e.g. previous visas lodged, visas rejected, awaiting decision, etc)

australia-visa-assessment