EasyMigrate Free Australian Migration Assessment Form

Please fill in this questionaire as fully as possible omitting only the questions that are not relevant to your situation. Your details will be kept confidential.

Note: Questions marked with a red asterik (*) are compulsory.

NAMES
Salutation	:
* Given Name/s	:
* Family Name	:
CONTACT DETAILS
* Current Address	:
Telephone	:
Fax	:
* Email	:
OTHER DETAILS
* Date of Birth (dd-mm-yyyy)	:	Year
* Gender	:	Male Female
* Nationality	:
* Country of Residence	:
* Marital Status	:	Married Single
Full Name of Spouse	:
Number of Children / Dependents	:
Ages	:

* Do you have a criminal record?	:	Yes No
If Yes, provide details	:
EDUCATION DETAILS
* Name of Institution	:
* Qualification Awarded	:
* English language ability	:
OCCUPATION
* Employment History (last 5 years)	:
Do you know of an Australian company who would sponsor you for Employment?	:	Yes No
Do you wish to apply for one of the sponsored positions listed on this website?	:	Yes No
If yes, please insert the job number of the position	:
BUSINESS BACKGROUND (for Business-Owner or Senior Executive migrants only)
Business background including you time in business, your role, equity and annual turnover in Australian Dollars	:
Skilled Trades	:
ASSETS (for Business and Retiree migrants only)
Net assets of you and your spouse/partner (AUD)	:
How much are you prepared to invest in Australia (AUD)?	:
Are you planning to retire on your investment?	:	Yes No
Do you intend to buy or start a business in Australia?	:	Yes No
Please answer the following if you have previously held or applied for an Australian Visa
What type of visa did you hold?	:
Please give details if your Australian visa was cancelled	:
Please give details if your Australian visa was refused	:
Following questions are applicable to student visas only
Please give details if you are currently enrolled in any course	:
If not, which course/subject are you interested in?	:
Please give details if you have any formal assessment of your English skills	:
Source of funding	:
Funding Details	:
Is there any further information you would like to add, or do you have any questions you would like to ask?	:
* How did you hear about us (e.g. name of a Search Engine/Website)?	:

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