Visa
Questionnaire
Email: (*):
Surname/Given Names (*):
Phone No.
Date of Birth (*): Please enter
your date of birth in the format dd-mm-yyyy
Gender (*):
Place of Birth :
Country of Citizenship (*):
Visa : Do you have a preferred visa
class under which you would like to be assessed or
considered. Please list the visa class.
Marital Status :
Select
Single
Married
Separated
Divorced
Relatives : Do you or your spouse
have any close relatives living in Australia. List their
relationship and how long they have been living in
Australia, Canada, UK, USA, New Zealand e.g. Cousin - 2
years
Occupation: List your occupations
over the last 4 years eg: Engineer 2002 - 2005 :
Formal Education : Do you have any
degrees, diplomas, trade qualifications. Please list
accordingly
Completion : Please list the dates
you completed your tertiary studies, diploma or trade
qualification and the institute where you studied.
Spouse
Details
Spouse's Name :
Spouse's Date of Birth : Please
enter your spouse's Date of Birth in the format
dd-mmm-yyyy
Spouse's Occupation
Spouse's Qualifications: Does your
Spouse have any degrees, diplomas, trade qualifications.
Please list accordingly :
Other
Information
Study : Are you considering
Studying in Australia, Canada, UK, USA, New Zealand etc.
Select
Yes
No
Business Owner: Are you a business
owner, if so please give your designation and industry
over the past 4 years. :
Sponsored Employment : Do you know
of a company that is willing to sponsor you to work in
Australia, Canada, UK, USA, New Zealand.
Further Information : Please add
any other information that you feel would assist us.
