Online Visa Assessment Form

Name*
Have you been known by any other name?*
Sex*
Date of Birth*
Place of Birth*
Age last Birthday*
Nationality*
Current Location*
Phone*
Email*
Relationship Status
Personal Details
Immediate family members wishing to accompany you to/in Australia
Partner's
Partner's Name
Partner's Age
Partner's Date of Birth
Partner's Nationality
Partner's Sex
Dependents'
Given Name
Family Name
Date of Birth
Gender
Do you have any family members currently in Australia?*
Relationship to you?*
State or Territory*
Are they a Citizen or Permanent Resident?*
Highest Education Qualification*
Occupation*
Full-time paid experience in occupation immediately prior to now*
Considering Temporary/Permanent migration?*
Any medical/character considerations of note?*
disabilities/special care requirements or criminal convictions, including ‘pending’ or ‘spent’ convictions
What is your timeframe (i.e. within x months) for migrating to Australia?*
What type of visa do you want?*
Have you ever had an Australian Visa or have you ever had an Australian visa refused/cancelled?*
Visa Subclass*
Period from/to*
Conditions*
Further info. relating to your previous or previously refused/cancelled visa:*
Any other information:*