| Personal Details |
|
| Title |
|
| First Name *
|
|
| Last Name *
|
|
| Date of Birth* |
|
| Marital Status* |
|
| Nationality* |
|
| Postal Address *
|
|
| Phone Number* |
|
| Email* |
|
| English Language Ability |
|
| Qualifications |
|
| Qualification -1 *
|
|
| Institution* |
|
| Country* |
|
| Major field of study* |
|
| Course Duration* |
|
| Year Qualification Obtained* |
|
| Qualification -2 |
|
| Institution |
|
| Country |
|
| Major field of study |
|
| Course Duration |
|
| Year Qualification Obtained |
|
| Work Experience |
|
| Name of Employer 1* |
|
| Job Title* |
|
| Brief Job
Description* |
|
| Employment Period* |
to |
| Name of Employer 2 |
|
| Job Title |
|
| Brief Job
Description |
|
| Employment Period |
to
|
| Name of Employer 3 |
|
| Job Title |
|
| Brief Job
Description |
|
| Employment Period |
to
|
Spouse Details ( if applicable)
|
|
| Do you have a spouse |
|
| Spouse Date of
Birth* |
|
| Spouse English Language
Ability* |
|
| Spouse Qualification -1
Title* |
|
| Institution* |
|
| Country* |
|
| Major field of
study* |
|
| Course Duration* |
|
| Year Qualification Obtained* |
|
| Spouse Qualification -2 Title |
|
| Institution |
|
| Country |
|
| Major field of
study |
|
| Course Duration |
|
| Year Qualification Obtained |
|
| Spouse Employer 1 |
|
| Job Title |
|
| Brief Job
Description |
|
| Employment Period |
to
|
| |
|
| Spouse Employer 2 |
|
| Job Title |
|
| Brief Job
Description |
|
| Employment Period |
to
|
| |
|
|
Other Information
|
|
| Number of Dependants* |
|
| Do you have a family member in
Australia who is willing to sponsor you* |
|
|
|
| Are you willing to invest
AU$100,000 in an Australian government security for a period of at least 12
months* |
|
| Are you fluent in any language
other than English* |
|
| If Yes, please specify language* |
|
| Would you consider living in a
regional part of Australia*
|
|
| How did you hear about us* |
|
| Referred by ( if applicable) |
|
| Any other
comments |
|
|
Enter the code shown*
|
|
| |
|