Free Online Visa Pre-assessment

Personal Information

Family name

First name

Date of birth

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January Febuary March April May June July August September October November December 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Nationality

Country of Residence

Contact Information

Daytime contact number
(including area code)

Evening contact number
(including area code)

Fax number
(including area code)

Mobile phone number

Email address

Marital Status

Marital status

Married Single De facto Same Sex Relationship Divorced

Length of relationship

0-12 Months 12-24 months More than 24 months Not applicable

Number of children under 18

none 1 2 3 4 5 More than 5

Occupation/Trade Information

What is your current job, trade or occupation?

For how many years have you worked in the industry of your current job, trade or occupation?

0 to 1 years 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 7 years 7 years or more

Have you worked in this job, trade or occupation for 12 of the past 24 months?

no yes

If applicable, what was your previous job, trade or occupation?

For how many years have you worked in the industry of your previous job, trade or occupation?

not applicable 0 to 1 years 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 7 years 7 years or more

Education

What is the highest level of qualification or trade that you been awarded?

Where did you obtain this qualification?

What was the length of this qualification or trade?

Do you have any other qualifications, trades or certificates?

Are you fluent in any languages other than English?

no yes

Spouse/Partner

Do you have a spouse or partner who will accompany you to Australia?

no yes

Relatives

Do you (or your spouse or partner, if applicable) have any close relatives that are citizens or permanent residents of Australia?

no yes

Financial Situation

What is your (and spouse or partner's, if applicable) yearly salary/income before tax? Please indicate currency used

What is the monetary value of your assets (house, car, shares, inheritance, borrowings) and any savings that will you have access to when you migrate?

Migrating to Australia involves upfront costs. Are you willing and able to pay Australian government and agent fees, spread over 18 months?

no yes Tell me more about fees

Further information

Do have any other information that you would like to add?

Upload your CV (optional). Press browse to upload a Microsoft word or PDF file.

How would you prefer that we contact you?

Email Phone Any

Form Submission

Click submit to send your form