ALL APPLICANTS SHOULD COMPLETE (SECTIONS 1-7)

SECTON 1 - PERSONAL DETAILS

A. YOUR PERSONAL DETAILS

Given names :

Sex :
Male
Female

 Age / Date of Birth :  / Day  Month  JANUARY  FEBRUARY  MARCH  APRIL  MAY  JUNE  JULY  AUGUST  SEPTEMBER  OCTOBER  NOVEMBER  DECEMBER  Year 

Occupation : 

Marital/Relationship Status :
Single
Married
Defacto (Common Law)
Same sex relationship
Separated
Divorced
Widowed

 Country(ies) of Citizenship :
CHINA  HONGKONG  INDONESIA  MALAYSIA  SINGAPORE  SOUTH AFRICA  TAIWAN  OTHER 

Home Address :

Contact phone number in Australia
Home Telephone (in Australia):	(country code)	(area code)	(phone No.)
Work Telephone (in Australia):	(country code)	(area code)	(phone No.)
Fax Number (in Australia):	(country code)	(area code)	(phone No.)
Contact phone number in your home country
Home Telephone :	(country code)	(area code)	(phone No.)
Work Telephone :	(country code)	(area code)	(phone No.)
Fax Number :	(country code)	(area code)	(phone No.)

Email Address : 

B. PERSONAL DETAILS OF FAMILY MEMBERS

SECTON 2 - DETAILS OF RELATIVES IN AUSTRALIA

 2. Are you the last member in your family who does not have an Australian permanent residence or citizenship?
Yes
No

 3. Is your relative an Australian Citizen or Permanent Resident?
Australian citizen
Permanent resident
Eligible New Zealand Citizen (holding a Special Category Visa, usually resident in Australia)

 4. Has the relative (or his/her spouse) or any other person in Australia (who has been in continuous employment in Australia for the past two years and has a minimum annual income of at least $31,000.00) willing to provide an assurance of support for you.
Yes
No

 5. Postal Code of your relative's address :

6. How long have your relatives lived in Australia ?    years months

SECTION 3 - VISA HISTORY AND SETTLEMENT PREFERENCE

2. Have you or any person included in the visa application had an application refused or visa cancelled.
Yes
No
If yes, give details (type of visa & date of application)

3. Would you consider in living in regional (less densely populated) areas of Australia, if it is favourable for migration purposes.
Yes
No

SECTION 4 - HEALTH

SECTION 5 - CHARACTER

SECTION 6 - EDUCATION

2. Enter details about course(s) you have completed (higher degree/degree/Post graduate diploma/associate diploma/Advanced diploma/Diploma/Advanced cert./cert./trade cert./trade apprenticeship or other post technical training) :

Qualification   Received	Name of  Institute	Date of Attendance  (From/To)	Country	Language of   Instruction

3. Employment Licence/Registration/Professional Membership

Name of Institute	Type of Licence  Registration Membership	Obtained on (D/M/Y)	Country

SECTION 7 - ENGLISH LANGUAGE PROFICIENCY

 2. a) Have you undertaken either the International English Language Testing System (IELTS) test or Occupational English Test (OET)?
Yes
No

If yes, please give results :

		IELTS	OET
Listening
Reading
Writing
Oral Interaction

b) Have you gained a qualifications in language by accreditation with the National Association of Accredited Translators and Interpreters (NAATI) ?
Yes
No
If yes, What language/qualification? 

SECTION 8 - WORKING EXPERIENCE

A. YOUR EMPLOYMENT DETAILS (YOUR FULL JOB HISTORY)

Are you employed by a major business (other than government business enterprises) whose annual turnover was not less than A$50,000,000 in any two of the past four fiscal years, and your position is/was at the top three management level (excluding the board of directors), responsible for management and policy making of the company?
Yes
No

 If yes, please provide details of job duties (including the extent of policy/fiscal control and the number of departments/ employees directly under your management):

B. Employment in Australia

2. Do you have a job offer in Australia? If yes, what is the title of the proposed job and length of employment:

3. What is the number of staff in your employer's organisation?

4. Are you willing to invest a minimum of A$100,000.00 in an approved Australian Government investment for a term of at least 12 months in order to increase your chance of success?
Yes
No

SECTION 9 - FOR BUSINESS OWNERS (BUSINESS SKILL APPLICANTS)

Exchange rate used : 

Were you involved in day to day management and major decision making of the business(es)? If yes, how? Please provide specific details :

What percentage of time did you spent in these areas?

If you were engaged, for 2 or more of the fiscal years immediately preceding the making of the application, in a business providing professional, technical or trade service, and you are/were directly engaged in the provision of the services, please put down the percentage of time involved in this area and list the tasks performed to provide the trade service :

 What percentage of time did/do you spent in these areas ?

Please list tasks performed to provide the trade service(s) in detail :

Other information, if any (e.g. details of involvement in other businesses)

SECTION 10 - FOR PERSONS INVOLVED IN MANAGING THEIR INVESTMENT(S) AND/OR BUSINESS(ES) (BUSINESS SKILL APPLICANTS)

 If yes, list the investments and/or business(es) and their approximate value, as well as your specific management responsibility in the past two fiscal years (please annex additional sheets if more space is needed):

2. Are you interested in and capable of investing in Australian Government Bonds for at least three years (funds borrowed to finance this investment are not acceptable), instead of running a business in Australia?
Yes
No

 If yes, what level of fund are you capable to deposit in this investment :
A$ 750,000.00
A$ 1,000,000.00
A$ 1,500,000.00
A$2,000,000.00

SECTION 11 - OTHER QUESTIONS FOR BUSINESS SKILL APPLICANTS AND SENIOR EXECUTIVES

 If yes, please give details

2. Have the above mentioned business(es) or investment(s) operated at a loss during the time you have been involved in them?
Yes
No

 if yes, please state the causes

3. What kind of business activities will you be participating in or setting up in Australia if your application is approved?

4. Are you interested in buying property for investment before the lodgement of application? 

SECTION 12 - RETIREES

 2. Apart from your spouse do you have any other dependants?
Yes
No

 3. What is the approximate total value (in A$) of your :
a) assets (which can be liquidated and ready to be transferred to Australia before the visa is approved) : 
b) annual income of pension or investment (capital for investment plus interest), or pension plus investment: 

SECTION 13 - FINANCIAL STATUS

I. For Business Skill Applicants and Senior Executives:

B. What is the approximate total value (in A$) of your money, goods and assets, which can be transferred to Australia within 2 years in case your application is approved?

II. For All Applicants :

2. What is the approximate total value (in A$) of money, goods and assets, which you and your spouse will bring to Australia within 2 years in case your application is approved?

3. If you do not seems to fit into any permanent visa category, will you consider applying for temporary residence and set up / participate in a business in Australia with a prospect of becoming a permanent resident in 4 years time?
Yes
No

 If yes, give brief details of the business you would like to involved in (must be relevant to your background) in Australia.