CLIENT FILE NUMBER

If you have been given a client file number by your Migration agent, record it here:
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MAIN APPLICANT'S INTENTIONS

What is the main purpose that are you seeking to apply for an Australian Visa?
  • - select a option -
  • To Visit Australia
  • Study in Australia
  • Work in Australia
  • Training or Research
  • To own a Business or to make Investments
  • To join a Family Member in Australia
  • To be in a relationship with an Australian
  • Live in Australia
  • Other
- select a option -
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What length of time are you seeking to be in Australia?
  • - select a option -
  • Temporary: Up to 3 Months
  • Temporary: Up to 6 Months
  • Temporary: Up to 12 Months
  • Temporary: More than 12 Months
  • Permanently
- select a option -
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What type of Australian Visa will you be seeking to apply for?
  • - select a option -
  • Business Skills
  • Child
  • Employer Sponsored
  • Investor Skills
  • Skilled
  • Parent
  • Partner / Spouse
  • Protection / Refugee
  • Student
  • Other
- select a option -
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Do you have any family members who will be included as part of this application?
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MAIN APPLICANT'S DETAILS

Insert your personal details:
Prefix/Title
  • - select a option -
  • Mr
  • Mrs
  • Miss
  • Ms
  • Dr
- select a option -
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Your Full Name
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Preferred Names
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Given Names
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Gender
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Insert details of when and where you were born:
Date of Birth
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  • Birth Country
  • Åland Islands
  • Afghanistan
  • Albania
  • Algeria
  • American Samoa (US)
  • Andorra
  • Angola
  • Antigua and Barbuda
  • Argentina
  • Armenia
  • Australia
  • Austria
  • Azerbaijan
  • Bahamas
  • Bahrain
  • Bangladesh
  • Barbados
  • Belarus
  • Belgium
  • Belize
  • Benin
  • Bermuda (UK)
  • Bhutan
  • Bolivia
  • Bosnia and Herzegovina
  • Botswana
  • Brazil
  • Brunei
  • Bulgaria
  • Burkina Faso
  • Burma (Myanmar)
  • Burundi
  • Cambodia
  • Cameroon
  • Canada
  • Cape Verde
  • Central African Republic
  • Chad
  • Chile
  • China
  • Colombia
  • Comoros
  • Congo, Democratic Republic of the
  • Congo, Republic of the
  • Cook Islands (NZ)
  • Costa Rica
  • Croatia
  • Cuba
  • Cyprus
  • Czech Republic
  • Denmark
  • Djibouti
  • Dominica
  • Dominican Republic
  • East Timor (Timor-Leste)
  • Ecuador
  • Egypt
  • El Salvador
  • Equatorial Guinea
  • Eritrea
  • Estonia
  • Ethiopia
  • Falkland Islands (UK)
  • Faroe Islands (Denmark)
  • Fiji
  • Finland
  • France
  • French Guiana
  • French Polynesia (France)
  • Gabon
  • Gambia
  • Georgia
  • Germany
  • Ghana
  • Gibraltar (UK)
  • Greece
  • Greenland (Denmark)
  • Grenada
  • Guam (US)
  • Guatemala
  • Guernsey (UK)
  • Guinea
  • Guinea-Bissau
  • Guyana
  • Haiti
  • Honduras
  • Hong Kong (China)
  • Hungary
  • Iceland
  • India
  • Indonesia
  • Iran
  • Iraq
  • Ireland
  • Isle of Man (UK)
  • Israel
  • Italy
  • Ivory Coast
  • Jamaica
  • Japan
  • Jersey (UK)
  • Jordan
  • Kazakhstan
  • Kenya
  • Kiribati
  • Korea, North
  • Korea, South
  • Kosovo
  • Kuwait
  • Kyrgyzstan
  • Laos
  • Latvia
  • Lebanon
  • Lesotho
  • Liberia
  • Libya
  • Liechtenstein
  • Lithuania
  • Luxembourg
  • Macau (China)
  • Macedonia
  • Madagascar
  • Malawi
  • Malaysia
  • Maldives
  • Mali
  • Malta
  • Marshall Islands
  • Mauritania
  • Mauritius
  • Mayotte (France)
  • Mexico
  • Micronesia, Federated States of
  • Moldova
  • Monaco
  • Mongolia
  • Montenegro
  • Morocco
  • Mozambique
  • Namibia
  • Nauru
  • Nepal
  • Netherlands
  • New Caledonia (France)
  • New Zealand
  • Nicaragua
  • Niger
  • Nigeria
  • Niue (NZ)
  • Norfolk Island (Australia)
  • Northern Mariana Islands (US)
  • Norway
  • Oman
  • Pakistan
  • Palau
  • Palestinian territories
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Pitcairn Islands (UK)
  • Poland
  • Portugal
  • Qatar
  • Réunion (France)
  • Romania
  • Russian Federation
  • Rwanda
  • São Tomé and Príncipe
  • Saint Helena, Ascension and Tristan da Cunha (UK)
  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Pierre and Miquelon (France)
  • Saint Vincent and the Grenadines
  • Samoa
  • San Marino
  • Saudi Arabia
  • Senegal
  • Serbia
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Africa
  • South Sudan
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Svalbard and Jan Mayen (Norway)
  • Swaziland
  • Sweden
  • Switzerland
  • Syria
  • Taiwan
  • Tajikistan
  • Tanzania
  • Thailand
  • Togo
  • Tokelau (NZ)
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom
  • United States
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Vatican City
  • Venezuela
  • Vietnam
  • Wallis and Futuna (France)
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
Birth Country
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What is your current marital / relationship status?
  • Marital Status
  • De Facto Relationship
  • Divorced
  • Engaged
  • Married
  • Never Married or been in a De Facto Relationship
  • Separated
  • De Facto Relationship
  • Widowed
  • Interdependent / Same Sex
Marital Status
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Current Contact Details:

Insert details of your current telephone and email contact details: Phone Country Code
Phone
After Hours
Country Code
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Office Hours
Country Code
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Area Code
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Number
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Area Code
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Number
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Mobile/Cell #
Country Code
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Number
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Email
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Citizenship Details

Are you currently or have you been a citizen of any country?
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Insert details of the citizenship:
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Employment Details

Are you currently employed in a paid position?
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Provide details of your current employment status and your employment history since leaving school:
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Education

Have you ever undertaken, completed, or enrolled in any form of study, education or occupational training?
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List all your education and qualifications you have undertaken or are enrolled in since birth
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Language Skills

Have you undertaken an English language proficiency test in the last 36 months?
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Insert details of all official English language skills tests that you have undertaken: Type of English Langauge Test Date of
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Is the English language your first language?
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Insert details of all languages you are able to communicate in (including English):
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Occupational Registration / Licensing / Professional Membership

Do you hold any occupational registration,
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CHILDREN

Do you or your Spouse have any Children, Step Children or Adoptive Children?
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You are required to provide details about all of your and your Spouse's Children (including step-children and adoptive children):
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Is this Child currently or have they ever been a citizen of any Country or State?
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DEPENDANT FAMILY MEMBERS

Do you or your Spouse have any other Dependant family members?
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Insert this Dependant's personal details:
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FAMILY SPONSOR QUESTIONS

Is this application to be sponsored by a relative or family member?
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Please confirm your Sponsor's details:
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QUESTIONS FOR ALL INCLUDED APPLICANTS

For you and everyone who is to be included in this application, please answer the following questions:
Does every applicant who is to be included in this application live at your current residential address?
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For each applicant, provide details of their current Residential Address:
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Does every applicant who is to be included in this application currently have the same postal address?
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Australian Visas
Has anyone who is to be included in this application previously applied for or held an Australian Visa?
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Provide details of all Australian visas applied for or held by everyone who is to be included in this application:
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Travel to Australia
Is anyone who is to be included in this application currently in Australia?
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Provide details of the current stay in Australia
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Does anyone who is to be included in this application have any planned travel to Australia?
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Provide details of all proposed travel to Australia:
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Health Questions

For you and everyone who is to be included in this application, please answer the following questions regarding health:
Has anyone who is to be included in this application undertaken a health examination for an Australian visa in the last 12 months?
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Name of included Applicant Date Completed Country of Examination HAP ID (If available)
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Character Issues

For you and everyone who is to be included in this application, please answer the following questions regarding character:
Has anyone who is to be included in this application applied for a Police Clearance Certificate in the last 12 months?
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Name of included Applicant Issuing Country Date of Application Date of Issue Reference Number
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Has anyone who is to be included in this application previously been in Immigration Detention
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Name of included Applicant Date From (dd/mm/yyyy) Date To (dd/mm/yyyy) Country of Detention Please provide details
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Submit