Questionnaire Initial Client File Number If you have been given a client file number by your Migration agent, record it here: Who is Completing this Questionnaire? Are you or will you be the Main Applicant in any application? YesNo Main Applicant's Intentions What is the main purpose that are you seeking to apply for an Australian Visa? —Please choose an option—To Visit AustraliaStudy in AustraliaWork in AustraliaParticipate in a Sport Competition or TrainingTraining or ResearchTo own a Business or to make InvestmentsTo join a Family Member in AustraliaTo be in a relationship with an AustralianLive in AustraliaOther What length of time are you seeking to be in Australia? —Please choose an option—Temporary: Up to 3 MonthsTemporary: Up to 6 MonthsTemporary: Up to 12 MonthsTemporary: More than 12 MonthsPermanentely Do you have any family members who will be included as part of this application? YesNo Main Applicant's Details Insert your personal details: Prefix/Title MrMrsMissMsDr Gender MaleFemaleOther Given Names Family Name Preferred Name Date of Birth Birth Location (Suburb and City/Town) Birth Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (fmr. Swaziland)EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe State/Province What is your current marital / relationship status? Marital Status De Facto RelationshipDivorcedEngagedMarriedNever Married or been in De Facto RelationshipSeparatedWidowedInterdependent/Same Sex Current Contact Details: Insert details of your current telephone and email contact details: Phone After Hours (Country Code, Area Code and Number) Phone Office Hours (Country Code, Area Code and Number) Mobile/Cell # (Country Code, Area Code and Number) E-mail Citizenship Details Are you currently or have you been a citizen of any country? YesNo Employment Details Are you currently employed in a paid position? YesNo Education Have you ever undertaken, completed, or enrolled in any form of study, education or occupational training? YesNo Occupational Registration / Licensing / Professional Membership Do you hold any occupational registration, licensing or professional membership? YesNo Skill Assessments Have you ever applied for a Skills Assessment from an Australian Skills Assessing body? YesNo Language Skills (a) Have you undertaken an English language proficiency test in the last 36 months? YesNo (b) Is the English language your first language? YesNo CHILDREN Do you or your Spouse/Partner have any Children, Step Children or Adoptive Children? (please include details even if they are deceased) YesNo DEPENDENT FAMILY MEMBERS Do you or your Spouse/Partner have any other Dependant family members? (Dependant Family members include nieces, nephews, cousins, inlaws, grandparents etc. who are financially dependent on you) YesNo BUSINESS SKILLS QUESTIONS Are you seeking to apply for a Visa for the purposes of owning a business or making investments into Australia? YesNo FAMILY SPONSOR QUESTIONS Is this application to be sponsored by a relative or family member? YesNo AUSTRALIAN EMPLOYMENT QUESTIONS Are you being sponsored by or will you be working for an Australian Business or Organisation? YesNo QUESTIONS FOR ALL INCLUDED APPLICANTS For you and everyone who is to be included in this application, please answer the following questions: A. Addresses (a) Does every applicant who is to be included in this application live at your current residential address? YesNo (b) Does every applicant who is to be included in this application currently have the same postal address? YesNo B. Visas Has anyone who is to be included in this application previously applied for or held an Australian Visa? YesNo C. Travel to Australia (a) Is anyone who is to be included in this application currently in Australia? YesNo (b) Does anyone who is to be included in this application have any planned travel to Australia? YesNo D. Health Questions For you and everyone who is to be included in this application, please answer the following questions regarding health: (a) Has anyone who is to be included in this application undertaken a health examination for an Australian visa in the last 12 months? YesNo (b) Are there any health issues affecting you or anyone who is to be included in this application? YesNo E. Character Issues For you and everyone who is to be included in this application, please answer the following questions regarding character: (1) Has anyone who is to be included in this application applied for a Police Clearance Certificate in the last 12 months? YesNo (2) Has anyone who is to be included in this application previously been in Immigration Detention? YesNo (3) Are there any character / criminal history issues affecting you or anyone who is to be included in this application? YesNo We apologise but due to current high caseloads, please be advised that at this time, we are only accepting new clients who are onshore in Australia. This is not applicable to those who are applying for a visitor visa. We understand that this may cause some inconvenience, but our top priority is to ensure that we are able to provide the best possible service to our clients. Thank you for your understanding and we hope to be able to assist you in the future. Your Message (required) Contact: Mobile: 0407 750 197WhatsApp: +61 407 750 197 Email: [email protected] Postal Address: PO Box 6491Gold Coast Mail CentreQLD 9726