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MEMBER OF
MIGRATION INSTITUTE
- OF Australia -
REGISTERED MIGRATION
AGENT NO. 0210271
Please take a few moments to complete this short questionnaire. We will respond by email, usually within 24 hours, with an initial appraisal of your prospects of obtaining a visa. This appraisal is FREE.
Questionnaire
Name
Date of Birth
Day
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
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Email
Address
Street:
Suburb:
City:
Postcode:
Country
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Espana
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (South)
Korea, Republic of
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa (Independent)
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Suriname
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
Triniad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
USA
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wales
Western Sahara
Yemen
Zambia
Zimbabwe
Marital Status
Married
Single
Divorced
Separated
Number of dependent children
Qualifications:
(do you have trade, diploma or degree qualifications?
If so, when did you qualify and where)
Qualification 1:
Year
Institution:
Qualification 2:
Year
Institution:
Qualification 3:
Year
Institution:
Current Occupation:
How long have you working in your current occupation?
Years
Months
If married, what is your partners occupation?
Are you fluent in English?
Yes
No
Do you have any relatives who have been living in Australia for at least 2 years?
Yes
No
FOR BUSINESS APPLICANTS ONLY
Do you have at least a 4 year successful business background?
Yes
No
Do you have net personal assets of at least AUD$250,000?
Yes
No
Do you own a business with a turnover of at least AUD$300,000?
Yes
No
Have you been involved in the top 3 levels of management of a business with a turnover approaching AUD $ 1million?
Yes
No
Are you an investor who is able to make an investment in Australia of at least AUD$ 750,000 and has assets of over AUD$1 million ?
Yes
No
FOR RETIREMENT AND PARENT VISAS
How many children do you have?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
How many of your children have lived in Australia for at least 2 years
?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Do you have AUD$650,000 in assets to retire on in Australia?
Yes
No
Are there any other comments you wish to make?
COMMENTS
© Premier Migration Service 2004