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Migration Questionnaire



(If you have any difficulty completing this form, you can email us with your enquiries)



 

  • If there is more than one applicant, please copy this questionnaire before completing and returning them to us.
  • Where there are suggested alternatives, please highlight or otherwise indicate the correct answer
  • If insufficient space, please attach a separate page containing the question number together with your answer
  • Please note that we will need your important documents translated into English by an approved interpreter before we can lodge your application. If you are sending by email, you can scan and attach such documents.
  • Some questions will obviously not apply to you - do not answer them.
Date Completed:

Principal applicant:

1. FAMILY NAME

1.1 In English:
1.2 In ethnic script: (if applicable):
1.3 Occupation

2. GIVEN NAME/S

2.1 In English:
2.2 In ethnic script: (if applicable):
2.3 Name you prefer to be called:

3. SEX and AGE

3.1 Male
Female
3.2 Age:

4. BIRTH DETAILS

4.1 Date of Birth:
4.2 City and Country of birth:

5. CURRENT RESIDENTIAL ADDRESS

5.1 What is your current residential address?

(house number & street town and postal code, country)

5.2 Should all correspondence be sent to your residential address?
Yes No (please tick one)
5.3 If not, please supply address where correspondence should be sent:

6. TELEPHONE NUMBERS and EMAIL ADDRESS

6.1 Home:
6.2 Mobile:
6.3 Work:
6.4 Fax (home):
6.5 Fax (work):
6.6 email:

7. YOUR CURRENT PASSPORT DETAILS

7.1 Passport No.:
7.2 Date of issue:
7.3 Place of issue:
7.4 Country of issue:
7.5 Date of expiry:

8. VISA DETAILS
Australian visa currently held or last held:

8.1 Visa No. :
8.2 Visa Expiry Date:
8.3 Do you currently have any visa entitling you to enter Australia, including a bridging visa? (if yes please attach a copy of the visa label)
Yes No
8.4 Visa Type:
8.5 Location of office/outpost where Australian visa application was lodged and date granted:

(please attach any letter acknowledging receipt and a file or receipt number and letter granting visa)

8.6 Have you ever had a visa application for Australia or an Australian visa cancelled or refused?
Yes No
(if yes, please attach a copy of the letter of refusal or cancellation)
8.7 Have you appealed against that decision?
Yes No
(if yes, please attach a copy of any court document or tribunal/court decision)

9. CURRENT CITIZENSHIP

9.1 Country or Countries:
9.2 Any prior citizenships:

10. MARITAL STATUS

never married
married
widowed
de facto
separated
divorced
engaged
living in an interdependent (gay or lesbian) relationship
Length of relationship: years months

11. DETAILS OF MEMBERS OF YOUR FAMILY UNIT COMING TO AUSTRALIA WITH YOU, OR WHO ARE ALREADY WITH YOU IN AUSTRALIA (please advise your relationship to them and attach a separate sheet, if necessary)

Person 1

11.1 Family name:
11.2 Given name/s:
11.3 Date of birth:
11.4 Visa No and Type:
11.5 Passport No:
11.6 Issue date:
11.7 Expiry date:
11.8 Citizenship:
11.9 Relationship to you:
11.10 Occupation:
11.11 Mobile No.
11.12 Email address

Person 2

11.13 Family name:
11.14 Given name/s:
11.15 Date of birth:
11.16 Visa No and Type:
11.17 Passport No:
11.18 Issue date:
11.19 Expiry date:
11.20 Citizenship:
11.21 Relationship to you:

12. DO YOU HAVE CLOSE FAMILY MEMBERS/RELATIVES IN YOUR COUNTRY OF ORIGIN WHO WILL NOT BE COMING TO AUSTRALIA (please advise your relationship to them)

Person 1

12.1 Family name:
12.2 Given name/s:
12.3 Date of birth:
12.4 Citizenship:
12.5 Relationship to you:

Person 2

12.6 Family name:
12.7 Given name/s:
12.8 Date of birth:
12.9 Citizenship:
12.10 Relationship to you:

Person 3

12.11 Family name:
12.12 Given name/s:
12.13 Date of birth:
12.14 Citizenship:
12.15 Relationship to you:

13. HEALTH AND CHARACTER
(You and other applicants over 11 years old may be required to
undergo X-rays and a full medical examination)

Have you or any members of your family unit ever had tuberculosis or other serious illnesses? (please fill in details below and attach an extra sheet if necessary)

Person 1
(a) Family Name:
(b) Given name/s
(c) Date of birth:
(d) Relationship to you:
Person 2
(e) Nature of illness:
(f) Family Name:
(g) Given name/s
(h) Date of birth:
(i) Relationship to you:
(j) Nature of illness:
13.2 Have you obtained a national police clearance certificate from your country of origin? It is required for any country you have resided in for 12 months during the last 10 years. (this is a record of any recent criminal convictions).
Yes No
(if yes, please attach a copy)
13.3 Do you or any person in this Application have any outstanding debts to the Australian Government or any public authority in Australia? (including Social Security or
Yes No
(if yes, please list)

 

Detention costs)

BUSINESS SKILLS and
GENERAL SKILLED APPLICATIONS

(NOTE – you will need to pass a points test based on
 your age, skills, work experience and English language ability)
(please do not complete if not applicable

14. FOR A NOMINATION BY A BUSINESS SPONSOR

14.1 Name and address of sponsoring company:
14.2 Australian Company Number of sponsoring company (ACN):
14.3 Postal address:
14.4 Name of contact person at sponsoring company:
14.5 Telephone No of contact person:
14.6 Fax No. of contact person:
14.7 Mobile number of contact person:
14.8 Email address of contact person:
14.9 Sponsorship approval number (if any):
14.10 Details of labour agreement, name and number (if any)
14.11 Job title of position to be filled:
14.12 Occupation:
14.13 Location of position:
14.14 How many hours per week:
14.15 Annual salary:
14.16 Period of employment:
14.17 Will the sponsoring company be paying your salary?
Yes No
14.18 Details of job placement service provider (if any):
14.19 Details of any professional or industrial body from whom advice has been obtained:
14.20 Description of the position to be undertaken:
14.21 Qualifications, essential skills and experience required to be held by you:
14.22 Details of any skills assessment undertaken (assessing body, date, and outcome):

15. YOUR QUALIFICATIONS, TRAINING AND SKILLS RELEVANT TO YOUR PROPOSED ACTIVITY IN AUSTRALIA (please attach copies of degrees, diplomas and trade certificates)

15.1 Educational:
15.2 Trade or professional:
15.3 If you obtained this qualification overseas, when and where did you obtain the qualification?
15.4 If you obtained an Australian qualification, when and where did you obtain your results?
15.5 Training and work experience for past 5 years: 
15.6 Special skills:
15.7 Details of your employment over the past 3 years:
15.8 Have your skills been independently assessed?
Yes No
If yes, by whom: please supply details: (please attach copies of certificates)

16. HOW LONG DO YOU PROPOSE TO STAY IN AUSTRALIA?

years months
Temporarily    Permanently

17. WHEN DO YOU REQUIRE YOUR VISA?

18. LANGUAGE SKILLS

18.1 What is your main language?
18.2 If you studied at University outside Australia, what language was the whole course taught in?
18.3 How would you regard your fluency in spoken English?
Excellent    Functional Average    Poor Nil
18.4 How would you regard your fluency in written English?
Excellent    Functional Average    Poor Nil
18.5 Have your English language skills been assessed?
Yes  No Date
18.6 If yes, by whom? (please state their qualifications and attach assessment certificate)
18.7 Any other languages in which you are competent:
18.8 Are you an accredited interpreter in Australia?
Yes  No

19. IF YOU INTEND TO ENTER AUSTRALIA AS AN EXECUTIVE OF A BUSINESS OUTSIDE AUSTRALIA ESTABLISHING OR ASSISTING TO ESTABLISH A BUSINESS ACTIVITY IN AUSTRALIA

19.1 Advise your previous business experience and expertise
19.2 Do you have any investment funds available to bring to Australia?
Yes  No
Approximate amount (in Australian Dollars)
$
19.3 Do you have a regional sponsor in Australia?
Yes  No

PROVIDE DETAILS OF THE BUSINESS TO BE ESTABLISHED

19.4 Name of business:
19.5 Type of business:
19.6 Location of business:
19.7 The number of proposed local employees (specify whether full time or part time):
19.8 Amount of capital to be invested in Australia:
AUD $
19.9 Your proposed function in the business:
19.10 Do you already have a business plan proposed?
Yes  No
(if yes, please attach)
19.11 Details of any market research conducted to date (attach  separate sheet if necessary)
19.12 Details of any bankruptcy or liquidation procedures in which you have been personally involved:
19.13 What, if any, existing business, investments or business links do you have with Australia?
19.14 Details of any contracts entered into, negotiations, correspondence relating to this business:  (attach separate sheet if necessary)
19.15 Explain how the proposed activity will create or maintain employment for Australian citizens, or expand Australian trade in goods and services, or improve Australian business links with international markets, or contribute to the competitiveness within sectors of the Australian economy, or will introduce or create new or improved technology or business skills, or the training record that the business activity has undertaken in Australia, or proposes to undertake (attach separate sheet if necessary)
19.16 What is the breakup of capital required to conduct or establish the business activity:
19.17 State the net assets of you and/or your spouse to be used to conduct or establish the business activity (evidence of the value of the net assets will be required), and your net assets overall:

20. BUSINESS OWNER
(NOTE:you will need to pass a business points test calculated according to your business attributes, age, English language ability, net assets, sponsorship)

20.1 Are you an owner or part owner of a business/ businesses?
Yes  No
20.2 If so, please list them and their location
20.3 What was the turnover for each business for the last three years

2007

2006

2005
20.4 Are you a senior executive employee of a major business or an owner or part owner of a business which is sponsored by an authorised Australian State or Territory Business development Agency?
Yes  No
(please advise your position, name of company, state or agency)
20.5 Are you a senior executive employee of a major business sponsored by an authorised Australian State or Territory Business development Agency?
Yes  No
(please advise your position, name of company, state or agency)
20.6 Do you have a successful business career?
Yes  No
(please attach history of business success, CV or resume)
20.7 Do you and your spouse together have net assets in a qualifying business of not less than AUD250,000 in two of the last four financial years?
Yes  No
(if yes, please attach list)
20.8 Have you been actively involved in and responsible for the overall management and performance of a qualifying business (in which you have at least 10% shareholding or equity) on a day to day basis for two of the last four years?
Yes  No

20.9 How many full time / part time employees does your overseas business/es employ?
20.10 Do you have a business plan?
Yes  No
(if yes, please supply a copy)
20.11 Do you intend to invest in an existing Australian business or to start a new business?
Yes  No
(if yes, please supply details)
    

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