Migration assessment questionnaire

Please be honest and as thorough as possible with each answer. Our assessment is based solely on the information you provide. All information will be used for the purpose of assessing your migration application and will not be shared with a third party.

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Please answer all financial questions in Australian dollars. What exchange rate have you used in the these calculations?

Section A - Your details

Surname:

Given Names:

Sex: Male    Female   

Date of Birth: / /

Occupation

Marital Status: ---- SELECT ---- Single Married De-facto

Country (or countries) of citizenship:

Home Address:

Email Address:

Contact Phone in Australia: ()  

Business Hours Phone: ()  

After Hours Phone: ()  

Fax: ()  

Contact Phone in Your Home Country: ()  

Business Hours Phone: ()  

After Hours Phone: ()  

Fax: ()  

Please enter the details of any dependents that you wish to accompany you to Australia. Number of Dependants: None 1 2 3 4 5 6 7 8 9 10