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Initial Assessment Form
Migration Services Australia
01
Personal Information
First Name
*
Last Name
*
Date of Birth
Nationality
Marital Status
— Select —
Single
Married
De Facto
Divorced
Widowed
Place of Birth (Full Address with State & Province)
Current Country of Residence
Email Address
*
Phone Number
Visa Details
Current Visa
Current Visa Expiry
Previous Visa
Previous Visa Expiry
Passport
Passport Number
Issue Date
Expiry Date
02
Education Background
Education Entry 1
Institution Name
Qualification / Degree
City & Country
Start (MM/YYYY)
End (MM/YYYY or Current)
RPL?
Yes
No
Education Entry 2
(Optional)
Institution Name
Qualification / Degree
City & Country
Start (MM/YYYY)
End (MM/YYYY or Current)
RPL?
Yes
No
03
Employment History
Employment Entry 1
Job Title
Employer / Company Name
Work Type
— Select —
Full-Time
Part-Time
Casual
Start (MM/YYYY)
End (MM/YYYY or Current)
Main Duties
Can you provide a reference letter or payslips?
Yes
No
Employment Entry 2
(Optional)
Job Title
Employer / Company Name
Work Type
— Select —
Full-Time
Part-Time
Casual
Start (MM/YYYY)
End (MM/YYYY or Current)
Main Duties
Can you provide a reference letter or payslips?
Yes
No
04
English Language Ability
Have you taken an English test (IELTS / PTE)?
Yes
No
Test Type
— Select —
IELTS
PTE
TOEFL
Other
Score
Test Date
05
Visa Interest
Which visa are you interested in?
— Select —
407 – Training Visa
482 – Temporary Skill Shortage
186 – Employer Nomination Scheme
491 – Skilled Work Regional
190 – Skilled Nominated
Student Visa
Partner Visa
Other
Please specify
Do you have a sponsor / employer in Australia?
Yes
No
06
Additional Information
Any previous visa refusals or cancellations in the last 10 years?
Yes
No
Provide details
Did you apply for an ART (AAT) Review?
Yes
No
Provide ART / AAT details
07
Family Information
Are you married?
Yes
No
Number of Children
Child 1 Age
Child 2 Age
Child 3 Age
08
Other Information
Do you own a car?
Yes
No
Do you have a Driver's Licence in NSW?
Yes
No
Willing to relocate in Australia for job placement?
Yes
No
By submitting, you confirm all information provided is accurate.
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