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PRELIMINARY ASSESSMENT QUESTIONNAIRE

Email:
Address:

ASSETS / JOB OFFER

VALUE OF TRANSFERABLE ASSETS (LOCAL CURRENCY)

ABOUT YOUR SPONSOR

DO YOU HAVE A BLOOD RELATIVE LIVING IN AUSTRALIA (YES / NO):
IF YES, INDICATE (FATHER, MOTHER, BROTHER, SISTER, UNCLE, AUNT OR FIRST COUSIN) :
DEFINE RELATIONSHIP (EG. AUNT IS YOUR FATHER OR MOTHER’S OWN SISTER) :
IS THE RELATIVE, A PERMANENT RESIDENT OR CITIZEN :
HAS THE RELATIVE WORKED FOR THE PAST 2 YEARS :
IS YOUR RELATIVE WILLING TO SPONSOR YOU?
NAME OF RELATIVE :

SECONDARY EDUCATION (10TH STD) :

DATE COMPLETED
CLASS OBTAINED

HIGHER SECONDARY EDUCATION (12TH STD) :

DATE COMPLETED
CLASS OBTAINED

FOR TECHNICAL AND TRADESPERSONS

TRADE / TECHNICAL EDUCATION:

DATE COMPLETED
DURATION OF COURSE
NAME OF INSTITUTION
QUALIFICATION OBTAINED
IS YOUR INSTITUTION GOVERNMENT APPROVED? (YES / NO.)

APPRENTICESHIP:

DATE COMPLETED
DURATION OF COURSE
NAME OF INSTITUTION
QUALIFICATION OBTAINED
IS YOUR INSTITUTION GOVERNMENT APPROVED? (YES / NO.)

FOR PROFESSIONALS AND PARA-PROFESSIONALS

UNIVERSITY EDUCATION (TERTIARY) :

DEGREE OBTAINED
MAJOR SUBJECT
NAME OF COLLEGE
NAME OF UNIVERSITY
CLASS OBTAINED
DURATION OF COURSE
YEAR COMPLETED

POST GRADUATE COURSE

DEGREE OBTAINED
MAJOR SUBJECT
NAME OF COLLEGE
NAME OF UNIVERSITY
CLASS OBTAINED
DURATION OF COURSE
YEAR COMPLETED

1. EMPLOYMENT HISTORY

PERIOD (MONTH / YEAR) FROM
To
NAME OF ORGANISATION :
YOUR DESIGNATION :

2. EMPLOYMENT HISTORY

PERIOD (MONTH / YEAR) FROM
To
NAME OF ORGANISATION :
YOUR DESIGNATION :

3. EMPLOYMENT HISTORY

PERIOD (MONTH / YEAR) FROM
To
NAME OF ORGANISATION :
YOUR DESIGNATION :

IF YOU HAVE WORKED IN MORE THAN 3 ORGANISATIONS PLEASE PHOTO COPY THIS SHEET AND PROVIDE DETAILS OF ALL EMPLOYMENT.

I DECLARE AS FOLLOWS :

1) THAT THE INFORMATION PROVIDED FOR THE PRELIMINARY ASSESSMENT IS GENUINE;

2) THAT I HAVE APPRISED ALL THE STAKEHOLDERS INCLUDED IN THE APPLICATION VIZ. MY SPOUSE, CHILDREN AND MY SPONSOR OF THE REQUIREMENTS THAT THEY HAVE TO COMPLY WITH FOR THE APPLICATION TO MIGRATE TO AUSTRALIA.

SIGNATURE
DATE

PRELIMINARY ASSESSMENT QUESTIONNAIRE ATTACHMENT
(PLEASE COMPLETE IN BLOCK LETTERS)

NOTE : IF THIS FORM IS INCOMPLETE, WE WILL NOT BE ABLE TO CARRY OUT AN ASSESSMENT

MAIN APPLICANT

NAME:
MARITAL STATUS:
D.O.B.:
AGE:

EDUCATIONAL QUALIFICATIONS

QUALIFICATIONS INSTITUTION MAJOR CLASS YEAR OFFICE USE

EMPLOYMENT

NAME OF EMPLOYER DESIGNATION FROM TO

SPOUSE

NAME:
MARITAL STATUS:
D.O.B.:
AGE:

EDUCATIONAL QUALIFICATIONS

QUALIFICATIONS INSTITUTION MAJOR CLASS YEAR OFFICE USE

EMPLOYMENT

NAME OF EMPLOYER DESIGNATION FROM TO

CHILDREN

NAME D.O.B. AGE QUALIFICATION

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