Preliminary Assessment

Preliminary Assessment Form

General Information - Applicant

Title (required)

First Name(s) (required)

Surname/ Family Name (required)

Gender (required)

Date of Birth (required)

Address

Street (required)

Suburb / City (required)

State (required)

Country (required)

Phone Numbers

Home (required)

Work

Mobile

Email (required)

First Language

Country of Birth (required)

Country of Citizenship

Do you hold a Current Passport  yes No

Country of Passport

Have you been to Australia before?  yes No

If YES please give dates

From

To

Visa Type

Relationship Status

How did you hear about

Questionnaire

Visa Type: Employer / Business Sponsored Visa

Business / Employer Details

ABN/ACN number

What is the legal registered name of the business/company?

What is the business structure?

Address of business?

When did the business commence trading?

Business Contact Person

Business Contact Phone

Business Contact Email

Has the business been in found guilty in court or had administrative action taken towards it or been under any sort of investigation or been insolvent in the last 3 years? yes No

How many employees does the business/company employ?

Does the business/company undertake any sort of training for its employees? Yes No

Has the business/company previously sponsored any of its employees? Yes No

Postion Details

Position name / Job title?

Brief details about duties to be performed

How many hours per week will be nominated person be working?

Is there an Australian employee(s) performing the same task as the nominated person?

What is the base rate of pay ($ gross, per annum) for the nominated person?

What is the proposed period of employment?

Employee Details

Will the employee be in Australia at the time of application? Yes No

if in Australia on what visa type?

if outside Australia, which country?

Is the employee currently a holder of an employer sponsor visa? Yes No

Will additional family member(s) be joining the employee in this application? Yes No

Additonal Information

Please Attach Your Resume(CV)

Please provide any other additional information that you wish to add to assist us in assessing your case.

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