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Client Questionnaire
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Client Questionnaire
Type of Migration:
Temporary
Permanent
Date:
Name:
Gender:
Male
Female
Date of Birth:
Citizenship:
Phone Contact:
Email Contact:
Current Visa Held:
Visa Expiry Date:
Passport Details:
Address in Australia:
Address Overseas:
Do you suffer from any health conditions?
No
Yes
Details:
Do you have any criminal convictions?
No
Yes
Details:
Have you ever had an Australian visa cancelled or refused?
No
Yes
Details:
Relevant work experience::
Educational Qualifications:
Educational Qualifications:
English language ability:
Marital Status:
Single
Seperated
De facto
Interdependent
Engaged
Married
Divorced
Widowed
PARTNER DETAILS
Name:
Date of Birth:
Citizenship:
Skill:
Work Experience:
English Language Ability:
Do you have any children?
No
Yes
Name:
Date of Birth:
Will the children be included in your application?
No
Yes
Extended family composition:
Do you have any relatives living in Australia?
No
Yes
Word Verification
Type the characters you see in the picture below.
Letters are not case sensitive
