UK Immigration - Assessment Form

About You

Title
First Name
Last Name
Date of Birth
Place of Birth
Nationality

Address and contact details

Street
Town/City
Postal Code/Zip Code
Country
Email*
Telephone*
Fax

Employment details

Present Occupation
Nominated Occupation *
How long have you been working in nominated occupation?
Annual Income in UK Sterling or Australian Dollars

Spouse or Interdependent Partner (unmarried)

Nationality
Age
Nominated Occupation
Years of work experience in occupation
If unmarried to your partner, how long have you been living together

Dependent Child (-ren)

Age of 1st Child
Age of 2nd Child
Age of 3rd Child

Other dependent family member(s)

Age of 1st Dependent
Age of 2nd Dependent
Age of 3rd Dependent

Relatives or ancestors in Australia

Do you have relatives or ancestors in Australia who might be able to sponsor your application for migration?

Relationship to you	Nationality	Immigration Status	Date of arrival in Australia

Emigration details

Are your plans for emigration Temporary or permanent? *
Do you have family or dependants who will emigrate with you		Yes No
Have you ever held any type of visa for Australia		Yes No

If yes, please give the following details

Type
Date Issued
Place Issued
Length of validity

Have you ever been refused a visa? *		Yes No
If yes, please give details

What amount of funds and/or assets would you be willing to invest in an Australian government designated investment?
Are you interested in investment/business related immigration?		Yes No
If yes, how much do you intend to invest?
In brief, what are your business plans

Have you ever been convicted of any crime however minor the offence		Yes No
If yes, please give details

Have you or any of your immediate family had any serious health problems?		Yes No
If yes, please give details

Why do you wish to emigrate to Australia ?

English language ability

On a scale of one to five (1-5), five standing for complete fluency, one standing for no English language ability at all.

Speaking *
Reading *
Writing *
Reading *
Writing *
Understanding *
Please also list any IELTS test scores and dates taken
Other languages in which you are fluent

Work Experience

Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to info@globalimmigrate.com.

1. Work experience
Dates of Employment dd/mm/yyyy - dd/mm/yyyy
Employing Company
Job Title
Skills used /Responsibilities
Relation to your educational qualifications

2. Work experience
Dates of Employment dd/mm/yyyy - dd/mm/yyyy
Employing Company
Job Title
Skills used /Responsibilities
Relation to your educational qualifications

3. Work experience
Dates of Employment dd/mm/yyyy - dd/mm/yyyy
Employing Company
Job Title
Skills used /Responsibilities
Relation to your educational qualifications

Qualifications

Instead of completing this section, you may wish to send a current C.V. or resume in Rich Text (*.rtf) or Plain Text (*.txt) format. To do this, please send your C.V. to info@globalimmigrate.com.

1. Qualification
Dates of study dd/mm/yyyy - dd/mm/yyyy
University/College/School
Date Qualification obtained
Qualification
Location of Institution

2. Qualification
Dates of study dd/mm/yyyy - dd/mm/yyyy
University/College/School
Date Qualification obtained
Qualification
Location of Institution

3. Qualification
Dates of study dd/mm/yyyy - dd/mm/yyyy
University/College/School
Date Qualification obtained
Qualification
Location of Institution

Additional information

How did you hear of globalimmigrate.com?
Comments Please provide any additional information that you think might help us evaluate your situation. Any comments on improvements that can be made to this form and other parts of our web-site are welcome
Age of 3rd Dependent

* - required fields

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