Australian Migration & Business Consultants Migration Assessment Form
Instructions Simply print and fill out this form and fax or mail the completed form to us. Instructions for Faxing - Print the document, 'AMBCForm.pdf'. - Fill in the relevant information using a blue or black pen. - Print clearly. - If you do not have enough space, write on a separate paper and indicate which question it belongs to. - Where there are options, simply circle the most correct response/s. - Make sure that you have filled in your information completely. - Fax the completed form and any additional material to: Fax number: +61 3 9380 8610 Please do not fax instructions. Instructions for Mailing - Print the document, 'AMBCForm.pdf'. - Fill in the relevant information using a blue or black pen. - Print clearly. - If you do not have enough space, write on a separate paper and indicate which question it belongs to. - Where there are options, simply circle the most correct response/s. - Make sure that you have filled in your information completely. - Mail the completed form and any additional material to: Australian Migration & Business Consultants 50 Hunter Street, Melbourne, Australia, 3055
Main Applicant's Details Personal Information Title: Mr Mrs Miss Dr. Prof. Other (please specify) Family Name: First Names: Gender: Male Female Date of Birth: (dd-mm-yyyy) Country of Birth: Country of Citizenship: Present Country of Residence: Postal Address: E-mail Address: Telephone: Home: Business: English Level: Academic Intermediate General Low None Other Languages: Have you ever applied for an Australian visa? Yes No Marital Status Marital Status: Single Married De facto Divorced Widowed
Education/Training Highest Education Level: Ph.d Masters Degree Diploma Years of Study: (mm/yyyy) From: To: Name of Award: Name of Educational Institute: Country of Educational Institute: Other Educational Achievements: (List Award, Dates, Educational Institute and Country. ie, Bachelor of Arts, March 1993 - Nov 1995, Monash Uni, Australia) Apprenticeships: Trades:(List Trade, Institution, City/Town, Country and Dates. ie, Plumbing, NMIT, Melbourne, Australia, Jan 1987 - Nov 1990)
Employment History What is your current employment. If currently unemployed enter the details of your last position. Current Occupation: Job Description: Dates Employed:From: (mm/yyyy)to: (mm/yyyy) Name of Employer: Type of Business: If your current occupation is different from your usual occupation, what is your usual occupation? Please list other positions held during the last 5 years. Include periods of unemployment. (eg: Pastry Chef, 04/1993-09/1995, Paris Rest., Restaurant; Apprentice Chef, 02/1991-03/1993, Pampas Greek Rest, Restaurant)
Spouse's Details Spouse's Personal Information Title: Mr Mrs Miss Dr. Prof. Other (please specify) Family Name: First Names: Gender: Male Female Date of Birth: (dd-mm-yyyy) Country of Birth: Country of Citizenship: Present Country of Residence: English Level: Academic Intermediate General Low None Other Languages: Have you ever applied for an Australian visa? Yes No Education/Training Highest Education Level: Ph.d Masters Degree Diploma Years of Study: (mm/yyyy) From: To: Name of Award: Name of Educational Institute: Country of Educational Institute: Other Educational Achievements: (List Award, Dates, Educational Institute and Country. ie, Bachelor of Arts, March 1993 - Nov 1995, Monash Uni, Australia)
Apprenticeships: Trades:(List Trade, Institution, City/Town, Country and Dates. ie, Plumbing, NMIT, Melbourne, Australia, Jan 1987 - Nov 1990) Employment History What is your current employment. If currently unemployed enter the details of your last position. Current Occupation: Job Description: Dates Employed:From: (mm/yyyy)to: (mm/yyyy) Name of Employer: Type of Business: If your current occupation is different from your usual occupation, what is your usual occupation? Please list other positions held during the last 5 years. Include periods of unemployment. (eg: Pastry Chef, 04/1993-09/1995, Paris Rest., Restaurant; Apprentice Chef, 02/1991-03/1993, Pampas Greek Rest, Restaurant)
Dependant Children Details eg: John, 10/11/1991; Jenny, 08/05/1994 Names Date of Birth (dd/mm/yyyy) Child 1 Child 2 Child 3 Child 4 Child 5 Child 6 Child 7 Child 8 Child 9 Sponsors Do you have immediate family living in Australia who are willing to sponsor you? Yes No If Yes, please state residency status of sponsor: What is your relationship, ie Brother, Son etc: Please provide contact details: Full Name: City/Town: State: Telephone Number:
Health Please fill out this section if you or any of your family, migrating to Australia, have ever suffered from a serious illness, either physical or mental. Please note! Failure to fully disclose relevant information will result in delays in processing application and higher costs. Did you or any of your family migrating to Australia suffered from a serious illness in the past five years? Yes No If Yes please give details: whom, what type of disease and date. Please list any medical condition requiring continued medical attention.
Investments What type of investments do you currently have? (Please circle all appropriate choices. If OTHER selected, state what it is.) Property Shares Bonds Other What is your total estimated combined net worth? $AUD How much would you be prepared to invest in a designated Government Security. $ 500,000 AUD $ 750,000 $1,000,000 $1,500,000 $2,000,000 Other amount: $ If visa approved, how much money would you bring with you in order to live in Australia? $
Business Information To be completed by those self employed or who are actively involved in a business as a Director/Investor. Description of Business: (Describe business, Industry and Location) Your position: Period of involvement in the business: (mm/yyyy) From: To: Ownership (%) Number of employees: Annual labour costs.a$ Gross business assets:a$ Net business assets:a$ Annual turnover from the business for the last four years. Gross (total income) Net (less liabilities) 2001/02 $ 2001/02 $ 2000/01 $ 2000/01 $ 1999/00 $ 1999/00 $ 1998/99 $ 1998/99 $ If not accepted for Business Migration, would you be interested in applying for a 4 year visa to try and establish a successful business in Australia? Yes No
Information that we should know about: Have you or any member of your family migrating to Australia have a Police record, been deported or refused entry to another country? Yes No If you answered Yes, please explain. Additional information to support application: If you feel that there may be additional information to support your application please enter it below. General Information How did you find out about Australian Migration and Business Consultants? Newspaper Search engine Business Card Friend Seminar
Finish Congratulations. You have just completed the first step to a new life in Australia. After we have received your details, we will contact you within 72 hours with an initial assessment of your application. Please ensure that all your details are correct and complete.