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Request for an assessment for business migration

Think carefully as you complete each section of the form. When you have finished, double check what you have written.

Please note that this form is only to help you assess your potential to get a visa. You will not be charged for completing the visa assessment form and there is no obligation to continue after you submit the form.

Be assured your information will be considered in strict confidence by our professional team.

Email address
Telephone and/or Fax number
Family name
Other names
Sex Male  Female
Age
Marital status
Spouse's name
Any relatives who are Australian Citizens or Permanent Residents?
In what city do your relatives live?
Please indicate your proficiency in the English language as follows:
HIGH: A very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
MODERATE: Can communicate reasonably well about personal and familiar things.
BASIC: Command of just a few basic words.
Have you ever visited Australia? Yes No
Are you in good health? Yes No
If not, please explain

Are you a business owner?

 Yes No
What is your percentage ownership?

What is the annual revenue in each of the last 4 years?
Describe what the company does

Are you a senior executive of a major business (annual revenue of more than $50 million Australian)?

 Yes No
What is your current position in the company?
Is your employer
  		a joint venture company?
an overseas-owned company?
How many levels of management are above you, including the Chairman as one level? (If your company is a multinational then count only those levels in your country)?
Do you have an ownership interest? Yes No

Do you wish to make a large investment of capital in Australia?

 Yes No
How much could you commit?