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Permanent Visa Applicant Questionnaire - Health and Character Information

In addition to the information already provided we will use these details to complete and compile your application. Please provide as much detail as possible.


Please ensure that all documents are clear, colour scans of the originals. Note that notarised copies will not be accepted.


Any documents that cannot be supplied initially can be provided via email at any stage whilst the application is being compiled.

Health Information

Has anyone who is to be included in this application undertaken a health examination for an Australian visa in the last 12 months?
Yes
No
Does any applicant have any of the following health conditions that may incur medical costs, require treatment or medical follow up?
Does any applicant require assistance with mobility or care due to a health condition?
Yes
No

Australian Police Clearances

Has anyone who is to be included in this application applied for an AFP Police Clearance Certificate in the last 12 months?
Yes
No

Overseas Penal Clearances

If you do not have the relevant police clearances or require guidance in sourcing these, please reach out to us for assistance.

Character Declarations

Has any applicant ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?
Yes
No
Has any applicant ever been charged with any offence that is currently awaiting legal action?
Yes
No
Has any applicant ever been convicted of an offence in any country (including any conviction which is now removed from official records)?
Yes
No
Has any applicant ever been the subject of a domestic violence or family violence order, or any other order, of a tribunal or court or other similar authority, for the personal protection of another person?
Yes
No
Has any applicant ever been the subject of an arrest warrant or Interpol notice?
Yes
No
Has any applicant been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?
Yes
No
Has any applicant who is to be included in this application ever been named on a sex offender register?
Yes
No
Has any applicant been confined in a prison or psychiatric institution by order of a court in relation to criminal proceedings?
Yes
No
Has any applicant been acquitted of any offence on the grounds of mental illness, insanity or unsoundness of mind?
Yes
No
Has any applicant who is to be included in this application ever been found by a court not fit to plead?
Yes
No
Has any applicant ever provided any information or a document to the Australian Immigration or Customs authorities which was wrong, incorrect, false or misleading?
Yes
No
Has any applicant been directly or indirectly involved in, or associated with, any activities that would represent a risk to Australian national security or any other country?
Yes
No
Has any applicant been associated with a person, group or organisation that has been/is involved in criminal conduct?
Yes
No
Has any applicant ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia?
Yes
No
Has any applicant been undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?
Yes
No
Has any applicant ever been involved in people smuggling or people trafficking offences?
Yes
No
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
Yes
No
Has any applicant ever overstayed a visa in any country (including Australia)?
Yes
No
Has any applicant ever had any outstanding debts to the Australian Government or any public authority in Australia?
Yes
No
Has any person included in this application made or offered to make a payment or provide another benefit of any kind to another person or entity in return for the sponsorship, nomination or support for an Australian visa?
Yes
No

Declaration

Is all the information you have provided in this Questionnaire true, complete and correct?
Yes
No

© 2024 Medical Migration Pty Ltd

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Kellee Lloyd 

MARN 1678 793

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