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Permanent Visa Applicant Questionnaire - Personal 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.


If there are any documents that you do not have on hand immediately, these can be supplied via email at any stage whilst compiling the application.


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

What is your marital status?
Have you, or any applicant, ever been known by any other name or alias, or had a different spelling? (e.g. maiden name, tribal names etc)
Yes
No
Do you have any children? (Note: Please include even if they will not be included in this application)
Yes
No

Language and Qualifications

Have you completed an English test in the past 3 years?
Yes
No

Employment History

Address and Travel History

Use THIS FORM to give details of all countries where each applicant has spent a total period of time that adds up to 12 months or more in the past 10 years since turning 16 years of age

Use THIS FORM to provide a list of all travel for each applicant for the past 10 years.

Passport Style Photograph

Declarations

I agree to take up the position for at least two years.
Yes
No
I understand that providing false or misleading information, or bogus documents either knowingly or otherwise, will result in the visa application being refused and a three year bar in relation to visas to which the fraud criterion applies.
Yes
No
I authorise the Australian Government to make enquiries necessary to determine their eligibility for permanent stay in Australia, and to use any information supplied in this application for that purpose.
Yes
No
I agree to inform the Department immediately, through my Migration Agent, of any changes in circumstances whilst this application is being considered
Yes
No
I Have read the information contained in the Privacy Notice (Form 1442i) and understand that the department may collect, use and disclose personal information (including biometric information and other sensitive information) as outlined in the form
Yes
No
Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian society and values, and agrees to the Australian values statement.
Yes
No
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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