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Employer Nominated Permanent Residency - Nomination Questionnaire

Business Details

Has the Business / Organisation ever lodged an application with the Department of Home Affairs?
Yes
No
What is the business Structure?
Is the business the trustee for any other business activities?
Yes
No

Contact Person's Details

Date of Birth
Day
Month
Year
Is there any adverse information to declare including any information relating to the contravention of Australian laws, insolvency, sponsorship breaches and/or other circumstances which might reasonably be considered adverse information?
Yes
No

Financial and Operational Details of the Sponsoring Business

Has the business been operational for more than 12 months?

Workforce Details

Please complete this form regarding the numbers and residency status of all employees

Position Details

Is the applicant currently employed in the proposed position?
Yes
No
Do you have any Australian or Permanent Residents performing in the same or an equivalent position?
Yes
No
Will this organisation be paying the salary of the nominee?
Yes
No

Declarations

  1. I agree that I have the authority to enter into legal commitments for the nominating business/organisation.

  2. I agree that I will provide full-time employment for the visa applicant for at least two years.

  3. I acknowledge that any resulting visa may be cancelled if holder does not commence work within six months or does not continue to work in the nominated position for at least two years.

  4. I acknowledge that any non-compliance with Australian agreements, awards and conditions may incur penalties under Australia's industrial relations system and affect future immigration nominations.

  5. I agree that the organisation has the ability to fund full-time employment for the nominated person for at least two years.

  6. I agree that the nominated person holds relevant occupation licenses and registrations pertaining to the position to be filled.

  7. I agree that the nominated person's contract of employment will comply with all requirements imposed by Commonwealth, State or Territory law relating to employment including, if applicable, the National Employment Standards.

  8. Section 245AR of the Migration Act 1958 prohibits asking for or receiving a benefit in return for the occurrence of a 'sponsorship-related event' as defined by section 245AQ of that Act. Refer to Paying for visa sponsorship - certification requirement for more information.

    I certify that I have not engaged in conduct in relation to this nomination that constitutes a contravention of subsection 245AR(1) of the Migration Act 1958.

  9. Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

  10. I agree that I have provided complete and correct information in every detail on this form, and on any attachments to it and understand that if any fraudulent documents or false or misleading information has been provided with this application, the application may be refused and the applicant(s), and any member of their family unit, may become unable to be granted a visa for a specified period of time.

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