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Skilled Migration Visa Assistance Form

Mary Heath
Viacorp Migration


Type of Visa

Length of stay in Australia

Type of Visa: (eg. Skilled Migrant) If you are not sure, just put "not sure".

Your particulars (for everyone to fill out)

Your family name:

Your given names:

Your Postal address:

Home telephone:

Work telephone:

Email address:

Date of Birth:

Male Female

Nationality of Passport:

Marital Status:

Members of your family

Are they travelling with you? Yes No

Number of children below 18. We need to know how many
children under 18 you have, even from former relationships
and not travelling to Australia.

How many children are travelling with you?

Please list all family members to be included in the visa
application, with their dates of birth.


Your English and other language ability (For working temporary and permanent visas only)

How well can you speak, read and write English?

Have you been tested for your English Language ability on the IELTS test? If so, please list the results below:

** Reading

** Writing

** Speaking

** Listening

** Overall score

** Date of latest test

** Level of the test. Academic General

Can you speak, read and write a language other than English? Yes No

If so, please enter your second language.

Can you translate between English and your second language? Yes No

Can you interpret (spoken words) between English and your second language? Yes No

Do you have a degree or qualification in your second language? Yes No
(For example, a chemistry degree from Poland,written and examined in Polish.
Individual units for English language tuition are no problem.)

Do you regularly use your second language in your present job,
and can you obtain an employer's reference showing
that you are translating or interpreting into English at work? Yes No


Family and work in Australia (Fill out only if you want to migrate)

Do you or your partner (or husband or wife) have any immediate family living in Australia?
Please give relationship details.

Where does your family live?

**Address:

**Australian post code (this is critically important):

Do you or your partner have a job in Australia? Please give name and address of employer
and details of your job.

**Address of employer:

** Post code of employer (critically important):

**Details of your job:

Qualifications and Training

What is the name of your highest qualification?

Is the qualification at the level of a

How many years of study for your highest qualification?

Where did you train for your highest qualification? Name of education institution, city and country:


Other qualifications, if any. For example, your Bachelor degree, if you have a Masters, or other training certificates and diplomas


Names of other training institutions, if any:


Are you currently employed?
Yes No

What is your job title? (Please write it out in full, not "RSN" or "ABC".)

When did you start work in your present job?

Name of your present employer

Do you have a record of previous work? Yes No

** If yes, what was your previous job title?

** How long were you employed at your previous workplace?

** Do you hold professional registration? For example, a Registered Nurse? Electrician's licence?


Have you ever studied or worked in Australia? Yes No

** If so, please give details:

**What visas did you hold? If more than one, please list.

** Where did you study?

** What did you study?

** For how long?

** What was you occupation when you worked in Australia?

** How long did you work?

** How many hours per week did you work?

How much capital are you able to bring to Australia (for a Skilled Migration Visa)?


Business Migrants only, who are working in finance and business

Are you a senior manager or executive in a large firm? Yes No

Do you own your business? Yes No


If so, name of your business


How many employees do you have?

Are you a top executive of a business?(In the first three levels of management). Yes No

How much capital are you able to bring to Australia (for a Business Skilled Visa)?


Other details

Anything else you would like to ask or tell us that you think is important?

Please paste your CV into the box below, if you have one.
For Visa purposes, we need full education details,
with dates, occupation and hours of work. We do not need
references, hobbies, or sporting interests,
or your career aims and hopes.



Online Form: Fill out the form above and then press SEND.

Mary Heath, Migration Agent
PO Box 646
Belmont Forum
Cloverdale 6985
Western Australia

Photo of Mary
Mary Heath
Migration Agent

Mary Heath, Registered Migration Agent 0005790

If you decide to make a visa application for travel to Australia, we can help you comply with visa law by advising on your visa choice, sponsorships, Australian Consulates overseas, birth certificates and passports. We mail out your application forms with full instructions. Our business is to help you come to Australia!