Chinese Version | Send This Site to a Friend!

Admin. Login

Home Study in Australia Fees Forms FAQ Contact Us Useful Links

Please complete this form. Click on 'Send it' button when ready to send. Please fill in English or will not be assessed. Click Here for Assessment Form in Chinese A. Application Details Personal Information
Family/Surname:
Given Name/Other Name:
Gender	MaleFemale
Country of citizenship:
Date of Birth: (dd/mm/yy)
Email Address:
Home Address:
Phone no:
Fax:
Marital Status:	SingleMarriedNever MarriedDeFactoSingle Parent
Health Condition:	ExcellentGoodPoorVery Poor
Education/Qualifications (Please enter all your tertiary education and qualifications, including institute names, year attained and mm/yy to mm/yy attended)
Language Skills
First Language:
English Skills:
English Test Marks (IELTS):
Other Languages:
Employment History (e.g. period employed (mm/yy to mm/yy), position, duties and employer's details)
In which country do you want to migrate? Australia New Zealand
B. Spouse (If you do not have spouse, who may accompany you to Australia, Please go to Question C) Personal Information
Family/Surname:
Given Name/Other Name:
Gender:	MaleFemale
Country of citizenship:
Date of Birth: (dd/mm/yy)
Email Address:
Home Address:
Phone no:
Fax:
Health Condition:	ExcellentGoodPoorVery Poor
Education/Qualifications (Please enter all your tertiary education and qualifications, including institute names, year attained and mm/yy to mm/yy attended)
Language Skills
First Language:
English Skills:
English Test Marks:
Other Languages:
Employment History (e.g. period employed (mm/yy to mm/yy), position, duties and employer's details)
C. Dependents (If you do not have any dependent who may accompany you to Australia, please go to Question D) Dependent 1
Family/Surname:
Given Name/Other Name:
Gender:	MaleFemale
Country of citizenship:
Date of Birth: (dd/mm/yy)
Occupation:
Dependent 2
Family/Surname:
Given Name/Other Name:
Gender:	MaleFemale
Country of citizenship:
Date of Birth: (dd/mm/yy)
Occupation:
Dependent 3
Family/Surname:
Given Name/Other Name:
Gender:	MaleFemale
Country of citizenship:
Date of Birth: (dd/mm/yy)
Occupation:
D. Do you have any relatives in Australia to Sponsor you? (If not, please go to Question E).
Surname:
Given name:
Relative to principal application:
Relation to spouse:
Occupation:
Is your relative:	Australian CitizenAustralian Permanent ResidenceNZ CitizenNZ Permanent Residence
Has this Australian relative been employed in Australia for full-time in the past two years? Yes No
E. Other Information? Would you like us to represent you for your immigration application if you pass this preliminary assessment? Yes No If Yes, please select one of the following option to send you the Service Contract with the preliminary assessment result. E-mail Post Fax
Do you have spare A$100,000 to deposit in a State Treasury for one year with good interest and receive 5 bonus points? Yes No
OR
Can you prove you completed your home degree in your home language? This will earn you 5 points. Yes No
If you have answered Yes, please enter your home language below.
F. Feedback Please provide any other information that you think may helpful to your assessment
How do you know/hear about us? From Advertisements From Travel Agents From Friends/Families From Your Institution From The Internet
Top

Copyright © 2003 - 2004 Lucky Country Migration. All Rights Reserved.

Revised By: Deonix.com