Anstone Consulting

MIGRATION ASSESSMENT

Migration Preliminary Assessment Form

When completing this form,

All applicants must complete Part A
Applicants with spouse Complete Part A & B
Applicants for Business Visa Complete A and C, and B if applicable
If a question is not relevant to your situation write NA

This is Part A of the assessment form - to be completed by all applicants.

Personal Details

First Name
Surname
Date of Birth
E-Mail
Telephone
Mobile
Fax
Occupation
Address
Marital Status
Gender
Nationality
Any previous Nationalities

Children (including adopted and/or step children)
Child 1
First Name
Surname
Date of Birth
Occupation
Telephone
Fax
Gender

Child 2
First Name
Surname
Date of Birth
Occupation
Telephone
Fax
Gender

Child 3
First Name
Surname
Date of Birth
Occupation
Telephone
Fax
Gender

Child 4
First Name
Surname
Date of Birth
Occupation
Telephone
Fax
Gender

Relatives in Australia
Do you or your spouse have any relatives living in Australia? YES NO
If YES, please specify the state in Australia
Please specify your relationship
Please specify their residential status Australian Permanent Resident Australian Citizen
Please specify thier employment history for the last two years


Qualifications
Highest education / training including all qualifications obtained

From
To
Medium of education ENGLISH OTHERS
If OTHERS, please specify

University Studies
Name of University
Degree awarded
Duration of studies: From To
Subjects studied

Medium of education ENGLISH OTHERS
If OTHERS, please specify

Post Graduation Studies
Name of University
Degree awarded
Duration of studies: From To
Subjects studied

Medium of education ENGLISH OTHERS
If OTHERS, please specify

Technical / Trade Qualifications
1.
2.
3.
4.
5.

Other Training Undertaken
1.
2.
3.
4.
5.

English Skill
Medium Advanced IELTS
If you have taken the IELTS Test, please specify IELTS Score

Skills Assessment
Please complete your employment details for the past 10 years. Please fill in as much detail as possible, including job title, daily responsibilities etc.
Employer 1
Name of Employer
Type of business
Number of employees
Position held
Duration of employement: From To
Responsibilities

Address of employer

If required, can you get reference from this employer? YES NO

Employer 2
Name of Employer
Type of business
Number of employees
Position held
Duration of employement: From To
Responsibilities

Address of employer

If required, can you get reference from this employer? YES NO

Employer 3
Name of Employer
Type of business
Number of employees
Position held
Duration of employement: From To
Responsibilities

Address of employer

If required, can you get reference from this employer? YES NO

If you prefer to fax or mail (take a print out) or phone the details to service please advise when requesting an assessment.