Assessment for Skilled Migration

International Training, Education
& Immigration Centre

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Request for an assessment for General Skilled Migration

Think carefully as you complete each section of the form. When you have finished, double check what you have written.

Please note that this form is only to help you assess your potential to get a visa. You will not be charged for completing the visa assessment form and there is no obligation to continue after you submit the form.

Be assured your information will be considered in strict confidence by our professional team.

Email address
Telephone and/or Fax number
Family name
Other names
Sex	Male Female
Age
Marital status
Spouse's name
Any relatives who are Australian Citizens or Permanent Residents?
In what city do your relatives live?
Please indicate your proficiency in the English language as follows:
	HIGH: A very good command of the language in a range of social and work situations, and no difficulty communicating in a professional capacity.
	MODERATE: Can communicate reasonably well about personal and familiar things.
	BASIC: Command of just a few basic words.
Have you ever visited Australia?	Yes No
Are you in good health?	Yes No
If not, please explain
Please provide us with complete details of your most recent post-secondary education. If you have a detailed curriculum vitae you may "cut and paste" it or email the file instead of filling out the following section.
1st degree or diploma
Started in month/year
Completed in month/year
University or college
City; Country
Study major
Certificate awarded
2nd degree or diploma
Started in month/year
Completed in month/year
University or college
City or Country
Study major
Certificate awarded
We require details of your employment history of at least the last 5 years
Present employment
Employer
City; country
Joined in month/year
Job title
Description of duties
Previous employment No. 1
Employer
City; country
Joined in month/year
Left month/year
Job title
Description of duties
Previous employment No. 2
Employer
City; country
Joined in month/year
Left month/year
Job title
Description of duties