Staff Solutions Australia  Migrate to Australia 
Formerly Staff Service Australia Pty Ltd 

STEP1：記入 → STEP2：内容確認 → STEP3：お申込み完了


< General Skilled Visa > Initial Assessment Form（STEP1）

Thank you for using our assessment form.
Please send this form for an initial assessment by our visa team.

- An initial assessment is free of charge or obligation and aims to assess the possibility of visa acquisition only.

- Please note that the assessment does not imply or guarantee that any potential application to the Australian Department of Immigration and Citizenship will be successful.


"*" Mandatory Field.



[ Customer individual information column ]
Name*
Date of birth* DD/MM/YY
Age* years old
Nationality*
Corrent Address*
Phone Number* Phone number: (Country code) -
Mobile number : (Country code) -
（*Please fill in the Phone Number or Mobile Number)

FAX : (Country code) -
Email Address*
(for confirmation)
[ Employment History ]
Please complete in reverse chronological order. (Please input business carreers of six-seven years in the past accuratery)
Company name*
Period(start)* DD/MM/YY
Period(end)* DD/MM/YY
Position of work* |
Years worked* Years Months
 
Company name 2
Period(start) 2 DD/MM/YY
Period(end) 2 DD/MM/YY
Position of work 2 |
Years worked 2 Years Months
 
Company name 3
Period(start) 3 DD/MM/YY
Period(end) 3 DD/MM/YY
Position of work 3 |
Years worked 3 Years Months
 
Company name 4
Period(start) 4 DD/MM/YY
Period(end) 4 DD/MM/YY
Position of work 4 |
Years worked 4 Years Months
[ Education ]
Please complete in reverse chronological order.
School name *
Post code of campus (If in Australia):
Period(start)* DD/MM/YY
Period(end)* DD/MM/YY
Qualification* Degree/Diploma etc
Duration of Course* |
Year Awarded* Years Months
 
School name 2
Post code of campus (If in Australia):
Period(start) 2 DD/MM/YY
Period(end) 2 DD/MM/YY
Qualification 2 Degree/Diploma etc
Duration of Course 2 |
Year Awarded 2 Years Months
 
School name 3
Post code of campus (If in Australia):
Period(start) 3 DD/MM/YY
Period(end) 3 DD/MM/YY
Qualification 3 Degree/Diploma etc
Duration of Course 3 |
Year Awarded 3 Years Months
[ Qualification ]
Please complete in reverse chronological order.
Qualification name
Date of acquisition DD/MM/YY
 
Qualification name 2
Date of acquisition 2 DD/MM/YY
[ English language skill ]
English Proficiency* | | |
English Qualification name* IELTS/TOEFL/TOEIC etc
Score*
Date of acquisition* DD/MM/YY
[ Family Details ]
Marital Status* | | |
Spouse Date of Birth DD/MM/YY
Spouse Occupation
Number of Children Age(s):
Relatives in Australia |
- If Yes, state where Post code:
Relationship:
[ Extra Information ]
Is there a company willing to sponsor you? |
When would you like to move to Australia? MM/YY
How did you find out about this.* Advertising medium name :
Search engine name :
Retrieval word :
Others :
(*Please fill in either the above-mentioned)
Comment


-Please confirm when you have completed the form.



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