Assessment Form

If you would like a FREE online assessment of your eligibility for a Visa, please complete the questionnaire and submit.

It looks like a lot of questions – but they are all important. Different visas have different eligibility requirements so we need to find out more about you. Please fill in the appropriate sections as accurately as possible.

All information provided is strictly confidential and will be managed in accordance with our Privacy Policy.

Firstly, tell us about yourself...

Title

First Name

Last Name

Preferred Name

Date of Birth

Marital Status

Email Address

Street Address

City

State & Postcode

Country

Phone Number

Country of Citizenship

Are you in Australia at present? Yes No

If yes, what type of Visa do you have?

How would you describe your level of English Language proficiency?

What is your primary objective in seeking an Australian visa?

Now, a bit about your Family...

Title

Partner's First Name

Partner's Last Name

Partner's Date of Birth

Name and Date Of Birth of all children

Do you have any relatives living permanently in Australia?

Location of your Australian relatives

If you are thinking about Studying in Australia, fill in this section.....

Type of Course you propose to study

Your Proposed Place of Study (name of institution)

Start Date of Course

End Date of Course

What career do you wish to pursue on completion of your studies?

Do you wish to remain in Australia on completion of your studies?

Finally...

Tell us how you heard about Emergico

If "Other" - please provide details

Is there anything other information you would like to add?

Do you have any other questions not covered in this form?

Assessment Form

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