—QUESTIONNAIRE—

To ensure we provide you with the most accurate and rapid assessment, please complete this brief questionnaire as fully as possible. Your details will be kept entirely confidential.

* Denotes required answer

E-mail:

Your Surname/Family Name:

Your Given Names:

Gender:

Male   Female

Date of Birth *

Place of Birth: *

Your current town of residence: *

Your current country of residence: *

Marital status: *

Single   Married   De Facto

If married, your spouse’s DOB:

Please list what type/s of visa you would like to be considered under, depending on your eligibility, if known:

Please list any close relatives living in Australia:
(their relationship to you, not their names, and how long they have been here, eg, cousin, two years)

Please list where these relatives live:

Your current, or most recent occupation: *
(in last three years eg, Student, Homemaker, Engineer, IT Professional, etc)

Do you wish to study full-time in Australia:

Yes   No

Please list your formal degrees, diplomas, or trade qualifications, if any:

Date of completion of tertiary/trade studies, name of qualification (eg, Bachelor of Engineering), and institution where obtained:

List your periods and type of work experience for past 5 years or since formal qualifications completed:

Please list your Spouse’s educational qualifications and current occupation:

If a business owner, what has been your title(s) and in which industry(s) during the past 4 years:

Would you like to start your own business in Australia in the next 2 years:

Yes   No

Do you know of an Australian company which would sponsor you for employment:

If you or your partner are aged 55 years or over do you wish to retire to Australia on your investments:

Yes   No

Who refered you to us (Agent Name or Company Name):

If you have any additional information you feel would assist us, please add here:

Thank you for your enquiry to Meridien Migration Australia.

When we have assessed this questionnaire, we will contact you further regarding possible visas, eligibility and the relevant process.

Yours sincerely,
(Mrs) CHRISTINE KNIGHT
Meridien Migration Australia, Perth, Western Australia
Registered Migration Agent #9900447

Please Note: No fee is payable for your initial assessment.

(Please note that our advice is always subject to confirmation by sighting sufficient supporting documentation from you, and on the understanding that your information is given freely but confidentially.)