Immigration Form Visa Assessment In order that we may assess your chances of successfully lodging an application for migration to Australia, would you please complete the following form and send it to us. Please ensure that the information which you send to us is as accurate as possible. Based on the information you provide us, we will contact you with our recommendations for your best options for migration to Australia.   Your Name:* City:* Province/State:  Country:  Home Phone:  Work Phone:  Your Sex:  Please Choose ... Male Female Date of Birth:  Birth Place:  Citizenship:  Marital Status:  Your Education (please provide details of your education and qualifications, including name and dates of courses and name and place of Schools, Colleges and Universities.):  Your Employment (Occupation and Duties):  Profession or Trade:  Employer`s Name:  Your Position:  Employed from (date):  Employed to (date):  Previous Employment (Position: Date From: Date To:):  Spouse: Name:  Spouse: Education:  Children: Names and Birthdate (One Child per line):  Do you own or are you a shareholder in a business?:  Please Choose ... Yes No Type of business (products or services provided)?:  How long have you owned the business?:  What is the percentage owned by you and/or your spouse?:  Are you involved in the management of the business?:  Please Choose ... Yes No How are you involved in management?:  Do you or your family have any health problems?:  Please Choose ... Yes No If `YES` Please provide details:  How would you describe your English language ability (both written and oral):  Please Choose ... Yes No Do you have any relatives living in Australia?:  Please Choose ... Yes No If `YES` Please provide details of the relationship:  What kind of VISA are you interested in? (Business, Work, Retirement etc.):  Have you made an immigration application before?:  Please Choose ... Yes No If `YES` what kind of visa?:  Please provide any additional information that may be helpful to your assessment.:  Email:* Confirm Email:*