| Title * |
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| First Name * |
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| Surname * |
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| Customer Date of Birth * |
DD/MM/YYYY |
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| Country of Birth * |
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| Passport Country * |
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| E-mail * |
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| Address * |
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| Home Phone Number * |
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| Mobile Number * |
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| Are you currently in Australia? * |
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| Do you have the skills and qualifications that meet the Australian standard for an occupation on the Skilled Occupation List? * |
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| Is your nominated occupation classified as either a 60 point occupation or a 50 point occupation? * |
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| Are you one of the following?
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an overseas student or former overseas student
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a holder of a Skilled – Graduate visa (subclass 485)
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a holder of a Skilled – Recognised Graduate visa (subclass 476)
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a holder of a Trade Skills Training visa (subclass 471)
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a holder of a Working Holiday Maker visa (subclass 417)
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a holder of an Occupational Trainee visa (subclass 442)
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a holder of a provisional skilled visa who have abided by the conditions on your visa and who need further time to meet the residence and/or employment criteria to apply for a permanent visa.
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none of these
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| How would you describe your English language ability? * |
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| Do you want to apply for a birth certificate? * |
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| Do you want to apply for a marriage certificate? * |
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| How did you hear of our service? * |
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| What company are you travelling with? * |
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| Please, enter the security code * |
  Redraw Image * Use Capital letters only |
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