FREE VISA ELIGIBILITY ASSESSMENT FORM

Name: VisaConnect
Price range: $$$ - $$$$

First Name:
Last Name:
Telephone Number (Home):
Telephone Number (Mobile):
Email Address
Address
Country Of Residence:
Country you would like to migrate to or request Visa Information:
Issue you would like advice or assistance about: (for example - Investor visa, skilled migration, student visas..):	<pre></pre>

How did you hear about visaconnect:

Gender:

Date Of Birth:
Place Of Birth (City):
Marital Status:

Education History:

Qualification:
Education Institution:
Date Awarded:
Other Qualifications:
Have you studied in Australia, NZ or the US previously?
Where in Australia, New Zealand or the United States did you study and what qualification did you obtain?

Sponsor:

Do you have a family member who will sponsor you?

Global Mobility services:

Do you need assistance with Offshore bank account opening and transfer of funds, excellent Foreign Exchange rates and low fees, plus establishing and managing your offshore financial planning portfolios?

Do you need assistance in opening Bank accounts in Australia, NZ or the US?

Do you need assistance with Company formation, Business registration or Tax file number applications in Australia, NZ or the US?

Do you need assistance in buying a Property (Apartment or House) in Australia, NZ or the US?

Employment History:

Occupation:
Years experience in your current occupation?
Intended Occupation in Australia, New Zealand or the United States:
1. List your work experience and time in each job for the past 5 years:	<pre></pre>

OR

2.Resume (Curriculum Vitae)- Cut and paste the text of your Resume/CV here:	<pre></pre>
Have you ever worked in Australia, New Zealand or the United States?
How long did you work in Australia, NZ or the United States (months or years)?

English:

English Language Ability?
English Test Results Score:
Other Languages spoken:

Health and Character:

Do you have a Medical illness or disease?
If yes, provide details of any pre-existing Medical illness or disease:
Are you of good Character (No criminal charges or convictions), in any country, at any time?
If no, provide details of previous criminal charges or convictions, from any country:

Please ensure your details are correct if not please click here to go back and amend them. If all your details are correct please submit your details below.