Share This Page:


"; echo $error."

"; echo "Please go back and fix these errors.

"; die(); } // validation expected data exists if(!isset($_POST['first_name']) || !isset($_POST['last_name']) || !isset($_POST['email']) || !isset($_POST['telephone']) || !isset($_POST['comments'])) { died('We are sorry, but there appears to be a problem with the form you submitted.'); } */ $first_name = $_POST['first_name']; // required $last_name = $_POST['last_name']; // required $telephone_home = $_POST['telephone_home']; // not required $telephone_mobile = $_POST['telephone_mobile']; $email = $_POST['email']; // required $address = $_POST['address']; // not required $country_residence = $_POST['country_residence']; $country_visa = $_POST['country_visa']; $advice_assistance = $_POST['advice_assistance']; $visaconnet_hear = $_POST['visaconnet_hear']; $gender = $_POST['gender']; $dateofbirth_day = $_POST['dateofbirth_day']; $dateofbirth_month = $_POST['dateofbirth_month']; $dateofbirth_year = $_POST['dateofbirth_year']; $place_of_birth = $_POST['place_of_birth']; $marital_status = $_POST['marital_status']; $qualification = $_POST['qualification']; $education_institution = $_POST['education_institution']; $date_awarded = $_POST['date_awarded']; $other_qualifications = $_POST['other_qualifications']; $have_studied = $_POST['have_studied']; $where_studied = $_POST['where_studied']; $sponsor = $_POST['sponsor']; $transfer_funds = $_POST['transfer_funds']; $bank_account_assistance = $_POST['bank_account_assistance']; $company_services = $_POST['company_services']; $property_assistance = $_POST['property_assistance']; $occupation = $_POST['occupation']; $occupation_years_experience = $_POST['occupation_years_experience']; $occupation_intended = $_POST['occupation_intended']; $work_experience = $_POST['work_experience']; $resume = $_POST['resume']; $worked_in = $_POST['worked_in']; $work_duration = $_POST['work_duration']; $english_language_ability = $_POST['english_language_ability']; $english_test_score = $_POST['english_test_score']; $other_language_spoken = $_POST['other_language_spoken']; $medical_illness = $_POST['medical_illness']; $medical_history = $_POST['medical_history']; $good_character = $_POST['good_character']; $character_record = $_POST['character_record']; /* $error_message = ""; $email_exp = '/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/'; if(!preg_match($email_exp,$email_from)) { $error_message .= 'The Email Address you entered does not appear to be valid.
'; } $string_exp = "/^[A-Za-z .'-]+$/"; if(!preg_match($string_exp,$first_name)) { $error_message .= 'The First Name you entered does not appear to be valid.
'; } if(!preg_match($string_exp,$last_name)) { $error_message .= 'The Last Name you entered does not appear to be valid.
'; } if(strlen($comments) < 2) { $error_message .= 'The Comments you entered do not appear to be valid.
'; } if(strlen($error_message) > 0) { died($error_message); } */ $email_message = "Form details below.

"; function clean_string($string) { $bad = array("content-type","bcc:","to:","cc:","href"); return str_replace($bad,"",$string); } $email_message .= "PERSONAL INFORMATION:

"; $email_message .= "First Name: ".clean_string($first_name)."
"; $email_message .= "Last Name: ".clean_string($last_name)."
"; $email_message .= "Telephone (Home): ".clean_string($telephone_home)."
"; $email_message .= "Telephone (Mobile): ".clean_string($telephone_mobile)."
"; $email_message .= "Email: ".clean_string($email)."
"; $email_message .= "Address: ".clean_string($address)."
"; $email_message .= "Country Of Residence: ".clean_string($country_residence)."
"; $email_message .= "Country you would like to migrate to or request Visa Information: ".clean_string($country_visa)."
"; $email_message .= "Issue you would like advice or assistance about: ".clean_string($advice_assistance)."

"; $email_message .= "How did you hear about Visaconnect: ".clean_string($visaconnet_hear)."
"; $email_message .= "Gender: ".clean_string($gender)."
"; $email_message .= "Date Of Birth: ".clean_string($dateofbirth_day)." ".clean_string($dateofbirth_month)." ".clean_string($dateofbirth_year)."
"; $email_message .= "Place Of Birth: ".clean_string($place_of_birth)."
"; $email_message .= "Marital Status: ".clean_string($marital_status)."

"; $email_message .= "EDUCATION HISTORY:

"; $email_message .= "Qualification: ".clean_string($qualification)."
"; $email_message .= "Educational Institution: ".clean_string($education_institution)."
"; $email_message .= "Date Awarded: ".clean_string($date_awarded)."
"; $email_message .= "Other Qualifications: ".clean_string($other_qualifications)."
"; $email_message .= "Have you studied in Australia, New Zealand or United States previously: ".clean_string($have_studied)."
"; $email_message .= "Where in Australia, New Zealand or United States did you study and what qualification did you obtain: ".clean_string($where_studied)."

"; $email_message .= "SPONSOR:

"; $email_message .= "Do you have a family member who will sponsor you? ".clean_string($sponsor)."

"; $email_message .= "GLOBAL MOBILITY SERVICES:

"; $email_message .= "Do you need Transfer of Funds assistance? ".clean_string($transfer_funds)."
"; $email_message .= "Do you need assistance in opening Bank accounts in Australia, NZ or the UK? ".clean_string($bank_account_assistance)."
"; $email_message .= "Do you need assistance with Company formation, Business registration or Tax file number applications in Australia, NZ or the UK? ".clean_string($company_services)."
"; $email_message .= "Do you need assistance in buying a Property (Apartment or House) in Australia, NZ or the US? ".clean_string($property_assistance)."

"; $email_message .= "EMPLOYMENT HISTORY:

"; $email_message .= "Occupation: ".clean_string($occupation)."
"; $email_message .= "Years experience in your current occupation? ".clean_string($occupation_years_experience)."
"; $email_message .= "Intended Occupation in Australia, NZ or the United States: ".clean_string($occupation_intended)."
"; $email_message .= "List your work experience and time in each job for the past 5 years: ".clean_string($work_experience)."
"; $email_message .= "Resume (Curriculum Vitae)- Cut and paste the text of your resume here: ".clean_string($resume)."
"; $email_message .= "Have you worked in Australia, New Zealand or the United States previously? ".clean_string($worked_in)."
"; $email_message .= "How long did you work in Australia, NZ or the United States (months or years)? ".clean_string($work_duration)."

"; $email_message .= "ENGLISH LANGUAGE ABILITY:

"; $email_message .= "English language ability? ".clean_string($english_language_ability)."
"; $email_message .= "English Test Results Score: ".clean_string($english_test_score)."
"; $email_message .= "Other Languages spoken: ".clean_string($other_language_spoken)."

"; $email_message .= "HEALTH AND CHARACTER:

"; $email_message .= "Do you have a Medical illness or disease? ".clean_string($medical_illness)."
"; $email_message .= "If yes, provide details of any pre-existing Medical illness or disease: ".clean_string($medical_history)."
"; $email_message .= "Are you of good Character (No criminal charges or convictions), in any country, at any time? ".clean_string($good_character)."
"; $email_message .= "If no, provide details of previous criminal charges or convictions, from any country: ".clean_string($character_record)."
"; // Set Email From $email_from_address = 'info@visaconnect.com'; // set envalope from address $env_email_from = "-f info@visaconnect.com"; // create email headers $headers = 'MIME-Version: 1.0' . "\r\n"; $headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n"; //$headers .= 'From: '.$email_from."\r\n". $headers .= 'From: '.$email_from_address."\r\n". 'Reply-To: '.$email_from."\r\n" . 'X-Mailer: PHP/' . phpversion(); //@mail($email_to, $email_subject, $email_message, $headers, '-f info@visaconnect.com'); @mail($email_to, $email_subject, $email_message, $headers, $env_email_from); ?> Thank you for contacting us. We will be in touch with you very soon.

Please click here to go back to our home page.
Registered Migration Agents Member of American Immigration Lawyers Association MIA Licensed New Zealand Immigration Advisers UK OISC Immigration Adviser Qualified Education Agents