• 1
  • Details of Applicant :
Family Name :
Given Name :
Gender : Male　　 Female
Nationality :
Date of Birth : DD / MM / YYYY
Home Phone : 　　 Mobile :
Living address :
Email :
Current Visa type : Student visa Visitor Visa Business Visa Student dependent Bridge Visa Other
Current visa expiry date : DD / MM / YYYY
Date left last job : DD / MM / YYYY　　Date this time arrived in Australia : DD / MM / YYYY
  • 2
  • English Proficiency :
IELTS Module : General Academic
Test date : DD / MM / YYYY
IELTS score overall : 　 Listening : 　 Speaking : 　 Reading : 　 Writing : (Leave it blank if never taken)
  • 3
  • Applicant’s Education Background
Start Month/Year - Finish Month/Year,　Institute & Country,　Qualification,　Major
  • 4
  • Applicant’s work experience
Start Month/Year - Finish Month/Year,　Employer & Country,　Position
  • 5
  • Other Infomation
  • 6
  • How did you know us?
Classmates　 Friend 　 Newspapers　 Education/ Migration Exhibition　 I nternet　 Pass-by　 GEIC Newsletter
  • 7
  • Would you like to subscribe to the FREE Newsletter of Australia Migration Policy?
Yes　　　 No
  • 8
  • Other enquiries
  •