• 1
  • Status of Applicant :
Surname :
Given Name :
Sex : Male　　 Female
Nationality :
Date of Birth : DD / MM / YYYY
Have you applied for an Australian visa?　 Yes　 No
If the application was refused, please attach the refusal letter： (file type: rar,zip,jpg,doc,docx)
Are you currently holding other Yes　 No
Contact Person :
Home Phone :
Fax : 　　 Mobile : 　　　
Contact address :
Email :
  • 2
  • English Proficiency :
(Academic module) IELTS Test date : DD / MM / YYYY
Overall result : Listening : 　 Speaking : 　 Reading : 　 Writing : (Leave it blank if never taken)
Planning take IELTS test date : DD / MM / YYYY
  • 3
  • Applicant’s education background (After high school & includes your course currently studying)
Start Month/Year - Finish Month/Year,　Name of Institute,　Country,　Qualification(bachelor, diploma or senior high school),　Major
  • 4
  • Schools you wish to enroll
Start Month/Year - Finish Month/Year,　Name of Institute,　Qualification,　Major
  • 5
  • Supporting Funds :
Applicant annual Income (A$) : ;　Deposit over 6 month (A$) : ;
Name of employer : 　 Position : 　 Length of service :
Person provide fund’s relationship :
his/her annual Income (A$) : ;　Deposit over 6 month (A$) : ;
Name of employer : 　 Position : 　 Length of service :
Person provide fund’s relationship :
his/her annual Income (A$) : ;　Deposit over 6 month (A$) : ;
Name of employer : 　 Position : 　 Length of service :
  • 6
  • How did you know us?
Classmates　 Friend 　 Newspapers　 Education/ Migration Exhibition　 Internet　 Pass-by　 GEIC Newsletter
  • 7
  • Would you like to subscribe to the FREE Newsletter of Australia Migration Policy?
Yes　　　 No
  • 8
  • Other enquiries
  •