PRIME VISA SOLUTIONS SKILLED MIGRATION ELIGIBILITY ASSESSMENT

*Your Full Name:	.
*Telephone / cellphone:
*Email Address:
*Residential Address:
*Current Country of Residence:
*Date of Birth:		*Nationality:

Please indicate how well you communicate in English.
Please list any other languages in which you can communicate.
Please indicate country you wish to migrate to. If OTHER please provide country name. Please state when you intend to start process
Do you have relatives in AUSTRALIA?
Please provide the exact relationship to your relatives in AUSTRALIA		*Please be specific e.g. 'father's brother', 'mother's sister's daughter', etc*
Please provide the FULL ADDRESS, PHONE & EMAIL CONTACT of your relatives in AUSTRALIA
Employment History essential data - no assessment will be done unless provided In completing this form, please provide the details as accurately as you can. List your work history over the last seven years.
*Work 1 (CURRENT JOB)
*Occupation Title:
		Date From: Date To:
Employer Name / Address / Phone / Fax / Email address EMPLOYER CONTACT INFO MUST BE SUPPLIED Duties		EMPLOYER NAME ADDRESS PHONE FAX EMAIL BRIEFLY DESCRIBE CURRENT DUTIES:

Work 2
Occupation Title:
		Date From: Date To:
Main Duties:

Work 3
Occupation Title:
		Date From: Date To:
Main Duties:

Work 4
Occupation Title:
		Date From: Date To:
Main Duties:


Education and Training Please note that we only require information after the age of 15. Begin with the most recent education or training undertaken. The detail here is critical to the accurate assessment of your eligibility. Please give full title of award.
Course 1
Course or Training Program:
Institution or Training Provider:
		Date From: Date To:
Course 2
Course or Training Program:
Institution or Training Provider:
		Date From: Date To:
Course 3
Course or Training Program:
Institution or Training Provider:
		Date From: Date To:

REMITTANCE INSTRUCTIONS		Remit ADMINISTRATION CHARGE to METROBANK Kamias Quezon City Philippines Account 047-7-047-51657-5 Account Name PRIME VISA SOLUTIONS (S Josef t/as)
AGENT ASSESSMENT NORMALLY AUD$125 = FREE ADMINISTRATION CHARGE = AUD$25
Terms & Conditions .
I understand and agree to the following terms. I understand I may also be asked to submit a cv if the information provided in this form is not sufficient. I will supply ALL current work contacts not just an email address ONLY - if I supply no CURRENT employer contact details I will NOT be assessed at FREE agent assessment fee. I have financial capacity to migrate and pay professional assistance fees. I understand FREE ASSESSMENT does not also include administration cost of handling this enquiry and by submitting this form I agree I am liable to remit the fee of AUD$25 converted by Prime Visa to local currency. By submitting this form I agree to the Terms & Conditions stated in this form and my failure to abide by these terms and remit required fee is a breach of contract and e-commerce laws and will be treated and billed as a non genuine enquiry. I understand submission of ANY non-compliant or erroneous or non genuine assessment requests submitted by mistake or due to failure to read the terms or any other excuse whatsoever will result in a time based billing of 3500php by the agent concerned plus Administration Charge of 1000php

Please carefully check all of your responses, then click the Submit button below.