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Australia Visa Questionnaire
Personal Details
Full Name & Surname (As on travel documents)
Full Name
Other Names/Spellings
Contact Details
Email Address
Country Code
Contact Number
About Information
Date of Birth
Gender
Male
Female
Other
Nationality/Citizenship
Marital Status
Single
Married
Divorced
Widow
Other
Maiden Name (If Applicable)
Travel History
Reason for Visa (Details of Trip)
Intended Arrival Date
Intended Departure Date
Intended cities to visit
Countries visited in the last 5 years
General Questions
Have you ever held or currently hold a visa to Australia or any other country?
Yes
No
Please provide Details
Have you had a visa for Australia, or any other country refused or cancelled?
Yes
No
Please provide Details
Has this applicant previously applied for a visa to Australia?
Yes
No
Please provide Details
Do you have an Australian visa grant number?
Yes
No
Please provide Details
Hold any other passports or documents for travel?
Yes
No
Please provide Details
Have you undertaken a health examination for an Australian visa in the last 12 months?
Yes
No
Please provide Details
Are there any other persons travelling with the applicant to Australia?
Yes
No
Please provide Details
Do you have any members of your family unit not travelling to Australia who are not Australian citizens/residents?
Yes
No
Please provide Details
Will you undertake a course of study in Australia?
Yes
No
Please provide Details
Will you be visiting relatives, friends or contacts in Australia?
Yes
No
Please provide Details
Current Emplyment/school details (If Applicable)
Employment status
Occupation grouping
Occupation/course name
Organization/school name
Start date with current employer/school
Organization/school address
Organization/school phone number
Organization/school email
Financial Support
How will your stay in Australia will be funded? (e.g. Self, Guarantor etc)
What funds will you have available for the to support your stay in Australia (USD)
*For children parents will need to supply letter of guarantee (we can provide template)*
Health Declarations
In the last five years, have you visited, or lived, outside your country of passport, for more than 3 consecutive months? Do not include time spent in Australia.
Yes
No
Please provide Details
Do you intend to enter a hospital or a health care facility (including nursing homes) while in Australia?
Yes
No
Please provide Details
Do you intend to work as, or study or train to be, a health care worker or work within a health care facility while in Australia?
Yes
No
Please provide Details
Have you ever had, or currently have, tuberculosis?
Yes
No
Please provide Details
Have you ever been in close contact with a family member that has active tuberculosis?
Yes
No
Please provide Details
Have you ever had a chest x-ray which showed an abnormality?
Yes
No
Please provide Details
During the proposed visit to Australia, do you expect to incur medical costs, or require treatment or medical follow up?
Yes
No
Please provide Details
Do you require assistance with mobility or care due to a medical condition?
Yes
No
Please provide Details
Character Declarations
Documentation
Passport
Maximum file size: 1 GB
Passport Photo
Maximum file size: 1 GB
Visa/Residence Copy (If Applicable)
Maximum file size: 1 GB
Copy of any National ID Cards
Maximum file size: 1 GB
Financial Proof (x6 Month Bank Statement) - for Children use parent bank financials
Maximum file size: 1 GB
Travel History (any past or current visas/entry/exit stamps)
Maximum file size: 1 GB
Any Flights/Itinerary for Trip
Maximum file size: 1 GB
Submit
