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  ENGLISH

ASSESSMENT FORM FOR SKILLED MIGRATION

(MUST BE COMPLITED IN ENGLISH)

1. FIRST NAME
2. SURNAME
3. DATE OF BIRTH
4. SEX
5. MARITAL STATUS
6. ADDRESS
7. CITY
8. STATE
9. POSTCODE
10. COUNTRY
11. E-MAIL
12. PHONE/FAX
13. YOUR PRESENT COUNTRY OF CITIZENSHIP
14. ENGLISH ABILITY
  1. IELTS
  2. Education in English
15. WHAT ARE YOUR QUALIFICATIONS?
  1. Qualification/Degree
  2. Institution where gained
  3. Period of study, mm/yy
16. YOUR WORK EXPERIENCE:

  1. Companies/Positions/Dates
    (most resent first)
  2. Total years of work experience related to your nominated occupation
17. Have you worked in the field of your qualification at least 12 of the 24 months before applying?
18. Have you ever been convicted of a criminal offence?
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