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Visa Pre-Assessment Form

Please note this form is to provide initial information, complex matters require a paid consultation.

First Name

Last Name

Date of birth

Phone no.

Email

Visa interest

Partner visa

Parent visa

Child visa

Visitor visa

Working Holiday visa

Skilled visa

General Skilled Migration

Independent visa

State sponsored visa

Student visa

I'm not sure

Occupation

Marital status

Are there children to be included in your application?

Yes

No

Please provide ages of children

Current visa

Visa expiry date

Country of passport

Country of residence

Have you previously applied for an Australian visa?

Yes

No

Have you ever had a visa refused or cancelled?

Yes

No

Please provide details of any visa refusals or cancellations

Do any applicants have criminal convictions?

Yes

No

Please provide details of any criminal convictions

Do any applicants have health concerns?

Yes

No

Please provide details of any health concerns

Please provide any other relevant information

How did you hear about Queensland Immigration?

Please provide details

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First Name

Last Name

Email

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