1276 - Application for general skilled migration to Australia
1276 - Application for general skilled migration to Australia
1276 - Application for general skilled migration to Australia
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5.<br />
Family name<br />
6.<br />
Family name<br />
Given names<br />
Given names<br />
Date of birth<br />
DAY MONTH YEAR<br />
Date of birth<br />
DAY MONTH YEAR<br />
Sex Male<br />
Relationship<br />
<strong>to</strong> you<br />
Country of birth<br />
Country of<br />
residence<br />
Citizenship<br />
Passport<br />
number<br />
Country of<br />
passport<br />
Date of issue<br />
Date of expiry<br />
Female<br />
Passport place<br />
of issue/issuing<br />
authority<br />
Details of their identity card or identity number issued by his/her<br />
government (if applicable) eg. National identity card<br />
Note: If they are the holder of multiple identity numbers because they<br />
are a citizen of more than one country, enter the identity number on<br />
the card from the country that they are a permanent resident of, or<br />
reside in.<br />
Identity number<br />
Country of issue<br />
DAY MONTH YEAR<br />
Sex Male<br />
Relationship<br />
<strong>to</strong> you<br />
Country of birth<br />
Country of<br />
residence<br />
Citizenship<br />
Passport<br />
number<br />
Country of<br />
passport<br />
Date of issue<br />
Date of expiry<br />
Passport place<br />
of issue/issuing<br />
authority<br />
Female<br />
DAY MONTH YEAR<br />
Details of their identity card or identity number issued by his/her<br />
government (if applicable) eg. National identity card<br />
Note: If they are the holder of multiple identity numbers because they<br />
are a citizen of more than one country, enter the identity number on<br />
the card from the country that they are a permanent resident of, or<br />
reside in.<br />
Identity number<br />
Country of issue<br />
How well does he/she communicate<br />
in English?<br />
Better than functional<br />
Functional<br />
How well does he/she communicate<br />
in English?<br />
Better than functional<br />
Functional<br />
Limited<br />
Limited<br />
Not at all<br />
Not at all<br />
If you have more than 6 dependents over 18 years of age<br />
that are included in this application, please attach details<br />
<strong>to</strong> the back of this application <strong>for</strong>m.<br />
62<br />
Give details of all your and/or your partner’s other family members that are <strong>to</strong> be INCLUDED in this application (Include any dependent<br />
children of a dependant) (If not living, write DECEASED in ‘Country of current residence’ column)<br />
Full name<br />
Date of birth<br />
DAY MONTH YEAR<br />
Relationship<br />
status<br />
(use codes below)<br />
Relationship <strong>to</strong> you<br />
Country of current residence<br />
‘Relationship status’ codes<br />
M = Married D<br />
E = Engaged W<br />
F = De fac<strong>to</strong> N<br />
S = Separated<br />
= Divorced<br />
= Widowed<br />
= Never married or been in<br />
a de fac<strong>to</strong> relationship<br />
<strong>1276</strong> (Design date 07/10) - Page 24<br />
© COMMONWEALTH OF AUSTRALIA, 2010
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