1276 - Application for general skilled migration to Australia

Part I – Sponsorship and nomination
Part J – Health requirements
67
Are you nominated by a state/territory government agency or
Regional Certifying Body?
No
Yes
Which state/territory or Regional Certifying Body is your
nominator?
If you are applying for one of the following visas:
• Skilled – Independent (subclass 175);
• Skilled – Sponsored (subclass 176);
• Skilled – Regional Sponsored (subclass 475);
• Skilled – Regional Sponsored (subclass 487);
What is the reference number used by the state or
territory in their correspondence with you?
• Skilled – Regional Sponsored (subclass 487)
(12 month renewal);
• Skilled – Independent (subclass 885);
• Skilled – Sponsored (subclass 886); or
Go to Question 70
• Skilled – Regional (subclass 887).
68
Are you sponsored by an eligible relative?
No
• Skilled – Recognised Graduate (subclass 476);
or
Go to Question 72
Yes
How are you or your partner related to your sponsor?
• Skilled – Graduate (subclass 485).
Note: If your sponsor is related to your partner, they must be
included in this application as a visa applicant.
70
Have you, or any other person included in this application, ever had or
currently have tuberculosis or any other serious disease (including mental
illness), condition or disability?
69
If you are applying for a Regional Sponsored subclass 475 or 487 visa,
does your sponsor live in a designated area?
No You relative is NOT able to sponsor you for this visa subclass
No
Yes
Is the disease, condition or disability one that requires or is
likely to require medical, hospital or special care?
Yes
Name and postcode of the suburb in which your
sponsor resides
No
Yes
Give ALL relevant details
1276 (Design date 07/10) - Page 28
© COMMONWEALTH OF AUSTRALIA, 2010