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Assessment Information

To find out if you can meet the qualifying criteria for immigration please fill out the form below?

 

Assessment Form for all Applicants & all categories of Visa's

The information provided in this questionnaire is for the purpose of an assessment for migration to Australia, New Zealand, Canada, U.S.A. All information provided is strictly commercial-in-confidence.

 


Personal Information

First Name(s)
Middle Name
Last Name
Address
City
State / Province
Country
Zipcode
Phone
Fax
E-Mail
Sex Male Female
Date of Birth
Birthplace
Marital Status Single Married
Nationality

Spouse Information
Name
Date of Birth
Occupation
Children: Names & Birthdates (1 per Line)
Spouse Education


Education Information
Please provide details of your post secondary education and qualifications including courses completed, date of commencement / completion and name and place of Universities / Colleges.

List any employment licenses, registrations or association memberships.

General Information
Do you or your family have any health problems?
Yes No
If 'YES', please provide details.
Do you or your family have any criminal record?
Yes No
English Ability Fluent Functional
Limited None
Do you have any relatives living in Australia?
Yes No
If 'YES', please provide details of the relationship.
What kind of Visa are you interested in? Skilled Migration
Business Migration
Have you made an immigration application before?
Yes No
Additional Information: Please provide any additional information that may be helpful to your assessment.

Employees - Skills Assessment

Name of Employer
Address of Employer
Type of Business
Number of Employees
Annual Turnover
Period Employed
From To
Occupation/Position
Responsibilities
Please give a brief details of your employment history since leaving school including the name of employer, dates of employment (month/year start, month/year end), type of business, job title and description of duties.
 

Payment Procedure


I enclosed a bank draft payable to Jacob Janssen for US$150

Electronic transfer
Account Name Jacob Janssen
Bank Commonwealth bank
Branch Tugeranong Hyperdome ACT 2900 Australia
Account Number 10340975
BSB Branch 06 2914

Please Advice:
Originating Bank
Name of Account
Date of transmission


 

EMAIL: stargate_immigration@hotmail.com

              stargate@cyberone.com.au

Website: http://members.tripod.com/~stargateimmigration/HOME

 

OFFICE ADDRESS ;  6th FLOOR , L.V. Locsin Bldg, Ayala Avenue corner  Makati Avenue,                                                         Makati, Philippines

Postal Address in Australia ; P.O. Box 516,  Erindale Centre, Erindale ACT  2903  Australia



"STARGATE IMMIGRATION SERVICES"

A COMPANY COMMITTED TO EXCELLENCE IN SERVING ITS CUSTOMERS