Name of the person completing the form*
First
Last
1. Agent Contact Details
2. Application Type
3. The Contact Person's Details Please insert details of the person(s) you wish to list as a contact for this matter:*
Mr. Mrs. Miss Ms. Dr. Prof. Rev.
Prefix
First
Last
Please insert details of the person(s) you wish to list as a contact for this matter:
4. The Business / Organisation Details (a) Provide details about the Sponsoring Business/Organisation:* (b) Please provide a short description of what the Business / Organisation does including its main activities/functions:*
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(c) Is the Business / Organisation part of a Franchise?* This field is hidden when viewing the form
Provide details of the Franchise This field is hidden when viewing the form
(d) Is the business the trustee for any other business activities?* This field is hidden when viewing the form
Provide details of each Trust: This field is hidden when viewing the form
(e) Who are the Owners, Directors and/or Principals of the Business / Organisation?* Position/Roll: Company Secretary/Director/Shareholder/Partner/Owner/Other:_______;
Click '+' to add more people.
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(f) Provide details of the Business/Organisation webpage: This field is hidden when viewing the form
(h) Is the Business/Organisation an approved Australian Trusted Trader?* This field is hidden when viewing the form
(i) Do the activities of the Business / Organisation include recruitment or labour hire activities?* This field is hidden when viewing the form
Provide details:
5. Current Address and Contact Details of the Business / Organisation (a) Insert details of the current Business / Organisation Head Office address.* This must be a physical address, not a PO Box Number
Does this business have a different postal address?* (b) Insert details of the current postal address of the Business / Organisation (if any) (c) Insert details of the current telephone and email contact details for the Business / Organisation*
6. Financial & Training Details of the Business / Organisation (a) Has the Business / Organisation been operational in Australia for more than 12 months? (b) Provide the following financial information for the Business's / Organisation's activity in Australia during the specified time period:* Previous Financial Year
Projected Next 12 Months Projected Next 12 Months
7. Staff Levels (Australian & Non-Australian) (a) Please provide details of the number of staff in each category employed by the business at this point in time:* Australian Citizens &
Permanent Residents
Temporary Visa Holders* Temporary Visa Holders
(b) Of these employees, how many hold the following visas:* This field is hidden when viewing the form
(c) How many of the Australian Citizens and Permanent Resident employees of the business are:* *Recent University Graduate with less than 12 months work experience
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(d) Has the Business / Organisation recruited any employees during the previous 12 months?* This field is hidden when viewing the form
Of the staff hired in the previous 12 months, how many were: This field is hidden when viewing the form
(e) Has the Business / Organisation layed off or made redundant any staff during the previous 12 months?* This field is hidden when viewing the form
Of the staff layed off or made redundant in the previous 12 months, how many were:
8. Previous Sponsorships/Nominations (a) Is the Business / Organisation currently or has it ever been an approved Sponsor or Labour Agreement Holder?*
Provide details of the approved Sponsorship or Labour Agreement: Sponsorship Application ID Number/Sponsorship Transaction Reference Number Sponsorship Application ID Number/Sponsorship Transaction Reference Number
Has there been another Application? Sponsorship Application ID Number/Sponsorship Transaction Reference Number Sponsorship Application ID Number/Sponsorship Transaction Reference Number
(b) Has the Business / Organisation ever lodged a different type of application with the Department?* Sponsorship Application ID Number/Sponsorship Transaction Reference Number Sponsorship Application ID Number/Sponsorship Transaction Reference Number
(c) Has the Business / Organisation ever had a Sponsorship or Nomination application refused?* Provide details including dates, reasons and outcomes:
(d) Has the Business / Organisation ever had a Sponsorship or Nomination cancelled?* Provide details including dates, reasons and outcomes:
(e) Has the Business / Organisation ever previously been sanctioned by the Department of Immigration ?* Provide details including dates, reasons and outcomes:
(f) Does the Business / Organisation have any outstanding debts in relation to a sponsored/nominated person?* Provide details of each sponsored person for whom an outstanding debt still exits: (g) Did the Business / Organisation employ any 457/482 visa holders during its most recent Business Sponsorship?* As you have indicated that you have previously been a Business Sponsor, you are required to provide details about the previous 3 years of your most recent Sponsorship 1st Year of Sponsorship
2nd Year of Sponsorship 2nd Year of Sponsorship
3rd Year of Sponsorship 3rd Year of Sponsorship
9. Business History (a) Has the Business / Organisation or any owner/principal of the business/organisation been found guilty by a court of an offence under a Commonwealth, State or Territory law?* Provide details including dates, reasons and outcomes:
(b) Has the Business / Organisation or any owner/principal of the business/organisation been found by a competent authority to have acted in contravention of a law?* Provide details including dates, reasons and outcomes:
(c) Has the Business / Organisation or any owner/principal of the business/organisation been the subject of administrative action (including being warned) by a competent authority in relation to an alleged contravention of a law?* Provide details including dates, reasons and outcomes:
(d) Has the Business / Organisation or any owner/principal of the business/organisation been insolvent or subject to bankruptcy or liquidation proceedings?* Provide details including dates, reasons and outcomes:
(e) Has the Business / Organisation or any owner/principal of the business/organisation been under investigation, subject to disciplinary action or legal proceedings in relation to an alleged contravention of a law? (not already listed above)* Provide details including dates, reasons and outcomes:
(f) Is the Business / Organisation awaiting the outcome of any proceedings mentioned at (a), (b), (c), (d) or (e)?* Provide details including dates, reasons and outcomes:
(g) Is there any other adverse information known about the Business / Organisation that could affect a sponsorship?* Provide details including dates, reasons and outcomes:
(i) taken any action or sought to take any action to transfer some or all of the costs to another person?* (ii) taken any action or sought to take any action that would result in another person paying any part of the costs?* (iii) recovered or sought to recover any part of the costs from another person?* (i) taken any action or sought to take any action to transfer some or all of the costs to another person?* (ii) taken any action or sought to take any action that would result in another person paying any part of the costs?* (iii) recovered or sought to recover any part of the costs from another person?*
10. Finish This field is hidden when viewing the form
(a) Do you know how many positions the Business / Organisation intends to nominate?* This field is hidden when viewing the form
i. How many positions does the Business / Organisation intends to nominate? This field is hidden when viewing the form
ii. Give a detailed explanation which outlines the reasons for proposing this number and a clarification as to how the Business / Organisation proposes to reduce their reliance on overseas workers:
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(b) Are details of the job position(s) that the Business / Organisation wishes to nominate known?* This field is hidden when viewing the form
(a) Insert details of the positions job title and occupation (as stipulated in the ANZSCO): This field is hidden when viewing the form
(b) What is the proposed period of employment? (note: there is no guarantee that a visa will be approved for this time period)
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(c) Insert details of the main responsibilities of this position:
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(d) Insert details of the main duties of this position:
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(e) Insert details of what qualifications are required by an employee to fill the nominated position:
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(f) Insert details of what essentials skills are required by an employee to fill the nominated position:
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(g) Insert details of what experience is required by an employee to fill the nominated position:
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(h) Insert details of any other information about the position, including information about why this position cannot be filled from the local labour market.
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(i) Is registration or a licence required to work in the nominated position in the location(s) where the nominated person will be working in Australia? This field is hidden when viewing the form
Provide details of the registration or licence required:
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(j) Will the nominated person be working at more than one business location?
For each location where the nominated person for this position will work, provide the following details: This field is hidden when viewing the form
Details of the location where the nominated person will be employed: This field is hidden when viewing the form
Street Address of this location This field is hidden when viewing the form
Business / Organisation contact person at this location This field is hidden when viewing the form
Will they be working at another location? This field is hidden when viewing the form
Details of the location where the nominated person will be employed: This field is hidden when viewing the form
Street Address of this location This field is hidden when viewing the form
Business / Organisation contact person at this location This field is hidden when viewing the form
Do you permit/authorise your migration agent to disclose the information contained in this questionnaire to an indivdual sponsored by the Business / Organisation?* Have you completed all the required questions?* Client declaration* I declare that the information that I have provided in terms of the business on the above form is true and correct.