Personal Details
Family Name Given Name Sex MaleFemaleOther Date of Birth Country of Birth Country of Passport
Citizenship Details
Is the client a citizen of the country of passport?YesNo Is the client a citizen of any other country? YesNo
Other Passports
Does the client have other current passports?YesNo Current country of residence Relationship Status —Please choose an option—Never MarriedMarriedDivorced
Spouse Name Partner's date of birth (dd/mm/yyyy)
Does the partner hold a valid passport and is a citizen of USA, UK, Canada, Ireland or New Zealand? YesNo
Has the client's partner undertaken an English language test within the last 36 months? YesNo
Name of test
Date of test (dd/mm/yyyy)
Test reference number
Listening score
Reading score
Written score
Speaking score
Does the client's partner have a nominated occupation? YesNo
Partner's Occupation Details
Partner's Nominated Occupation
Does the client's partner have a suitable skills assessment? YesNo
Name of assessing authority
Date of skills assessment (dd/mm/yyyy)
Reference number/receipt number
English Language
Has the client undertaken an English test in last 36 months?YesNo
Details of the most recent English test
Name of Test Listening score Reading score Writing score Speaking score Reference number
Education
Australian study requirement met?YesNo Credentialed community language?YesNo Education History (Secondary & above) YesNo
Qualification
Course Name
Institution Name
Country of Institution
Campus
Postcode of campus
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)
Skills Assessment
Nominated occupation Suitable skills assessment?YesNo Name of assessing authority Reference/Receipt number
Employment
Have you been working within last 10 years? YesNo
Position
Employer name
Country
State or Territory
Is this employment related to the nominated occupation? YesNo
Professional Year
Completed a Professional Year in last 48 months?YesNo
Declaration (Tick all to confirm)
Have read and understood the information provided.Provided complete and correct information.Understand false info may cause visa refusal.Understand EOI is not a visa application.Will update EOI immediately if details change.Will update Mantra Education & Migration of any changes.
DOCUMENT CHECKLIST (All documents must be certified & translated.)
Copy of Passport Bio-Page Copy of English Proficiency Certificate Current Resume Copy of Skills Assessment Outcome Copy of Academic Transcript Copy of Course Completion Letter Copy of NAATI Copy of Professional Year Program Certificate
If Family Member:
Copy of Partner Passport Bio-Page Copy of Children Passport Bio-Page
If Skilled Partner:
Partner Skilled Assessment Outcome Partner English Proficiency Certificate
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