Skills Assessment Client’s Initial Information Form

Personal Information

Family Name
Given Name
Passport Number
Date of Birth
Country of Passport
Country of Birth
Contact Number
Email
Current Address
Country of Residence

Current Visa Details

Have you got a current Australian visa?YesNo
If Yes — Visa Subclass and Expiry Date

Education History — Primary School

Date Started
Date Completed
Number of Years
Country

Secondary School

Date Started
Date Completed
Number of Years
Country

Diploma or Higher Education

Name of Qualification
Name of Institution
Address of Institution
Course Started
Course Completed
Student Registration Number
Study Hours Per Week

Additional Course Requirement

Were you required to complete any of the following before receiving the qualification?InternshipThesisMajor ProjectNone

Employment

Company Name
Address
Name of Manager/Supervisor
Mobile
Landline (optional)
Email ID
Website
Employment Start Date
Employment End Date
Working Hours Per Week
Applicant's Main Responsibilities (Minimum 5)

Registration Details

Registration Type
Registration Number
Date of Expiry