Application Form

Name

First

Last

likely us? you

Email

Phone

Gender

Date of Birth

Nationality

Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Which type of visa are you looking to apply for?

Skilled Independent & Nominated Visa (Subclass 189 – 190)
Employer Nominated and Regional Visa (Subclass 186 – 187)
Temporary Skill Shortage (Subclass 482)
Skilled Provisional (Subclass 491 – 494)
Partner Visa (Subclass 820 – 309)
Student Visa (Subclass 500)
Any / Unsure
Other

Please specify

Have you previously applied for any visa in Australia?

What was the outcome?

Are you a healthcare professional?

What type of healthcare professional are you?

What is your current occupation?

What qualifications do you hold?

From which educational institution did you graduate?

What is your current area of practice or specialty (if applicable)?

Provide brief details about your work experience.

Are you registered with AHPRA?

How many years of work experience do you have?

What is your English language status? ''

What was your English test outcome?

What is your Australian work status?

I am not based in Australia.
I am in Australia but not working in my profession.
I have received a job offer in Australia but haven’t applied for a work visa yet.
I am on a student visa.
I am on a spousal visa.
I am on a briding visa
Other

What is your marital status?

Do you have children?

On a scale of 1 – 10, how serious are you in obtaining a visa or permanent residency in Australia?

Selected Value: 0

What are the 3 main challenges you are facing in your migration efforts?

What happens if you fail to obtain your Visa for Australia?

How would you feel if you successfully obtained your accreditation and/or desired visa because of our support?

If our services have helped you obtain accreditation and/or your desired visa, how likely are you to recommend us to others?

What is your budget for the migration services and expenses?

The greater your budget, the higher the prospect of obtaining the visa

Are you interested in assistance with job placement in Australia?

Would you like information about our professional accreditation program?

How did you find us?

Please specify

Is there anything else you would like to tell us?

Services Agreement (https://medmigration.com.au/services-agreement/):

I agree

The agreement will take effect only when you make your first payment upon receiving the detailed offer letter.

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