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© 2025 Med Migration

Application Form

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Name *

First

Last

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? *

What type of healthcare professional are you? *

What qualifications do you hold? *

From which educational institution did you graduate? *

How What previously

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

Please specify *

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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Signature *

Clear Signature

Ready to Apply for Your Visa or Start the Employer Sponsorship Process?

Let’s bring your vision to life! Explore our services and get in touch today. Together, we’ll make it happen.

Contact

info@medmigration.com.au
+61406144547
Level 3, 480 Collins St, Melbourne, VIC 3000

LPN: 5514168

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