 | 01 Personal Details |  |
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| Title |
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| Other Title: |
*
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| Given Name(s) |
*
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| Family Name |
*
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| Email |
*
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| Address |
*
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| Telephone |
*
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| Date of birth |
*
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| How would you rate your level of English? |
*
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| What is your preferred method of us contacting you? |
| | Email Telephone |
 | 02 Business Details |  |
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| Do you own at least 10% of a business? |
| | Yes No |
| Have you maintained a direct and continuous management role (more than 50% of your work time) in the business? |
| | Yes No |
| Have you been employed continuously in a senior management role for the last four years? |
| | Yes No |
| For at least two of the last four fiscal years did your main business or businesses have net asset of: |
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| For at least two of the last four fiscal years did your main business or businesses have an annual turnover of: |
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| Do you and your spouse have combined business and personal assets with a net value of: |
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| In addition to the question above do you and your spouse have sufficient business and personal net assets to settle in Australia? |
| | Yes No |
| Do you have a realistic commitment to establish / participate in a business in Australia and to maintain both substantial ownership and direct and continuous management in that business? |
| | Yes No |
| Are you prepared to be sponsored by a State or Territory government? |
| | Yes No |