Documente Academic
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SRG1
JOHN
SMITH
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1.
1.1
Title of occupation
1.2
ANZSCO code
1.3
2.
Highest qualification
Employment
1 to 2
positions:
3 to 4
5+
2.1
Preferred title
2.2
Gender
2.3
Date of birth
Dr
Mr
Ms
Mrs
Miss
Other
Female
Male
Month
Day
/
2.4
Yes
No
Year
/
Country of birth
Application for Skills Assessment
Page 1 of 24
1410201303000101
2.
2.5
No family name
Given names
2.6
Country of current
residency
CITIZENSHIP
2.7
Country of citizenship
Current passport number (if applicable)
2.8
Contact details
Fax number
Email address
2.10
Postal address
(please provide the address
at which we can contact
you)
Postal address
Suburb or town
State
Postcode
Page 2 of 24
1410201303000102
2.
2.11
Home address
Suburb or town
State
Postcode
3.
Authorising an agent
3.1
3.2
Name of agent or
representative
3.3
3.4
3.5
3.6
No
Go to Section 4
Yes
Suburb or town
State
Postcode
3.7
Fax number
NOTE: Agent or representative MUST also sign the Declaration in Section 11.
Page 3 of 24
1410201303000103
4.
PRIMARY SCHOOL
4.1
Date started
Month
Year
/
Date finished
Month
Year
/
Number of years
4.2
Country(s)
SECONDARY SCHOOL
4.3
Date started
Month
Year
/
Date finished
Month
Year
/
Number of years
4.4
Country(s)
4.5
4.6
Year obtained
Page 4 of 24
1410201303000104
5.
List qualifications relevant to the Skills Assessment, and if you also require an Advisory Letter for the GSM Points Test, list your highest qualification
in any field of study.
QUALIFICATION 1
5.1
5.2
5.3
5.5
Street address
Suburb or town
State
Postcode
5.6
5.7
COURSE DETAILS
5.8
Page 5 of 24
1410201303000105
5.
QUALIFICATION 1 continued
5.9
5.10
Years
Weeks
5.11
Semesters
OR
Months
OR
5.12
Month
Day
/
Date course completed
Month
Day
/
5.13
Study mode
Year
/
Month
Day
/
5.14
Year
Full time
Part time
Other
Year
/
5.16
A thesis
A major project
Page 6 of 24
1410201303000106
5.
QUALIFICATION 2
5.1
5.2
5.3
5.5
Street address
Suburb or town
State
Postcode
5.6
5.7
COURSE DETAILS
5.8
Page 7 of 24
1410201303000107
5.
QUALIFICATION 2 continued
5.9
5.10
Years
Weeks
5.11
Semesters
OR
Months
OR
5.12
Month
Day
/
Date course completed
Month
Day
/
5.13
Study mode
Year
/
Month
Day
/
5.14
Year
Full time
Part time
Other
Year
/
5.16
A thesis
A major project
Page 8 of 24
1410201303000108
6.
6.1
6.2
No
Go to Section 7
Yes
QUALIFICATION 1
Document(s) to be verified
(Please select)
Degree Certificate
Academic Transcripts or
Examination Record
Other Certificate
Academic Transcripts or
Examination Record
Other Certificate
QUALIFICATION 2
Document(s) to be verified
(Please select)
Degree Certificate
Academic Transcripts or
Examination Record
Other Certificate
Academic Transcripts or
Examination Record
Other Certificate
Page 9 of 24
1410201303000109
7.
Your employment
Please list all positions which are relevant to your nominated occupation and at an appropriate skill level for the Skills Assessment and,
if applicable, for the Points Test Advisory Letter. List your most recent employment first. Do not fill in Sections 7 and 8 if the Skills Assessment is
for 485 visa purposes.
EMPLOYMENT 1
COMPANY DETAILS
7.1
Business name
7.2
Alternate/former name(s)
of the business (if different
from Question 7.1)
7.3
Suburb or town
State
Postcode
Name of employer/
supervisor/manager
7.5
Fax number
Email address
Web address
Page 10 of 24
1410201303000110
7.
EMPLOYMENT 1 continued
YOUR EMPLOYMENT POSITION DETAILS
7.6
Position/Job title
7.7
Month
Year
/
7.8
7.9
Month
7.10
Weeks
7.11
7.12
No
Yes
Year
/
1.
2.
3.
4.
5.
You may use your CV/Rsum to provide further details about your positions with this business/employer.
Page 11 of 24
1410201303000111
7.
Your employment
EMPLOYMENT 2
COMPANY DETAILS
7.1
Business name
7.2
Alternate/former name(s)
of the business (if different
from Question 7.1)
7.3
Suburb or town
State
Postcode
Name of employer/
supervisor/manager
7.5
Fax number
Email address
Web address
Page 12 of 24
1410201303000112
7.
EMPLOYMENT 2 continued
YOUR EMPLOYMENT POSITION DETAILS
7.6
Position/Job title
7.7
Month
Year
/
7.8
7.9
Month
7.10
Weeks
7.11
7.12
No
Yes
Year
/
1.
2.
3.
4.
5.
You may use your CV/Rsum to provide further details about your positions with this business/employer.
Page 13 of 24
1410201303000113
7.
Your employment
EMPLOYMENT 3
COMPANY DETAILS
7.1
Business name
7.2
Alternate/former name(s)
of the business (if different
from Question 7.1)
7.3
Suburb or town
State
Postcode
Name of employer/
supervisor/manager
7.5
Fax number
Email address
Web address
Page 14 of 24
1410201303000114
7.
EMPLOYMENT 3 continued
YOUR EMPLOYMENT POSITION DETAILS
7.6
Position/Job title
7.7
Month
Year
/
7.8
7.9
Month
7.10
Weeks
7.11
7.12
No
Yes
Year
/
1.
2.
3.
4.
5.
You may use your CV/Rsum to provide further details about your positions with this business/employer.
If you have worked in more than three positions, please provide details of any additional employment in the same format on a separate piece
of paper. Sign and date the paper and attach it to your application form.
Page 15 of 24
1410201303000115
8.
Professional licence
No
Yes
Country of licence
Type of licence
Licence number
Date of expiry
Month
Year
/
Current status
8.2
Professional registration
Active
Expired
Other
Give details
No
Yes
Renewed
Country of registration
Type of registration
Registration number
Date of expiry
Month
Year
/
Current status
Active
Expired
Renewed
Other
Give details
Page 16 of 24
1410201303000116
8.
8.3
No
Yes
Country of membership
Type of membership
Membership number
Date of expiry
Month
Year
/
Current status
Active
Expired
Renewed
Other
Give details
Page 17 of 24
1410201303000117
9.
Identity documents
Certified copy of the relevant biography page(s) from my passport or birth certificate (passport
page must show name, photo and date of birth)
Evidence of change of name (if applicable)
Two (2) recent passport size photographs, certified this is a true likeness of (applicant name) and
dated
Qualification documents
For each qualification you hold, include the following:
Qualification (such as degree, diploma or certificate) certified copy of the original award certificate
in the original language
Transcript certified copy showing subjects studied and marks/grades awarded in the original
language
Certified English translation of the above documents, compiled by a registered translation service,
if originally issued in a language other than English
Additional evidence as required for Europe, Pakistan, Nigeria, Philippines, and the Peoples Republic
of China. See Explanatory Notes for further details.
Chinese verification (if applicable)
Copy of original Degree award certificate and Certificate of Graduation awarded for the same
degree program and any other Certificates of Graduation for non-degree programs.
Official documents in both Chinese and English, issued and endorsed by the central student
administration or archiving office of the awarding body or the attending institution. For Self-Taught
programs, they must be officially issued and endorsed by the relevant Self-Taught Examinations
Committee.
Copy of Academic Transcripts
Official documents in both Chinese and English, issued and endorsed by the central student
administration or archiving office of the awarding body or the attending institution. For Self-Taught
programs, they must be officially issued and endorsed by the relevant Self-Taught Examinations
Committee.
If you were awarded qualifications during army service by an army institution, you must provide
additional documents for verification (contact VETASSESS for further information)
A4 size photocopy of each above document good quality
If your correspondence address is in China, four completed self-adhesive name and address labels
in Chinese characters
Correct payment for Verification
Employment documents
For each position you held, include the following:
Certified copies of official evidence of employment detailing the employers name, the period of
employment, the position held, the main tasks and hours of work for each position. Employment
in the last five years is considered for the Skills Assessment. Employment in the last 10 years is
considered for the additional optional advisory statement to support a claim for points in the DIBP
Points Test for the GSM. See the explanatory notes for further details.
Certified copies of official evidence that the employment was paid. See explanatory notes for
further details.
Organisational chart (on company letterhead) highlighting your duties, if nominating a managerial
occupation
Also include the following:
Rsum / CV
Other
Contact details of certifier(s)
Certified English translations in English of any of the above documents originally issued in a
language other than English
Correct payment for Skills Assessment (and postage if applicable)
If you are applying from overseas (and thus claiming GST exemption) you must provide either:
A certified Statutory Declaration or Affidavit stating you are not in Australia at the time of
applying, or;
An official letter, on company letterhead, signed by a Registered Migration Agent (if you are
represented by an agent) stating that you are not in Australia at the time of applying
1410201303000118
10.
Applicants declaration
Please use a paperclip to attach two (2) certified photographs of yourself here.
DO NOT STAPLE
I (print name)
declare that:
I have read the Certification Section in the Explanatory Notes and I understand that the assessment
cannot be completed without properly certified documents.
Before signing this declaration, refer to the Required Documents Checklist.
The information I have supplied on this form and in any attachments is complete, correct and up
to date
I have included the required identity, qualifications and employment evidence and documents as
listed on the Required Documents Checklist
I understand that VETASSESS will contact me by e-mail using the e-mail address I provide on this
application form if extra information or documents are required
I have read and understood the information supplied to me in the Explanatory Notes accompanying
this application
I intend to apply to migrate to Australia under the General Skilled Migration Program or Employer
Nomination Scheme or Regional Sponsored Migration Scheme or Temporary Work (Skilled) visa
(subclass 457) or I am applying for a Temporary Graduate visa (subclass 485)
I have consulted the Skilled Occupation Lists published by the Department of Immigration and
Border Protection (Australia) before applying and I understand that it is my responsibility to ensure
that the selected occupation is available for the intended visa category
I will inform VETASSESS of any changes to my circumstances in writing (e.g. address) while my
application is being considered
I authorise my appointed agent or representative to act in all matters concerned with this application
I authorise VETASSESS to make any enquiries necessary to assist in the skills assessment
or points test Advisory Letter (including contacting the educational institutions and employers) and
to use any information supplied for that purpose
I understand that VETASSESS may provide the Department of Immigration and Border Protection
(Australia) or the Australian Taxation Office with any of the information supplied in this application
I understand that documentation submitted in support of my application may be referred to the
Department of Immigration and Border Protection (Australia) for integrity checking
I understand that the Department of Immigration and Border Protection (Australia) may, where
relevant, take into account any information referred to it by VETASSESS in the assessment of my
application for migration under the General Skilled Migration Program or Employer Nomination
Scheme, or Regional Sponsored Migration Scheme or Temporary Work (Skilled) visa (subclass 457),
or to support an application for a Temporary Graduate visa (subclass 485)
I understand that the application fee is not refundable.
VERIFICATION OF CHINESE QUALIFICATIONS
If indicated at Section 6, I authorise VETASSESS to verify and provide Credential Reports for my
qualifications.
Applicants signature
(agents DO NOT sign on behalf of applicant)
Page 19 of 24
Month
Day
/
Year
/
1410201303000119
11.
Agents/Representatives signature
Read and sign this
declaration
Note: If the agent/
representative authorised
by the applicant does not
sign this section, any
future requests about the
application, such as requests
for reissues, will need to be
signed by the applicant.
I (print name)
declare that:
I am the nominated agent authorised by the applicant to correspond with VETASSESS for all matters
concerned with their application
I understand that the applicant may withdraw this authority in writing at any time
I will inform VETASSESS of any changes to the applicants circumstances in writing (e.g. address)
while this application is being considered.
Agents/Representatives signature
Page 20 of 24
Month
Day
/
Year
/
1410201303000120
12.
12.1
I am paying my fees by
Please note that the
application fee is not
refundable
12.2
Amount payable
Calculate the total amount
payable below before you
make your payment
Note: You should choose one
Skills assessment only.
* There is a discounted fee
for on-line applications.
Please see our website to
apply on-line.
Please only use one
application method (either
online or with this form).
If you are a previous
applicant applying for a
reissue, reassessment,
appeal, or the Full Skills
Assessment following a
Qualifications Assessment for
485 visa purposes, you will
need to complete the correct
form, which can be
downloaded from
www.vetassess.com.au
There is no additional fee
payable to list other overseas
qualifications/Australian
qualifications on the Points
Test Advisory Letter issued
with the Skills Assessment.
Credit card
Skills assessment *
Applying within Australia
(GST inclusive)
* Online application fees include
a discount on these amounts.
AUD $
AUD $
AUD $
Skills assessment *
Applying outside Australia
(GST exclusive)
Money order
AUD $
AUD $
AUD $
AUD $
AUD $
AUD $
AUD $
AUD $
AUD $
AUD $
Amount payable continues on page 22
Page 21 of 24
1410201303000121
12.
12.2
x AUD $143.00
AUD $
AUD $
AUD $
AUD $
AUD $
x AUD $55.00
Verification reports for
qualifications from the
People's Republic of China
Applying outside Australia
(GST exclusive)
AUD $
AUD $
Page 22 of 24
AUD $
. 0 0
1410201303000122
12.
12.3
I,
AUD $
. 0 0
as payment for the processing of my Application for Skills Assessment. I understand that the fee is
non-refundable.
Credit card type
MasterCard
VISA
Credit card
Number
Expiry date
/
(the last three digits of the number printed on the signature panel)
Name of cardholder
Signature of cardholder
Month
Day
/
Year
/
13.
Submit application
Post your application, with
all required documentation
and fees to:
VETASSESS
Skills Recognition General Occupations
GPO Box 2752
Melbourne VIC 3001
Australia
Quality
ISO 9001
Page 23 of 24
1410201303000123
Page 24 of 24
1410201303000126
SRG1
Missing documents
If you do not have your original documents,
try to obtain the required documents from
the relevant educational institution, authority
or employer organisation. Most educational
institutions, authorities and employer
organisations keep relevant records and will
reissue these documents if requested. In some
circumstances, VETASSESS will accept a
statutory declaration or other sworn affidavit
in place of the required documents but
assessment cannot be issued on the basis of
statutory declarations only. If you cannot
obtain the required documents, contact
VETASSESS for advice.
Your assessment will not begin until all your
documentation is received. If missing
documents are not received within four
months of receipt of a letter from VETASSESS
requesting documentation, your application
will expire. You must then submit a new
application and pay another application fee.
Certification
Agents
You may choose to appoint an agent or
another person to help you to lodge an
application.
Australias privacy legislation prohibits
VETASSESS from discussing your application
with other people unless specifically
authorised to do so. If you want a family
member, migration agent or other person
to deal with VETASSESS on your behalf,
you must:
cross the relevant box at Section 3 of the
application form
provide the agent's contact details.
Privacy statement
Whenever VETASSESS collects, handles, stores,
uses or discloses information about you,
it aims to comply with the Privacy Act that
protects your personal information. Personal
information means information or an opinion
(including information in a database) about
an individual whose identity is apparent or
can reasonably be ascertained.
NOTES TO QUESTIONS
1.
1.1
2.
3.
1.4
4.6
4.7
5.
Authorising an agent
Complete this section if you wish to
appoint an agent to communicate with
VETASSESS on your behalf. Please note
that all correspondence will be sent to
your agent. Go to Section 4 if you do not
wish to appoint an agent.
Fill this area in if you know the name
of the person who will be your agent
for your application for a VETASSESS
Skills Assessment. If you do not know
the agents name, the company name
will be sufficient. To operate legally in
Australia, a migration agent must be
registered with the Migration Agents
Registration Authority (MARA) and
must have a MARA number. Your agent
will be able to supply you with this
number. To find out more about
migration agents, visit
www.themara.com.au
1.3
4.5
1.2
5.2
5.3
4.1
5.4
5.5
4.2
5.6
4.3
5.7
4.4
5.8
5.9
6.2
6.
7.
7.2
7.3
7.4
7.5
7.6
7.7
7.8
Your employment
This section is about your employment
completed anytime in the five years up
to the date of lodgement of your
application to VETASSESS for a Skills
Assessment. If you also require your
employment considered for Points Test
purposes, you may include employment
completed anytime in the past ten years.
Go to Section 9 if you are applying for a
Qualifications Assessment for 485 visa
purposes.
For the Skills Assessment, only paid
employment within the last five years
which is highly relevant to the
nominated occupation and at an
appropriate skill level for your nominated
occupation will be considered. You may
describe other employment in your CV/
rsum.
VETASSESS defines highly relevant
employment to the nominated
occupation as paid employment of at
least 40 hours per fortnight in which the
major everyday tasks closely match the
major tasks under taken in the
nominated occupation in Australia and
Page 4 of 6
7.9
We accept:
Credit cards
Mastercard
Visa
Cheques
must be cleared
before the service is
provided
cheque payment
from overseas must
be by bank cheque
or bank draft
payable at an
Australian bank
10.
Applicant declaration
You must carefully read this section
before signing the declaration. You must
read the Required Document Checklist
and ensure that all documentation is
ready and certified as required. The
declaration must be signed by you (the
applicant), not your agent.
11.
Agent declaration
12.
AUD $5.00
AUD $20.00
Express Post
International
(not traceable outside
Australia)
AUD $46.00
Cash
Express Courier
International
(traceable in major
cities outside Australia)
Payments to
a VETASSESS
bank account
Money order
9.
Postage Options
We do not accept:
Submit application
Post your application, with all required
documentation and fees, to:
VETASSESS
Skills Recognition
General Occupations
GPO Box 2752 Melbourne
Vic 3001 Australia
Appendix A
Appendix B
Appendix C
Statutory Declaration
Page 6 of 6