Expression of Interest form

Personal details
Family name
Given names (if surname is blank in the passport enter all names in
the family name section and leave given name blank)
Sex
Date of birth (dd/mm/yyyy)
Country of birth
Country of passport
Citizenship
Is the client a citizen of the country of passport?
Is the client a citizen of any other country?
Other passports
Does the client have other current passports?
Usual country of residence
Relationship status
Selected visa types
Skilled - Independent (Subclass 189) (Permanent)
Skilled Nominated (Subclass 190) (Permanent)
Skilled - Regional (Subclass 489) (Provisional)
State and Territory Nominated
Family Sponsored
Family members
Are there any family members the client would like to include in a
future application?
How many family members?
Would the client be accompanied by the client's partner in a future
application?
Preferred locations within Australia
In which State or Territory would the client be interested in seeking
Nomination from?
The State or Territory selected is under no obligation to contact the
client.
Would the client be prepared to live outside an Australian capital
city? This question will not affect eligibility for selected visa types in
this EOI. This is only information to help Employers or
State/Territory governments to search for relevant EOIs.
English language
Has the client undertaken an English language test within the last 36
months?
Provide details of the most recent English test
Name of test
Date of test
Test report form number
Listening
Reading
Written
Speaking
Language ability (lowest score in any module)
Education
Does the client meet the Australian study requirements for the
Skilled Migration points test?
To be eligible to claim Australian Study requirement points
you must satisfy certain criterion including having
completed a registered course in Australia of at least 2
academic years duration.
Regional Australia – Study
Has The client studied for at least two years in one or more areas in
Regional Australia or a low population growth metropolitan area?
Credentialled community language
Has the client obtained credentialed community language
qualifications?
Education History
Has the client completed, or is currently enrolled in any studies at
secondary level and above?
Qualification (Masters)
Course name
Institution name (mention University name)
Country of institution
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)
Qualification (Bachelor/ Diploma)
Course name
Institution name (mention University name)
Country of institution
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)
Skills assessment
Does the client have a suitable skills assessment from the relevant
Assessing authority?
Nominated occupation
Name of assessing authority
Date of skills assessment (dd/mm/yyyy)
Reference number/receipt number
Partner assessment skills - points based skilled migration
visa
Is the client claiming points for their partner's skills? If yes provide assessment report and passport of partner
Partner's date of birth (dd/mm/yyyy)
Partner's nominated occupation
Does the client's partner have a suitable skills assessment from the
relevant assessing authority?
Name of assessing authority
Date of skills assessment (dd/mm/yyyy)
Reference number/receipt number
Employment Provide details of the client's employment history for the last 10
years of main applicant
Position
Employer name
Country
Is this employment related to the nominated occupation?
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)

Position
Employer name
Country
Is this employment related to the nominated occupation?
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)

Position
Employer name
Country
Is this employment related to the nominated occupation?
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)

Position
Employer name
Country
Is this employment related to the nominated occupation?
Date from (dd/mm/yyyy)
Date to (dd/mm/yyyy)
Professional year
Has the client completed a gazette professional year in Australia in
the last 48 months?
The Professional Year (PY) is a structured professional
development program combining formal learning and
workplace experience done in Australia
Declarations
The client declares that they:
Have read and understood the information provided to them in this
EOI.
Have provided complete and correct information in every detail on
this form.
Understand that if they give false or misleading information, a future
visa application may be refused, or any visa granted may be
cancelled.
Understand that an EOI is not a visa application. There is no
associated bridging visa and that an invitation is required in order to
Apply for certain visa types.
Will update their EOI details immediately as they become aware of a
change in circumstances or if there is any change relating to
information they have provided in this EOI.