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Please clearly and carefully provide full details to ALL the questions below. Answer in the boxes. Answer NA to any question not relevant to you. Family Name Given Names English Name you use Known by any other name? Date of Birth (dd/mm/yyyy) City of birth Country of Birth Email Address Marital status: Passport Details No. Issue date
14/08/2007 G4562381 20/09/1986 COIMBATORE INDIA
saran_mechz@yahoo.com Never Married/Engaged/Married/De facto/Divorced/ Separated/Widowed
Sex (M/F)
Never Married
CHENNAI 13/08/2017
Any other countries where you hold citizenship Current Address Post code
109 EARL STREET, GREENSLOPES 4120
Home / Work Phone: Visa currently held: Type Country & City of Issue Place of Arrival Visa Number
STUDENT AUSTRALIA Brisbane 8079585150244
Example: V803<7956183X1ZHU
Details of family members: (If deceased write DECEASED in the Residence column.) Fathers Name (Family Name) Date of Birth
dd/mm/yyyy
Karupiya Subramanian
(Other names)
RAMAR
Marital Status
Married Ramar
Country of Residence
India
(Other names)
Country of Birth
India Parmeswari
30/05/1958
Marital Status
Married
Country of Residence
India
Country of Birth
India
28-01-1968
Brothers and sisters (including half, step, adopted) Name Sex D.O.B
Divya Ramar F 04-04-1989
Marital Status
Never Married
Country of Residence
India
If you have any medical issues, criminal issues, migration issues, visas refused previously or issues with the Australian Government please describe.
NIL
List the addresses of all the places you have lived in for the last 10 years including overseas countries. Write your current address in Australia on the first line and then work backwards showing all addresses over the past 10 years. You must account for every year and provide the dates in full. If you are not sure of the exact date write what you believe was the date.
Country AUSTRALIA Australia India Address 109 Earl Street Greenslopes Qld 4120 209 Orange Grove Road, Cooper Plains, Qld 4108 16 Bhagath Singh Road, Velandipalayam, Tamilnadu 641025
India
Matriculation Examination
1992
2002
India
2002
2004
List all course you have completed - Certificates, Diploma, Degree, Masters etc. Provide full details.
Please ensure you list: All qualifications completed and Any qualification already awarded in the course you are currently studying if you are doing a double degree or similar.
Qualification Master of International Relations Griffith University Master of International Business Bachelor of TechnologyMechanical Engineering Amrita School of Engineering Coimbatore/India July-2004 May-2008 Nathan/Australia March-2009 Institution Griffith University Campus/Country/Post Code Nathan/Australia Start Date dd/mm/yyyy July 2010 Finish Date dd/mm/yyyy December2010 March-2010
Courses you are currently studying and not yet completed: Provide details of the course you are studying now.
Qualification Institution Campus/Country/Post Code Start Date dd/mm/yyyy Expected Finish Date dd/mm/yyyy
Coimbatore-India
Graduate Engineer
May-2008
Feb-2009
Tamil
F/TN/038/028881/2004
India
List ALL your ARRIVALS and DEPARTURES to Australia List from the earliest visa through to the most recent. The visa number is on the second last line at the bottom left of your visa. Your FIRST arrival dates in Australia must agree with the address details you provided above. Arrival Date Depart. In Aust. Date from dd/mm/yyyy Aust dd/mm/yyyy 27-02-2009 26-01-2010 03-03-2010 Type of Entry Visa Held at this time. Student, Visitor, etc Student Student Place Visa Issued Visa Number Example: V803<7956183X1Z v v v v v v v
India
Give details of all visits (including short stays) in countries outside Australia in the last 10 years From To dd/mm/yyyy dd/mm/yyyy Country Reason for visit Jan-2010 malaysia Transit FEB-2009 Singapore Transit
If you have you served in the armed forces please supply brief details. Medical Examination Date Completed July-2010 Have you ever had a visa refused or cancelled?
Contact person Please supply the name of another person we can contact if we are having problems contacting you. Name of Contact Mobile Phone number Arun Chippi Dhandapani 0430919860
If you are being sponsored by an Australian PR or citizen complete the following: Name of Sponsor Relationship to you Suburb and post code where sponsor lives All written communication for my application should be sent to (Myself, Migration Agent, Someone else (please give their name): Myself