Refugee Visa Assessment



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Refugee Visa

Different Type of Visas

Refugee Visa Assessment

If you are a refugee, please fill out the following form.

Refugee Visa Assessment

Personal Details
Fields which are marked with a red star are mandatory

Title

Email *

Given Name/First Name *

Second Name/Middle Name

Family Name/Last Name *

Current Address *

City/Suburb *

Post Code/ZIP Code *

State/Province

Country *

Gender *

Male Female

Date of Birth *

Telephone *

Mobile/Cell Phone

Fax

Which country are you a citizen of? *

Have you been mandated as a refugee or registered with the United Nations High Commissioner for refugees? *
Have you ever lived in a refugee camp, collective accomodation centre for refugees or detention centre? *
Have you been proposed for entry to Australia by a person or organisation in Australia? *
Do you have any immediate family in Australia? *
Which ethnic group or clan do you belong to? *
What is your religion (if any) *
Are you a member of any political party or group? *
What is the name of the country you have a fear of returning to? *
Have you ever applied for an Australian Permanent Resident Visa? *
Health & Character
Have you, or any other person who will be included in your application ever had, or currently have, tubercolosis orany other serious disease (including mental illness), conditions or disability *
Have you, or any other person who will be included in your application ever been charged or convicted of a crime or offence in anycountry (including any conviction which is now removed from official records) or ever been charged with any offence that is currently awaiting legal action? *
Have you, or any other person who will be included in your application ever served in a military force or state sponsored/private militia, undergone any military/paramilitary training, or been trained in weapons/explosives use (however described)? *
Have you, or any other person who will be included in your application ever been refused any entry permit or visa in Australia, or ever had an entry permit or visa cancelled in Australia? *
Do you have any outstanding debts to the Australian Government or any public authority in Australia? *
Please enter any other comments or information that you feel is relevant to your case. This will help us provide accurate advice to you.

Attach your CV

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