srg1 application

Application for Skills Assessment

1. Your nominated occupation

1.2 ANZSCO code

SRG1

Barcode (Office use only) Receipt number (Office use only)

Version 8 October 2013

Application for Skills AssessmentFor managers, professionals, technicians, community, personal service,clerical, administrative and sales workers

1.1 Title of occupation

1.4 Do you also require anAdvisory Letter to supportyour claim for points in theGSM Points Test?

Which points test advice doyou require?See Section 12 for fee details

Highest qualification

2. Your personal details

2.3 Date of birth

/ /

Day Month Year

FemaleMale2.2 Gender

OtherMrsMr Ms MissDr2.1 Preferred title

2.4 Country of birth

1.3 Visa type (Select one) General Skilled Migration Points based visas

Employer Nomination Scheme

Temporary Graduate Visa (Subclass 485)

Regional Sponsored Migration Scheme

Temporary Work (Skilled) Visa (Subclass 457)

Make sure you provide all required documents, certified photos and signed declaration.3

When printing this form, set Page Scaling to None in the Print dialog window.In Adobe Reader, see: File > Print > Page Scaling in the Page Handling section

7

Important information about how to complete and print this form

You may either complete this form on the screen using Adobe Reader, or print it out and complete by hand.4

J O H N S M I T HExample:

Please note that this form will be read by an electronic scanner. If you are completing this form by hand,please use a black pen and print clearly in BLOCK LETTERS.

5

Please read the Explanatory Notes at the end of this form before you begin.1

If you prefer, you can apply online at www.vetassess.com.au2

Mark answer boxes with a cross . If you make a mistake, fill in the entire box and mark the correct box6Leave answer boxes blank if the data to be completed is not known to you. DO NOT use nil, n/a or draw a linein the boxes.

POINTS TEST ADVICE

Employmentpositions: 1 to 2 3 to 4 5+

Yes

1410201303000101Page 1 of 24

No


2.5 Name

Given names

Previous surname or family name (if applicable)

No family nameSurname or family name

Previous given names (if applicable)

2.6 Country of currentresidency

2. Your personal details continued

Country (if not Australia)

PostcodeState

Suburb or town

2.10 Postal address(please provide the addressat which we can contactyou)

Postal address

2.7 Country of citizenship

Current passport number (if applicable)

/ /

Date passport issued (Day, Month, Year)

CITIZENSHIP

YOUR CONTACT DETAILS

2.9 Contact details

Mobile phone number

Email address

Fax numberDaytime telephone number

2.8 Country of any othercitizenship (if applicable)

Current passport number (if applicable)

/ /

Date passport issued (Day, Month, Year)

Page 2 of 24 1410201303000102


2. Your personal details continued

3. Authorising an agent

3.2 Name of agent orrepresentative

3.5 Agents email address

3.4 Agents MARA number(if applicable)

3.6 Agents postal address(if different from yourpostal address)


PostcodeState

Suburb or town

2.11 Home address(if different from yourpostal address)


PostcodeState

Suburb or town

Home address

Give details below

No

Yes

Go to Section 4

I authorise the agent or representative below to act for mein all matters concerned with this application.

3.1 Do you authorise an agentor representative to act foryou in matters concernedwith this application?

Agents postal address

NOTE: Agent or representative MUST also sign the Declaration in Section 11.

3.3 Agents company name(if applicable)

3.7 Contact details of agent orrepresentative

Mobile phone number

Fax numberDaytime telephone number

Page 3 of 24 1410201303000103


4. Your school education

4.2 Country(s)

4.1 Date started

/

Month Year

Date finished

/

Month Year

Number of years

4.6 Year obtained

4.4 Country(s)

4.3 Date started

/

Month Year

Date finished

/

Month Year

Number of years

4.5 Name of highest end ofschooling certificateobtained

Page 4 of 24 1410201303000104

PRIMARY SCHOOL

SECONDARY SCHOOL


5. Your post-secondary education

5.1 Student registration number

5.2 Name of the qualificationyou have obtained(in English)

5.3 Major field of study

5.4 Name of awarding body

5.5 Address of awarding body


PostcodeState

Suburb or town

Street address

5.6 Campus you attended

5.7 Name of institution youattended(if different to awarding body)

5.8 What was the normal entryrequirement for the course?(or name of examination)

List qualifications relevant to the Skills Assessment, and if you also require an Advisory Letter for the GSM Points Test, list your highest qualificationin any field of study.

AWARDING BODY DETAILS

COURSE DETAILS

Page 5 of 24 1410201303000105

QUALIFICATION 1


5. Your post-secondary education continued

5.9 If different, what was thebasis of your entry into thiscourse?

OR

Years Semesters5.10 Normal length of full-timecourse

OR

Weeks Months5.11 Normal length of semester

5.13 Date qualification awarded

/ /

Day Month Year

5.16 If you selected an optionin Question 5.15 above,please give details

An internship, supervised practicaltraining or work placement

A thesis

A major project

Number of weeks you spent in this activity



5.15 Were you required tocomplete any of thefollowing before receivingthe qualification?

Select all that apply

5.12 Date course commenced

/ /

Day Month Year

Date course completed

/ /

Day Month Year

Other Give details

Part time

Full timeSpecify number of class/guided learning hours per week

5.14 Study mode

ADDITIONAL COURSE REQUIREMENTS

Page 6 of 24 1410201303000106

QUALIFICATION 1 continued



5.1 Student registration number

5.2 Name of the qualificationyou have obtained(in English)

5.3 Major field of study

5.4 Name of awarding body

5.5 Address of awarding body


PostcodeState

Suburb or town

Street address

5.6 Campus you attended

5.7 Name of institution youattended(if different to awarding body)

5.8 What was the normal entryrequirement for the course?(or name of examination)

AWARDING BODY DETAILS

COURSE DETAILS

Page 7 of 24 1410201303000107

QUALIFICATION 2



5.9 If different, what was thebasis of your entry into thiscourse?

OR

Years Semesters5.10 Normal length of full-timecourse

OR

Weeks Months5.11 Normal length of semester

5.13 Date qualification awarded

/ /

Day Month Year

5.16 If you selected an optionin Question 5.15 above,please give details

An internship, supervised practicaltraining or work placement

A thesis

A major project




5.15 Were you required tocomplete any of thefollowing before receivingthe qualification?

Select all that apply

5.12 Date course commenced

/ /

Day Month Year

Date course completed

/ /

Day Month Year

Other Give details

Part time

Full timeSpecify number of class/guided learning hours per week

5.14 Study mode

ADDITIONAL COURSE REQUIREMENTS

Page 8 of 24 1410201303000108

QUALIFICATION 2 continued


6. Verification of Chinese qualifications (if applicable)

Give details below

No

Yes

Go to Section 76.1 Do you have qualifications

awarded by institutions ofthe Peoples Republic ofChina?

Document(s) to be verified(Please select)

Degree Certificate

Certificate of Graduation for Degree

Other Certificate

Other Certificate of Graduation

Academic Transcripts orExamination Record

QUALIFICATION 1

Number of extra copies required(Please select and write the number of extra copies)

Degree Certificate


Other Certificate



Document(s) to be verified(Please select)

Degree Certificate


Other Certificate



QUALIFICATION 2

Number of extra copies required(Please select and write the number of extra copies)

Degree Certificate


Other Certificate



6.2 Select the documents to beverified. You can also specifythe number of extra copiesrequired (if necessary).

Note: For a degree program,you need to verify both theDegree Certificate and theCertificate of Graduation

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 isfor 485 visa purposes.

7.1 Business name

7.2 Alternate/former name(s)of the business (if differentfrom Question 7.1)


PostcodeState

Suburb or town

7.3 Business street address Business street address

7.4 Name of employer/supervisor/manager

7.5 Contact details of employer/supervisor/manager

Mobile phone number

Fax number

Daytime telephone number

Email address

Web address

YOUR EMPLOYER CONTACT DETAILS

Page 10 of 24 1410201303000110

EMPLOYMENT 1

COMPANY DETAILS


7. Your employment continued

7.6 Position/Job title

YesNo7.8 Are you currently employed

in this position?

7.7 Date employment started

/

Month Year

7.9 Date employment ended(if relevant)

/

Month Year

7.10 Total length of unpaid leave(if applicable)

Weeks

7.11 Your normal requiredworking hours per fortnight

Hours per fortnight

You may use your CV/Rsum to provide further details about your positions with this business/employer.

7.12 List your main tasks/duties/responsibilitiesin this position

1.

2.

3.

4.

5.

Page 11 of 24 1410201303000111

EMPLOYMENT 1 continued

YOUR EMPLOYMENT POSITION DETAILS


7. Your employment

7.1 Business name



PostcodeState

Suburb or town




Mobile phone number

Fax number


Email address

Web address


Page 12 of 24 1410201303000112

EMPLOYMENT 2

COMPANY DETAILS





in this position?


/

Month Year


/

Month Year


Weeks


Hours per fortnight



1.

2.

3.

4.

5.

Page 13 of 24 1410201303000113




7. Your employment

7.1 Business name



PostcodeState

Suburb or town




Mobile phone number

Fax number


Email address

Web address


Page 14 of 24 1410201303000114

EMPLOYMENT 3

COMPANY DETAILS



If you have worked in more than three positions, please provide details of any additional employment in the same format on a separate pieceof paper. Sign and date the paper and attach it to your application form.




in this position?


/

Month Year


/

Month Year


Weeks


Hours per fortnight


1.

2.

3.

4.

5.

Page 15 of 24 1410201303000115




8. Other employment information (Professional Licence or Registration or Membership)

Do you currently hold any of the following for your profession?

/

Month YearDate of expiry

Current status

Other Give details

Active Expired Renewed

Country of licence

Name of licensing body

Type of licence

Licence number

Give details belowYesNo8.1 Professional licence

/


Current status

Other Give details


Country of registration

Name of registration body

Type of registration

Registration number

Give details belowYesNo8.2 Professional registration

Page 16 of 24 1410201303000116


8. Other Employment information continued

/


Current status

Other Give details


Country of membership

Name of membership body

Type of membership

Membership number

Give details belowYesNo8.3 Membership of a

professional body

Page 17 of 24 1410201303000117


9. Required Document Checklist

I have included: Identity documentsCertified copy of the relevant biography page(s) from my passport or birth certificate (passportpage 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) anddated

Please ensure you have included certified true copies.Original documents for work experience will be accepted.Documents will not be returned.

Qualification documentsFor each qualification you hold, include the following:

Qualification (such as degree, diploma or certificate) certified copy of the original award certificatein the original language

Transcript certified copy showing subjects studied and marks/grades awarded in the originallanguage

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 Republicof China. See Explanatory Notes for further details.

OtherContact details of certifier(s)

Certified English translations in English of any of the above documents originally issued in alanguage other than English

Correct payment for Skills Assessment (and postage if applicable)

Chinese verification (if applicable)Copy of original Degree award certificate and Certificate of Graduation awarded for the samedegree program and any other Certificates of Graduation for non-degree programs.Official documents in both Chinese and English, issued and endorsed by the central studentadministration or archiving office of the awarding body or the attending institution. For Self-Taughtprograms, they must be officially issued and endorsed by the relevant Self-Taught ExaminationsCommittee.

Copy of Academic TranscriptsOfficial documents in both Chinese and English, issued and endorsed by the central studentadministration or archiving office of the awarding body or the attending institution. For Self-Taughtprograms, they must be officially issued and endorsed by the relevant Self-Taught ExaminationsCommittee.

If you were awarded qualifications during army service by an army institution, you must provideadditional 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 labelsin Chinese characters

Correct payment for Verification

Also include the following:Rsum / CV

Employment documentsFor each position you held, include the following:

Certified copies of official evidence of employment detailing the employers name, the period ofemployment, the position held, the main tasks and hours of work for each position. Employmentin the last five years is considered for the Skills Assessment. Employment in the last 10 years isconsidered for the additional optional advisory statement to support a claim for points in the DIBPPoints Test for the GSM. See the explanatory notes for further details.

Certified copies of official evidence that the employment was paid. See explanatory notes forfurther details.

Organisational chart (on company letterhead) highlighting your duties, if nominating a managerialoccupation

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 ofapplying, or;

An official letter, on company letterhead, signed by a Registered Migration Agent (if you arerepresented by an agent) stating that you are not in Australia at the time of applying

Page 18 of 24 1410201303000118


10. Applicants declaration

Please use a paperclip to attach two (2) certified photographs of yourself here.DO NOT STAPLE

You MUST read and signthis declaration

Applicants signature(agents DO NOT sign on behalf of applicant)

/ /

Day Month Year

I (print name) declare that:

I have read the Certification Section in the Explanatory Notes and I understand that the assessmentcannot 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 upto date

I have included the required identity, qualifications and employment evidence and documents aslisted on the Required Documents Checklist

I understand that VETASSESS will contact me by e-mail using the e-mail address I provide on thisapplication form if extra information or documents are required

I have read and understood the information supplied to me in the Explanatory Notes accompanyingthis application

I intend to apply to migrate to Australia under the General Skilled Migration Program or EmployerNomination 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 andBorder Protection (Australia) before applying and I understand that it is my responsibility to ensurethat 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 myapplication 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 assessmentor points test Advisory Letter (including contacting the educational institutions and employers) andto 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 theDepartment of Immigration and Border Protection (Australia) for integrity checking

I understand that the Department of Immigration and Border Protection (Australia) may, whererelevant, take into account any information referred to it by VETASSESS in the assessment of myapplication for migration under the General Skilled Migration Program or Employer NominationScheme, 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 myqualifications.

Page 19 of 24 1410201303000119


11. Agents/Representatives signature

Read and sign thisdeclaration

Note: If the agent/representative authorisedby the applicant does notsign this section, anyfuture requests about theapplication, such as requestsfor reissues, will need to besigned by the applicant.

I (print name) declare that:

Agents/Representatives signature

/ /

Day Month Year

I am the nominated agent authorised by the applicant to correspond with VETASSESS for all mattersconcerned 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.

Page 20 of 24 1410201303000120


12. Fees and payment

12.1 I am paying my fees byCredit card Bank draft or bank cheque Money order

Please note that theapplication fee is notrefundable

12.2 Amount payableCalculate the total amountpayable below before youmake your payment

Note: You should choose oneSkills assessment only.

* There is a discounted feefor on-line applications.Please see our website toapply on-line.

Please only use oneapplication method (eitheronline or with this form).

If you are a previousapplicant applying for areissue, reassessment,appeal, or the Full SkillsAssessment following aQualifications Assessment for485 visa purposes, you willneed to complete the correctform, which can bedownloaded fromwww.vetassess.com.au

There is no additional feepayable to list other overseasqualifications/Australianqualifications on the PointsTest Advisory Letter issuedwith the Skills Assessment.

Amount payable continues on page 22

Skills assessment *Applying within Australia(GST inclusive)

Skills assessment *Applying outside Australia(GST exclusive)

Assessment of qualifications and employmentfor full Skills Assessment

AUD $AUD $737.00

Assessment of qualifications and employmentfor full Skills Assessment

AUD $AUD $670.00

VETASSESS Advisory Service General Occupations

AUD $

Additional Advisory Letter forDIBP to consider a claim forpoints in the GSM Points TestApplying within Australia(GST inclusive)

Overseas postgraduate doctoral degree

AUD $AUD $385.00

1 to 2 employment positions in the last 10 years

AUD $AUD $88.00


AUD $AUD $165.00

5 or more employment positions in the last 10 years

AUD $AUD $330.00

* Online application fees includea discount on these amounts. 485 Visa (qualifications only assessment)

AUD $AUD $385.00

485 Visa (qualifications only assessment)

AUD $AUD $350.00

* Online application fees includea discount on these amounts.

Additional Advisory Letter forDIBP to consider a claim forpoints in the GSM Points TestApplying outside Australia(GST exclusive)

Overseas postgraduate doctoral degree

AUD $AUD $350.00


AUD $AUD $80.00


AUD $AUD $150.00

5 or more employment positions in the last 10 years

AUD $AUD $300.00

Minus AUD $50.00

Page 21 of 24 1410201303000121

If you have submitted a paid enquiry to the Advisory Service General Occupations, you are able to claim a once-only discountof AUD $50.00 on a subsequent skills assessment.

To claim this discount, specify your Enquiry Number


Only select postage if yourequire one of the specialpostage options

12.2 Amount payable continued

12. Fees and payment continued

TOTAL Amount Payable(add all the amounts on pages 21 and 22) AUD $

Verification reports forqualifications from thePeople's Republic of ChinaApplying within Australia(GST inclusive)

Total number of certificates for verification

x AUD $105.00 = AUD $

Total number of transcripts for verification

x AUD $130.00 = AUD $

Total number of extra copies of reports

x AUD $50.00 = AUD $

Verification reports forqualifications from thePeople's Republic of ChinaApplying outside Australia(GST exclusive)

Total number of certificates for verification

x AUD $115.50 = AUD $

Total number of transcripts for verification

x AUD $143.00 = AUD $

Total number of extra copies of reports

x AUD $55.00 = AUD $

Postage (if applicable)(Select one only)

= AUD $

Registered Australian mail AUD $5.00

Express Post International AUD $20.00(not traceable outside Australia)

Express Courier International AUD $46.00(traceable in major cities outside Australia)

Certificates include Degreeaward certificates andCertificates of Graduation

Certificates include Degreeaward certificates andCertificates of Graduation

Page 22 of 24 1410201303000122


13. Submit application

Post your application, withall required documentationand fees to:

VETASSESSSkills Recognition General OccupationsGPO Box 2752Melbourne VIC 3001Australia

QualityISO 9001

Credit card typeMasterCard

VISA

Authorisations missing any of the above information will not be processed.

Signature of cardholder

/ /

Day Month Year

Name of cardholder

Credit card validationcode

(the last three digits of the number printed on the signature panel)

Credit card

/

Expiry dateNumber

authorise VETASSESS to debit my credit card for the amount of:

as payment for the processing of my Application for Skills Assessment. I understand that the fee isnon-refundable.

AUD $

12.3 Credit card payment I,

Name of cardholder

12. Fees and payment continued

Page 23 of 24 1410201303000123


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Page 24 of 24 1410201303000126

VETASSESS undertakes Skills Assessments fora broad range of occupations that appear onAustralias Skilled Occupations Lists for the: General Skilled Migration Program (GSM)

Points based visas Employer Nomination Scheme (ENS) or

Regional Sponsored Migration Scheme(RSMS) or Temporary Work (Skilled) visa(subclass 457)

Temporary Graduate visa (subclass 485).

If you want to migrate to Australia underthe GSM, ENS, RSMS or a 457 visa, or to stayon in Australia on a 485 visa after completionof your study, and nominate a generalprofessional occupation, you need a SkillsAssessment from VETASSESS before yousubmit your migration application to theDepartment of Immigration and BorderProtection (DIBP). The Skills Assessment isbased on the information and documentationyou provide, as well as research undertakenby VETASSESS staff.

To find out more about applying for a SkillsAssessment, or to apply online, visitwww.vetassess.com.au

The Skills Assessment for the GSM, ENS,RSMS or a 457 visa is an assessment of yourqualifications and employment. Applicantsneed a qualification which is assessed at therequired educational level, in a highly relevantfield to the nominated occupation. In additionto this, at least one year of employmentwithin the last five years is required, in a fieldwhich is highly relevant and at an appropriateskill level to your nominated occupation. Forsome occupations, either one or two years ofadditional employment is required if thequalification(s) has a shortfall in contentrelevance.

P l e a s e s e e o u r w e b s i t e a twww.vetassess.com.au for our list ofoccupations and assessment criteria. Theoccupations are grouped according todifferences in educat ional and/oremployment criteria. It is an applicant'sresponsibility to ensure that the selectedoccupation is available for the intended visacategory.

Note: The Qualifications Assessment tosupport an application for a TemporaryGraduate visa (subclass 485) does not requirean assessment of employment. It is aqualifications only assessment. It will clearlyindicate that it is for a 485 visa application.See www.immi.gov.au/skilled/general-skilled-migration/485/. The qualification(s)

You must read these Explanatory Notes before you complete the application form.

will need to be in a highly relevant field tothe nominated occupation and to be assessedat the required educational level. Afterreceiving a Qualifications Assessment for 485visa purposes, applicants may gain sufficientrelevant employment experience to apply toVETASSESS for a full Skills Assessment(qualifications and employment) to supportan application to migrate for permanentresidency. If the nominated occupation is thesame, VETASSESS will only need to assessevidence of relevant employment to completethe Skills Assessment. See our website formore details.

Who should use this application form?

Use this form if you: are a permanent resident of a country

other than Australia are applying to migrate to Australia under

the General Skilled Migration, EmployerNomination Scheme, Regional SponsoredMigration Scheme or Temporary Work(Skilled) visa (subclass 457)

nominate a general professionaloccupation managerial, professional,technician, community, personal service,clerical, administrative or sales workeroccupation for which VETASSESS is therelevant assessing authority

hold post-secondary or higher educationalqualifications at the correct level, in ahighly relevant field to your nominatedoccupation

have at least one year of employmentexperience in a highly relevant field toyour nominated occupation, at theappropriate skill level for your nominatedoccupation.

Note: The Skills Assessment to support anapplication for a Temporary Graduate visa(subclass 485) does not require an assessmentof employment.

Do not use this form if: you have secondary school qualifications

only you have employment experience, but do

not hold any formal qualifications your occupation does not appear on

DIBP's Skilled Occupation Lists you have previously had a Skills

Assessment for the purposes of a 485visa (2010 onwards), and requireassessment of your employment please see www.vetassess.com.au for therelevant form

you are a permanent resident of Australia.

Complete this application form Answer all questions on this form in

English unless otherwise indicated. Initial and date any alterations to your

answers on the form Provide all required information your

application will not be processed until allcertified documentation is received

Forged, altered or falsified documents willnot be assessed and no refund will beprovided

Do not send original documents Do not staple or bind documents to the

application form or put documents indisplay folders

Copies of documents will not be returned Keep a copy of all documentation

submitted Include the fee with the application and

all documentation.

Points Test Advisory LetterSee Section 1.4 if you also require an AdvisoryLetter for DIBP to consider for the GSMPoints Test. All other applicants for PointsTest advice, see the VETASSESS website atwww.vetassess.com.au for the relevant form.

Required Document ChecklistInclude all required documents

Form and payment

Application form completed and signed

Assessment fee

Supporting evidence for your GSTexemption claim (if applicable)

Identity documents

2 recent photographs passport size,certified and dated

Birth certificate or relevant passportpages certified copy (passport pagemust show name, photo & date of birth)

Change of name evidence (if applicable)

Qualification documentsFor each qualification that you hold

Qualification (such as degree, diploma orcertificate) certified copy of the originalaward certificate in the original language

Transcript certified copy showingsubjects studied and marks/gradesawarded in the original language

Certified English translation of the abovedocuments, compiled by a registeredtranslation service, if originally issued ina language other than English

Explanatory notes for Skills AssessmentFor managers, professionals, technicians, community, personal service,clerical, administrative and sales workers

SRG1 Version 8 October 2013

Page 1 of 6

Note: additional requirements apply forqualifications obtained from the followingregions and countries: Europe, Pakistan,Nigeria, Philippines, and the Peoples Republicof China. See Appendix A for importantinformation about these requirements.

If your qualification is from the PeoplesRepublic of China see Section 6.

Employment documentsFor each position you held, you must supplyofficial evidence of employment whichshows the employers name, the period ofemployment, the position held, the maintasks and hours of work and that theemployment was paid. If you have listed morethan one position or job on your applicationform, attach a cover sheet to the relevantemployment documents which states theposition to which the documents relate.All employment documents must be:

original or certified copies which identifythe Certifier (see Certification below)

certified English translations compiledby a registered translation service,if originally issued in a language otherthan English.

If your evidence is insufficient, VETASSESS willcontact you to provide further information.Evidence of employment includes but is notlimited to the documents listed below.

Rsum or curriculum vitae detailingemployment history, major tasks in eachposition, and additional informationrelating to your skills and experience.

If you worked for an employer:

a) Evidence of tasks performed at the skilllevel of your nominated occupation:

a Statement of Service from the Employer(Work Reference). Please see Appendix Bfor the required information for thisdocument; or

a Statutory Declaration if you are unableto obtain a Statement of Service asdescribed above. This should be verifiableand supported by other evidence.See Appendix C for information aboutStatutory Declarations.

Organisational chart (on companyletterhead) highlighting your duties ifnominating a managerial occupation.

b) Evidence of paid employment at leastone of the following:

Payslips

Group Certificates for taxation

Taxation Records of Assessment showingemployer name

Superannuation records showingemployer contributions

Bank Statement showing at least 2 salarypayments, your name and the employer'sname

If you worked in your own business:

a) Evidence of tasks performed at the skilllevel of your nominated occupation

Statement from your accountant orlawyer that verifies the name of yourbusiness and the position that you held.This must be written on letterhead andsigned by the practitioner

Your business registration details

A Statutory Declaration listing your mainduties and other relevant employmentinformation. This should be verifiableand supported by other evidence.See Appendix C for information aboutStatutory Declarations; and

b) Evidence of paid employment at leastone of the following:

Payslips

Group Certificates for taxation

Taxation Records of Assessment showingbusiness name

Your company taxation records

c) Supplementary employment evidence optional for all applicants

In addition to the above required evidence ofemployment you may provide other evidenceof employment to support your applicationsuch as:

Licence or Registration documents anddetails of the requirements for obtainingthe licence or registration

Organisational chart (on companyletterhead) highlighting your duties).This evidence is compulsory if nominatinga managerial occupation.

Evidence of professional developmentcompleted during your employment

Prizes/Certificates or other forms ofcommendation

If you were self-employed, contractswith clients or suppliers

If you were self-employed, statementsfrom clients that state the name of yourbusiness, the position you held and thebusiness that was conducted by you(e.g. title of project, duration, taskscompleted).

Missing documentsIf you do not have your original documents,try to obtain the required documents fromthe relevant educational institution, authorityor employer organisation. Most educationalinstitutions, authorities and employerorganisations keep relevant records and willreissue these documents if requested. In somecircumstances, VETASSESS will accept astatutory declaration or other sworn affidavitin place of the required documents butassessment cannot be issued on the basis ofstatutory declarations only. If you cannotobtain the required documents, contactVETASSESS for advice.

Your assessment will not begin until all yourdocumentation is received. If missingdocuments are not received within fourmonths of receipt of a letter from VETASSESSrequesting documentation, your applicationwill expire. You must then submit a newapplication and pay another application fee.

CertificationAll documents must be certified as a truecopy of the original by a person who isauthorised to certify documents in yourcountry of residence. In many countriespeople such as lawyers, Justices of the Peaceand Public Notaries (among others) areauthorised to certify documents.

Each copy of the document must be certifiedseparately and must show clearly: the words certified true copy of the

original the original signature of the certifying

officer the name and address or provider/

registration number (where appropriate)of the certifying officer legibly printedbelow the signature so that VETASSESScan contact the certifying officer ifnecessary.

VETASSESS does not accept: photocopies of certified copies certification by a company rather than the

individual within the company who isauthorised to certify documents

certification where the identity of thecertifying officer is unclear or the certifierscontact details are illegible.

Agents

You may choose to appoint an agent oranother person to help you to lodge anapplication.

Australias privacy legislation prohibitsVETASSESS from discussing your applicationwith other people unless specificallyauthorised to do so. If you want a familymember, migration agent or other personto 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.

Post your application

Mail your application, documents andassessment fee to:

VETASSESSSkills Recognition General OccupationsGPO Box 2752Melbourne VIC 3001Australia

Reassessment and appeals

If you disagree with the outcome of yourassessment, VETASSESS may conduct areassessment. You must submit a writtenrequest for reassessment and pay areassessment fee. To find out more aboutreassessments and appeals, visitwww.vetassess.com.au

If you need help Visit www.vetassess.com.au Email [email protected] Fax +61 3 9654 2773 Tel +61 3 9655 4801

Privacy statement

Whenever VETASSESS collects, handles, stores,uses or discloses information about you,it aims to comply with the Privacy Act thatprotects your personal information. Personalinformation means information or an opinion(including information in a database) aboutan individual whose identity is apparent orcan reasonably be ascertained.

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NOTES TO QUESTIONS

1. Your nominated occupation

This section deals with your nominatedoccupation and reason for assessment.

Choose your occupation carefully. Makesure that you read the description ofthis occupation thoroughly and thatyou meet all requirements.

1.1 This is the title of the occupation thatyou nominate from the SkilledOccupation Lists on the Department ofImmigration and Border Protection(DIBP) website at www.immi.gov.au

We will only assess occupations ifVETASSESS is listed as the relevantassessing authority on DIBP's SkilledOccupations Lists. Nominate oneoccupation only on this form. If youwish to nominate more than oneoccupation, you must complete aseparate application form and pay anadditional fee for each.

Useful sites to find out more aboutoccupations are: Australian Skills Recognition

Information (ASRI) atwww.immi.gov.au

Australian and New ZealandS t a n d a r d C l a s s i f i c a t i o n o fOccupations (ANZSCO) atwww.abs.gov.au

As occupations listed on these websitesare also used for purposes other thanmigration, some information such asinformation about employment,registration and licensing, may not berelevant to a VETASSESS SkillsAssessment.

1.2 Each occupation on the SkilledOccupations Lists has an ANZSCO code.You will find the ANZSCO code foryour occupation on the SOL on theDIBP website at www.immi.gov.au

1.3 Cross one of the visa types - GeneralSkilled Migration (GSM), EmployerNomination Scheme (ENS), RSMS,Temporary Work (Skilled) visa (subclass457) or Temporary Graduate visa(subclass 485).

1.4 Cross whether you require an AdvisoryLetter to give to DIBP for Points Testpurposes. GSM applicants, includingthose applying for state or territorysponsorship, may apply to DIBP forpoints towards the Points Test. DIBPhas authorised VETASSESS to providean opinion on qualifications and/oremployment for DIBP's considerationof a claim for points for these items inthe GSM Points Test. VETASSESS willassess their highest qualification up topostgraduate doctoral degree levelunless the applicant requests anotherqualification to be assessed for pointstest purposes. In some cases VETASSESSwill need to consider two or morequalifications to determine whethertogether they are comparable to theeducational level of a qualification onthe Australian Qualification Framework.

For Points Test purposes, VETASSESS willconsider any Australian or overseasemployment undertaken during the

last 10 years to provide an opinion onwhether it is closely related to thenominated occupation. See Section 7for a definition of closely relatedemployment for Points Test purposes.Please visit the DIBP website for furtherinformation about the Points Test.

VETASSESS does not provide advice onwhich migration scheme or visa categoryis suitable for you. Please refer to theDepartment of Immigration and BorderProtection (DIBP) for information aboutmigration issues (www.immi.gov.au).

2. Your personal details

This section asks for all your personaland contact details.

Complete this section carefully andmake sure you provide all requiredinformation. If you are nominating anagent, their details are to be entered atSection 3.

3. Authorising an agent

Complete this section if you wish toappoint an agent to communicate withVETASSESS on your behalf. Please notethat all correspondence will be sent toyour agent. Go to Section 4 if you do notwish to appoint an agent.

Fill this area in if you know the nameof the person who will be your agentfor your application for a VETASSESSSkills Assessment. If you do not knowthe agents name, the company namewill be sufficient. To operate legally inAustralia, a migration agent must beregistered with the Migration AgentsRegistration Authority (MARA) andmust have a MARA number. Your agentwill be able to supply you with thisnumber. To find out more aboutmigration agents, visitwww.themara.com.au

Agents or representatives should alsosign the declaration at Section 11.

4. Your school education

This section is about your school yearsup until you began tertiary or highereducation.

4.1 Write the start and finish dates (monthand year only), and the total numberof years that you attended primaryschool . Pr imary school ing (orelementary schooling) usually refers tothe first six to eight years of compulsoryschooling. It may also include acompulsory kindergarten year. Thenumber of years of primary educationvaries with different school systems.

4.2 List the country or countries in whichyou completed these years of schooling.

4.3 Write the year when you completedprimary schooling.

4.4 Write the start and finish dates (monthand year only), and the total numberof years that you attended secondaryschool. In some countries secondaryschooling may vary between fourto eight years following primaryschooling. Include any upper secondaryor senior secondary schooling you havecompleted.

4.5 List the country or countries in whichyou completed these years of schooling.

4.6 Write the name of the highest (eithersecondary school or upper secondaryschool) certificate you obtained inyour language and translated intoEnglish.

4.7 Write the year when you completedthat certificate.

5. Your post-secondary education

This section covers your education aftersecondary schooling. Fill in eachqualification separately. If you have morethan two qualifications, provide detailsof any additional qualifications in thesame format on a separate piece ofpaper. Sign and date this piece of paperand attach it to your application form.

VETASSESS will assess the most relevantqualifications, which are at the requirededucational level for your nominatedoccupation. More than one qualificationmay appear on your final assessmentletter. If you hold both Australian andoverseas qualifications, provide detailsof both and VETASSESS will assess asrequired.

For Points Test purposes, VETASSESS willassess the qualification with the highesteducational level in Australian terms,unless you request otherwise. Please alsolist any underpinning qualifications(including the entry qualification to theprogram leading to the qualification youwant assessed).

5.1 Fill this section in if you know whatyour student registration number was.

5.2 Write the title of your qualification inEnglish.

5.3 What is the major field of study in yourqualification?

Your qualification or academictranscript/mark sheet may state yourmajor field of study. The major field ofstudy is the concentration of subjectswhich was the main focus of theeducational program leading to yourqualification. The major field of studyusually includes a progression ofsubjects of increasing depth and/orspecialisation. If your qualification hastwo majors, please provide details forboth.

5.4 Name the awarding body. This is theorganisation that awarded yourqualification and it will be written onyour qualification. This may be differentto the campus of study.

5.5 Write the full address of the awardingbody.

5.6 Write the name of the campus that youattended.

5.7 Write the name of the institution youattended, if this institution was not theawarding body.

5.8 List the normal entry requirements foryour course or the name of theexamination that you had to completeto gain entry. Give the name of anyeducational qualification normallyrequired for admission to this course.

5.9 If your entry to the course was by someother means, write details here.

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5.10 Write the normal length of thisqualification (years or semesters) if itwas studied full-time. Include any timerequired for a thesis, project, practicaltraining etc.

5.11 Write the normal length of thesemester in weeks or months.

5.12 Write the dates when you started andcompleted your qualification.

5.13 Write the date when your qualificationwas awarded.

5.14 Write if you completed the course byfull-time or part-time study, and howmany class hours were required perweek.

If you studied in a different way, e.g. bydistance education, write that here.

5.15 If you completed any specificcomponents, cross here.

Write the normal length of anyinternship, supervised practical trainingor work placement required for yourqualification. Include the total numberof weeks and hours per week required.Write the dates when you started andcompleted this activity.

For any required thesis, give the normallength of study (e.g. which semesterand whether full time or part time).Write the dates when you started andcompleted your thesis.

For any required major project, such asa graduation project, give the normallength of time to complete thisrequirement (e.g. one semester fulltime or part time or the number ofweeks) and the dates you started andcompleted the project.

5.16 Provide details of any of thecomponents you listed above.

6. Verification of Chinese qualifications

This section is for applicants forassessment of qualifications awardedin the Peoples Republic of China. Go toSection 7 if you do not requireassessment of qualifications fromChina. If you have more than twoqualifications, provide details of anyadditional qualifications in the sameformat on a separate piece of paper.Sign and date this piece of paper andattach it to your application form.

6.1 Cross Yes if you have qualification(s)awarded by an institute in the Republicof China.

6.2 For each qualification you hold, crossthe boxes for the documents to beassessed and verified and write thenumber of extra copies of theCredential Report for each documentthat you need in the other boxes.

For Bachelor or higher degrees, youneed to have the following threedocuments verified: the Degree Certificate; and the Certificate of Graduation; and the Academic Transcript or

Examination Results

If you have been awarded credit onthe basis of previous studies, thedocumentation from these studies willalso need to be verified.

Both Chinese and English versions oftranscripts will be verified and includedin the Verification Report. Beforesubmitting transcripts to VETASSESS,please check them to ensure that theyare officially issued and all subjectnames, scores and credits of the Englishversion match the original Chinese one.Inconsistent information in thedocuments may cause considerabledelay or a negative verification result.

Required document checklist for verificationof Chinese qualifications

Copy of original Degree Award certificatea n d Ce r t i f i c at e o f G ra d u at i o n(if applicable) and its English translationCopy of Academic Transcripts officialdocuments in both Chinese and English,issued and endorsed by the centralstudent administration or archiving officeof the awarding body or the attendinginstitution. For Self-Taught programs,they must be officially issued andendorsed by the relevant Self-TaughtExaminations Committee.Any unofficially issued documents orGraduation Registration Records may benot acceptable and/or be verified as non-genuine official documents. Ensure theinformation (e.g. subject name, scoresand credits) in the English versionmatches the Chinese version, as both willbe verified. Inconsistent information inChinese and English versions may causeconsiderable delay or lead to a negativeverification and assessment result.If you were awarded qualifications duringarmy service by an army institution, youmust provide additional documents forverification (contact VETASSESS forfurther information)A4 size photocopy of each abovedocument good qualityIf your correspondence address is inChina, four completed self-adhesivename and address labels in ChinesecharactersVerification fee and postage

7. Your employment

This section is about your employmentcompleted anytime in the five years upto the date of lodgement of yourapplication to VETASSESS for a SkillsAssessment. If you also require youremployment considered for Points Testpurposes, you may include employmentcompleted anytime in the past ten years.Go to Section 9 if you are applying for aQualifications Assessment for 485 visapurposes.

For the Skills Assessment, only paidemployment within the last five yearswhich is highly relevant to thenominated occupation and at anappropriate skill level for your nominatedoccupation will be considered. You maydescribe other employment in your CV/rsum.

VETASSESS defines highly relevantemployment to the nominatedoccupation as paid employment of atleast 40 hours per fortnight in which themajor everyday tasks closely match themajor tasks undertaken in thenominated occupation in Australia and

are performed at an appropriate skilllevel for the nominated occupation inAustralia. The employment must alsomatch the lead statement in theAustralian and New Zealand StandardClassification of Occupations (ANZSCO)for the nominated occupation.

For the optional Points Test advice toDIBP about employment within thelast ten years, VETASSESS applies DIBPsd e f i n i t i o n o f c l o s e l y re l at e demployment to the nominatedoccupation. DIBP defines closely relatedemployment as paid employment of atleast 40 hours per fortnight in anoccupation which has the same skill leveland draws on a similar skill set andsubject matter as the nominatedoccupation. Usually closely relatedemployment is in an occupation whichis in the same Unit Group of ANZSCO asthe nominated occupation.

Please refer to our website if you havepre-qualification employment.

If you have worked in more than threepositions, please provide details of anyadditional employment in the sameformat on a separate piece of paper. Signand date the paper and attach it to yourapplication form.

In calculating years of paid employment,VETASSESS will count employment of atleast 40 hours per fortnight. Do notinclude weeks of less than 40 hours perfortnight even if the average hours ofyour employment was 40 hours perfortnight or more.

Please list all positions which are relevantto your nominated occupation. List yourmost recent employment first.

7.1 Write the business name of theemployer for whom you work(ed).

7.2 Write the former or other names thatthe business is known by.

7.3 Write the complete street address ofyour employer, including the streetname, number, suburb or town, stateor territory, postcode and the country.

7.4 Write the name of the employer/supervisor or manager for the person(usually the Manager or HumanResources representative of thecompany that employed you) whoVETASSESS may contact in order toverify any of your employment history.

7.5 Include the contact details for theperson listed at 7.4 including daytime(business) telephone number (includinginternational or interstate diallingcodes), facsimile and mobile telephonenumbers, email address and the officialcompany web address (if applicable).

7.6 Write your position/job title with thisemployer as statement on the officialevidence. If you held more than oneposition/job with the same employer,you can describe your other roles inyour CV/resume.

7.7 Write the date when you startedemployment in this position.

7.8 Write whether you are employed in thisposition at the time of lodging yourapplication to VETASSESS.

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We do not accept:

Cash do not send cashthrough the post

Payments toa VETASSESSbank account

fees cannot be paiddirectly into aVETASSESS bankaccount

7.9 If you no longer work in this position,write the month and year that you leftthis position.

7.10 Write the number of weeks ofcontinuous unpaid leave in this position.

7.11 What are/were your normal requiredworking hours per fortnight in thisposition?

7.12 List your main tasks/duties andresponsibilities in this position. Forexample, a task or duty or responsibilityfor the occupation of Facilities Manageris Preparing documents to put out fortender to contractors.

8. Other employment information

Include details of any licences,registrations or memberships you hold,if relevant to your nominatedoccupation. Ensure you attachcertified copies of evidence of thoseprofessional licences, registrations ormemberships. This informationprovides additional evidence aboutyour employment but does not replacethe required evidence listed abovefor all applicants.

9. Required document checklist

Please ensure that: All documents are submitted with

your application. You include certified true copies of

employment documents.

Documents will not be returned.

10. Applicant declaration

You must carefully read this sectionbefore signing the declaration. You mustread the Required Document Checklistand ensure that all documentation isready and certified as required. Thedeclaration must be signed by you (theapplicant), not your agent.

11. Agent declaration

The nominated agent or representativeshould read this section carefully andsign where indicated. If you do not havean agent, leave this section blank.

12. Payment of fees

This section covers the fees and how topay them. Please read it carefully.

12.1 How to pay Fees must be paid in Australian

dollars when you submit yourapplication.

You must pay your fees by creditcard, bank cheque or bank draft, ormoney order. You cannot pay into aVETASSESS bank account or send cash.

VETASSESS will not be responsiblefor banking delays or for loss of cashsent with your application. Fundsmust be cleared before applicationsare processed.

Registered Australianmail

AUD $5.00

Express PostInternational(not traceable outsideAustralia)

AUD $20.00

Express CourierInternational(traceable in majorcities outside Australia)

AUD $46.00

Fees for Chinese qualificationverificationIf you have more than one Chinesequalification to be assessed, eachqualification MUST be verified. You willreceive our assessment letter and theverification results when yourassessment is completed.

12.3 Credit card payment

Write your credit card details here,if you are paying by credit card.

13. Submit application

Post your application, with all requireddocumentation and fees, to:

VETASSESSSkills Recognition General OccupationsGPO Box 2752 MelbourneVic 3001 Australia

12.2 Amount payable

Write the amount payable for your SkillsAssessment. If you have previously senta paid enquiry to the VETASSESSAdvisory Service, you may wish to claima discount on your first subsequentapplication for a Skills Assessment.Please quote your Enquiry Number asevidence of payment to use that service.Write the total amount owing for yourChinese qualification verification (ifapplicable), and the total amount forany Additional Advisory Letter for DIBPto consider a claim for points in theGSM Points Test. Then fill in the totalamount you are paying.

If required, include the fee for registeredor express post as specified in thefollowing fees table.

A discount to the application fee appliesto on-line applications.

Visit www.vetassess.com.au for furtherinformation.

If you are not in Australia when youlodge your application, you may beexempt from paying the Goods andServices Tax (GST) component. You needto provide evidence, such as a statutorydeclaration stating in exact words I amnot in Australia at the time of lodgingmy application for this exemption.A personal statement signed by you isnot sufficient.

If you wish to apply for a reassessment(review), reassessment (change ofnominated occupation), reissue, orappeal, you will need to complete thecorrect form, which can be downloadedfrom www.vetassess.com.au, and paythe relevant fee explained on that form.

Please note that the fee for a reissue ofa Skills Assessment letter or an AdvisoryLetter for Points Test purposes isAUD$60.00 or AUD$100.00 for both.

We accept:

Credit cards Mastercard Visa

Cheques must be clearedbefore the service isprovided

cheque paymentfrom overseas mustbe by bank chequeor bank draftpayable at anAustralian bank

Money order via Australia Post

Postage Options

Regular postage is included in theapplication fee. For a small additionalfee, you may choose to have your resultssent via registered post, Express PostInternational or Express Post Courierfor an extra fee (as below).

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Appendix AAdditional documentation requirements Europe, Pakistan, Nigeria, Philippines and

Peoples Republic of China

> Europe supply a Diploma Supplementif one was issued with your degree andtranscript. Most European universities willissue a Diploma Supplement automaticallyand free of charge to graduates from 2005

> Nigeria ask the awarding body to send averified copy of the award certificate and fullacademic transcript in a sealed envelopedirectly to VETASSESS

> Pakistan ask the awarding body to senda verified copy of the award certificate andfull academic transcript in a sealed envelopedirectly to VETASSESS

> Philippines if you have passed theProfessional Regulation CommissionsLicensure Examinations in your field, supplycopies as this may positively affect yourassessment outcome

> Peoples Republic of China qualificationsawarded in China must be verified by theQualifications Verification service atVETASSESS, which has an agreement with theMinistry of Education China appointedverification authorities, the China AcademicDegrees and Graduation EducationDevelopment Center (CADGEDC) and theChina Higher Education Student Informationand Career Center (CHESICC), to verify theauthenticity and recognition status ofChinese qualifications. If you have beenawarded a qualification at Bachelor degreelevel or above, you will need to have theDegree Certificate, Certificate of Graduationand Academic Transcript verified for theSkills Assessment. Note: qualificationdocuments do not need to be notarised;photocopies of certificates are sufficient.To find out more about QualificationsVerification, visit www.qualverify.com

Appendix BStatement of service or reference

from your employer

This is a letter from each employer for whomyou have worked in positions related to yournominated occupation in the last five years,or in the last ten years if you require adviceto DIBP about your employment for PointsTest purposes. This Statement of Service orReference should:

show the official company or governmentd e p a r t m e nt l e t t e r h e a d o f t h eorganisation which employed you

show in the letterhead the full addressof the company, any telephone and faxnumbers, email and website addresses

be from your supervisor or the managerof the human resources department references from colleagues at the samelevel or below are not suitable

be signed by an authorised person whosename and position is typed or stampedbelow the signature a signature whichcannot be identified will not be accepted

and include the following information:

the direct contact number of the personwriting the reference

the exact period of employment the required working hours per fortnight whether that employment was permanent

or temporary whether the employment was full-time

or part-time the position(s) held the main five (5) duties undertaken the salary earned

Positions should not be described by generictitles (for example, research officer, publicservant) but according to the nature of theduties undertaken (for example, researchchemist, accounts clerk).

Appendix CStatutory Declaration

If you are unable to obtain a Statement ofService from your employer you shouldsubmit a Statutory Declaration. This is awritten statement declared to be true in thepresence of an authorised witness.Thisshould be verifiable and be supportedby other evidence of your employment.This should be verifiable and be supportedby other evidence such as AppointmentLetter, Official Position Description andevidence of paid employment.

The Statutory Declaration must include thefollowing details:

the full name and address of thecompany and any telephone, faxnumbers, email and website addresses

the name and position of your directsuperior and a contact number for them

details of the exact period of employmentincluding: whether permanent or temporary whether full-time or part-time position(s) held - positions should not

be described by generic titles (forexample, research officer, publicservant) but according to the natureof the duties undertaken (for example,research chemist, accounts clerk)

the main five (5) duties undertaken,and the salary earned

The reason why you cannot obtain astatement from the employer.

Please note that a Statutory Declaration iscompulsory if you are unable to obtain astatement from your employer, and must besupplied as part of your evidence. It isimportant to note that under the StatutoryDeclarations Act 1959 a person who wilfullymakes a false statement in a statutorydeclaration is guilty of an offence and maybe fined or jailed, or both.

You can find out more about statutorydeclarations at www.ag.gov.au/statdec

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8: 1:

2Q1AA: 2Q1AB: 2Q1AC: 2Q1AD: 2Q1AE: 2Q1BA: 2Q1BANo: 2Q1BB: 2Q1BBNo: 2Q1BC: 2Q1BCNo: 2Q1BD: 2Q1BDNo: 2Q1BE: 2Q1BENo: 2Q2AA: 2Q2AB: 2Q2AC: 2Q2AD: 2Q2AE: 2Q2BA: 2Q2BANo: 2Q2BB: 2Q2BBNo: 2Q2BC: 2Q2BCNo: 2Q2BD: 2Q2BDNo: 2Q2BE: 2Q2BENo:

DummyCalc8: 2Q1BA: 2Q1BB: 2Q1BC: 2Q1BD: 2Q1BE: 2Q2BA: 2Q2BB: 2Q2BC: 2Q2BD: 2Q2BE:

10: 1: 2: 3: A:

Sign: On completion of this form,please print and sign by hand

11: 1: 2: 3: A:

Total_Whiteout:

121:

Instructions: Notes_40: Notes_41: Notes_42: Notes_43: Notes_44: Notes_45: Notes_46: 14B:

DummyCalc81: DummyCalc71: DummyCalc72: DummyCalc73: 9Checklist_01: 9Checklist_02: 9Checklist_03: 9Checklist_04: 9Checklist_05: 9Checklist_06: 9Checklist_07: 9Checklist_08: 9Checklist_09: 9Checklist_10: 9Checklist_11: 9Checklist_12: 9Checklist_13: 9Checklist_14: 9Checklist_15: 9Checklist_16: 9Checklist_17: 9Checklist_18: 9Checklist_19: 9Checklist_20: 9Checklist_21: 9Checklist_22: Assessment1: 0Assess1Amt: Assessment2: 0Assess2Amt: Assessment3: 0Assess3Amt: Assessment4: 0Assess4Amt: EnquiryNo: Assessment6: 0Assess6Amt: Assessment7: 0Assess7Amt: Assessment8: 0Assess8Amt: Assessment9: 0Assess9Amt: Assessment10: 0Assess10Amt: Assessment11: 0Assess11Amt: Assessment12: 0Assess12Amt: Assessment13: 0Assess13Amt: Verify1: Verify1Amt: Verify2: Verify2Amt: Verify3: Verify3Amt: Verify4: Verify4Amt: Verify5: Verify5Amt: Verify6: Verify6Amt: Postage: 0

PostageAmt: 12: 3: 1: 2:

Total: 0

CCType:

CCNo1: CCNo2: CCNo3: CCNo4: ExpDate1: ExpDate2: CCV: Cardholder1: Cardholder2: 811: 812: 813: Sign2: On completion of this form,please print and sign by hand(if applicable)Notes_01: Notes_02: Notes_03: Notes_04: Notes_05: Notes_06: Notes_07: Notes_08: Notes_09: Notes_10: Notes_11: Notes_12: Notes_13: Notes_14: Notes_15: Notes_16: Notes_17: Notes_18: Notes_19: Notes_20: Notes_21: Notes_22: Notes_23: Notes_24: Notes_25: Notes_26: Notes_27: Notes_28: Notes_29: Notes_30: Notes_31: Notes_32: Notes_34: Notes_35: Notes_36: Notes_37: Notes_38: Notes_39: Assessment5: 0Assess5Amt: Notes_33: Notes_33a:

srg1 application

Documents

applicable date passport

thegsm points test

personal details2

skills assessment2

file print page scaling

personal details continued3

country of birth1

country of currentresidency2