Electronic Visas Application

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Application for a General Skilled Migration

Review page
Please check that the information you have provided is correct before you continue.

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Skilled - Sponsored (Class VE, Subclass 176) application requirements

To be eligible to be granted a General Skilled Migration visa, you must have already taken steps to meet certain requirements and obtain documentation before you lodge your application. If you do not meet the requirements below, you may not be able to be granted a visa. Age On the date of lodging this application will you be 18 years of age or over and under 45? Yes Skills Assessment Has a relevant assessing authority assessed your skills as suitable for your nominated skilled occupation? Yes Work experience or two year study Select the condition that applies to you: You have worked in an occupation on the Skilled Occupations List (SOL) for 12 out of the 24 months immediately before lodging this application. You meet the two years study in Australia requirement in the six months before the date of application. Eligible Sponsor Select the condition that applies to you: You will be sponsored by a relative. You are nominated by a State/Territory government agency. On 1 July 2010, requirements for sponsorship and nomination changed. See http://www.immi.gov.au/skilled/general-skilled-migration/whats-new.htm for further information.

Personal details
Click here to edit these details Provide the following details as they appear in your passport. Family name Given names Sex Date of birth Relationship status Place of birth Arman Hassan Male 5 JAN 1977 Married

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Town/City Country of birth Country of residence

Chittagong BANGLADESH

Select your country of usual residence from the list provided. You will be asked later in this application to provide your full residential address in this country. Country of residence Passport details Provide details of the passport that you will use to enter Australia. Enter these details exactly as they appear in your passport. Passport number Country of passport Nationality of passport holder Passport date of issue Passport date of expiry Passport place of issue / issuing authority R0559470 BANGLADESH BANGLADESH 26 NOV 2002 25 NOV 2012 Chittagong BANGLADESH

It is strongly recommended that the passport be valid for at least six months. Identity card details Details of identity card or identity number issued to you by your government (if applicable) for example National identity card. Identity number Country of issue If you have an Australia visa label in your current or previous passport, enter the visa number Visa number

If you hold citizenship of any countries other than the country listed in your passport, provide details

Are you currently, or have you ever been, known by any other names (including names before marriage, aliases or any alternative spelling in any of your names)? No Do you have any dependents (other than a spouse/de facto partner) included in this visa application? Yes Do you want your details to be included on the Skill Matching Database? No You have indicated that you will be sponsored by a relative. Yes How is your sponsor related to you or your spouse/de facto partner? Uncle

Spouse/de facto partner migration

Click here to edit these details Is your spouse/de facto partner included in this application? Yes If no, is your spouse/de facto partner intending to join you at a later date? If no, please explain why your spouse/de facto partner is not migrating with you.

Critical data confirmation

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Click here to edit these details All the information provided in this application is important to the decision to grant a visa. If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been granted Please confirm that the following information is correct and that it is in the correct fields. If you are unsure of what is required for each field, press the 'Previous' button at the bottom of this page. This will return you to the previous screen where you can select the help. Family name Given names Sex Date of birth Country of birth Passport number Country of passport Arman Hassan Male 5 JAN 1977 BANGLADESH R0559470 BANGLADESH next to the fields for which you require

Is all the information above correct? Yes

Spouse/de facto partner details

Click here to edit these details Provide the following details as they appear in your passport. Family name Given names Sex Date of birth Date of marriage Place of birth Town/City Country of birth Country of residence Select your spouse/de facto partner country of usual residence from the list provided. You will be asked later in this application to provide their full residential address in this country. Country of residence Passport details Provide details of the passport that your spouse/de facto partner will use to enter Australia. Enter these details exactly as they appear in their passport. Passport number Country of passport Nationality of passport holder Passport date of issue Passport date of expiry Passport place of issue / issuing authority F0586033 BANGLADESH BANGLADESH 15 NOV 2010 14 NOV 2015 Dhaka BANGLADESH Dhaka BANGLADESH Alam Haseen Fatima Female 5 MAY 1982 10 JAN 2008

It is strongly recommended that the passport be valid for at least six months. If your spouse/de facto partner has an Australian visa label in their current or previous passport, enter the visa number Visa number

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If your spouse/de facto partner holds citizenships of any countries other than the country listed in their passport, provide details

Is your spouse/de facto partner currently, or has your spouse/de facto partner ever been, known by any other names (including names before marriage, aliases or any alternative spelling in any of their names? No Do you want to claim points for spouse/de facto partner skills in this application? No Does your spouse/de facto partner want to be included on the Skill Matching Database? No

Critical data confirmation

Click here to edit these details All the information provided in this application is important to the decision to grant a visa. If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been granted Please confirm that the following information is correct and that it is in the correct fields. If you are unsure of what is required for each field, press the 'Previous' button at the bottom of this page. This will return you to the previous screen where you can select the help. Family name Given names Sex Date of birth Country of birth Passport number Country of passport Alam Haseen Fatima Female 5 MAY 1982 BANGLADESH F0586033 BANGLADESH next to the fields for which you require

Is all the information above correct? Yes Click here to edit these details

Family members
Provide details of ALL your family. Include family members that are not accompanying you to Australia as well as deceased family members. Where appropriate, you are required to provide details of the following family members: Your parents All your brothers and sisters (including full, half, step and adopted brothers and sisters) All your children (including children from previous marriages/relationships) All your other dependents (including any dependent children of a dependent)

Migrating dependents
Family name Given names Sex Date of birth Relationship status Relationship to you Town/City Country of birth Country of residence Farzad Hassan Male 29 MAR 2009 Never Married Child Dhaka BANGLADESH BANGLADESH

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Passport number Country of passport Nationality of passport holder Passport date of issue Passport date of expiry Passport place of issue / issuing authority Visa number

F0592932 BANGLADESH BANGLADESH 20 DEC 2010 19 DEC 2015 Dhaka

No if Yes, please provide details (names and reason for name change)

NON migrating dependents Other family members

Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Hossain Mahmud Male 1 FEB 1944 Married Parent BANGLADESH No Nahar Lutfun Female 15 JUN 1948 Married Parent BANGLADESH No Hassan Md Mahbub Male 31 DEC 1965 Married Brother BANGLADESH No Ferdous Hassan Male 23 AUG 1968 Married Brother BANGLADESH No Hassan Nasimul Male 9 DEC 1972

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Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased Family name Given names Sex Date of birth Relationship status Relationship to you Country of residence Deceased

Married Brother BANGLADESH No Parvez Hassan Male 31 DEC 1976 Married Brother BANGLADESH No Hasan Mohammad Mahadi Male 5 JAN 1980 Married Brother BANGLADESH No

Critical data confirmation

Click here to edit these details All the information provided in this application is important to the decision to grant a visa. If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been granted Please confirm that the following information is correct and that it is in the correct fields. If you are unsure of what is required for each field, press the 'Previous' button at the bottom of this page. This will return you to the previous screen where you can select the help. Family name Given names Sex Date of birth Country of birth Passport number Country of passport Farzad Hassan Male 29 MAR 2009 BANGLADESH F0592932 BANGLADESH next to the fields for which you require

Is all the information above correct? Yes

Declaration of legal rights

Click here to edit these details You have included dependents less than 18 years of age. For each dependent you are required to indicate your legal responsibilities. See: Dependents

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Hassan Farzad (DOB: 29 MAR 2009) Does any other person not applying to migrate with you have custody, access or guardianship rights to this child? No Are there any legal impediments to the removal of this child from their home country? No If yes, provide details

Applicant residential address

Click here to edit these details Provide details of your current residential address. Note: A Post Office box address is not acceptable as a residential address.Failure to give a residential address will result in your application being invalid. Address Suburb/Town State or Province Postcode Country BANGLADESH House 60, Road 8 PC Culture Housing Society Shiekhertek, Mohammadpur, Dhaka

Your contact telephone numbers Home phone Work phone Mobile/Cell +88 01911310771

Does your spouse/de facto partner share the same residential address? Yes

Options for receiving written communications

Migration Agent

Spouse/de facto partner residential address

Click here to edit these details Provide details of your spouse/de facto partner's current residential address. Note: A Post Office box address is not acceptable as a residential address.Failure to give a residential address will result in your application being invalid. Address Suburb/Town State or Province Postcode Country BANGLADESH House 60, Road 8 PC Culture Housing Society Shiekhertek, Mohammadpur, Dhaka

Your spouse/de facto partner's contact telephone numbers Home phone Work phone Mobile/Cell +88 01911310771

Migration agent details

Click here to edit these details Provide contact details for your migration agent

Migration Agent Registration Number (MARN) or offshore

0639156

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Agent ID (if allocated by DIAC) Family name Given names Business or Company name Client Reference Number Postal address details Address Suburb/Town Australian State or Territory OR State or Province outside Australia Postcode Country Telephone number 2036 AUSTRALIA +61 2 9311 4624 1/21 Jauncey Place Hillsdale New South Wales Bulbul Md Forash Uddin Ausworld Immigration Consultants

Communicating with the migration agent

We can communicate about the application more quickly using email or fax. Under Australian law, if the migration agent wants to receive electronic communications from the department, we require their consent for you to enter an email address and/or fax number for your migration agent E-mail address Fax number If you do not enter an email and/or fax details, or your migration agent does not consent to receive electronic communications from the department, all written communications will be sent to your migration agent's postal address. This may result in delays in receiving communication about the application. [email protected]

Assistance with this form

Did this migration agent provide assistance in completing this form? Yes

Immigration Advice and Application Assistance Scheme

See: Fact Sheet 63, Immigration Advice and Application Assistance Scheme Are the services of your migration agent being provided through the Immigration Advice and Application Assistance Scheme? No

Health details
Click here to edit these details The assessment of your health is to ensure you meet Australia's health criteria. Conditions diagnosed in you or a member of your family that pose a public health risk, are estimated to cost more than a significant amount of public health care of community welfare, and/or that require use of health resources in short supply, may affect the outcome of your application. View further details about health requirements You and your family members will be required to undergo medical examinations during the processing of your visa application. Please ensure you download medical examination and radiologist report forms at the completion of your application.

Character declarations
Click here to edit these details View further details about character requirements

Have you or any other person in this application, ever:

been convicted of a crime or offence in any country (including any conviction which is now removed from

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official records)? No If Yes, please provide details been charged with any offence that is currently awaiting legal action? No If Yes, please provide details been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind? No If Yes, please provide details been removed or deported from any country (including Australia)? No If Yes, please provide details left any country to avoid being removed or deported? No If Yes, please provide details been excluded from or asked to leave any country (including Australia)? No If Yes, please provide details committed, or been involved in the commission of war crimes or crimes against humanity or human rights? No If Yes, please provide details been involved in any activities that would represent a risk to Australian national security? No If Yes, please provide details had any outstanding debts to the Australian Government or any public authority in Australia? No If Yes, please provide details been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? No If Yes, please provide details served in a military force or state-sponsored or private militia, or undergone any military or paramilitary training, or been trained in weapons or explosives use (however described), other than in the course of compulsory national military service? No

Countries of Residence
Click here to edit these details Provide details of all countries in which you, your spouse/de facto partner or dependents (migrating or not) have lived for 12 months or more (since turning 16) during the last 10 years. The 12 month period of residence may be made up of a number of shorter periods. You must account for every year. Name Country Hassan Arman BANGLADESH

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Date from Date to Address Suburb/Town Australian State or Territory OR State or Province outside Australia Postcode Name Country Date from Date to Address Suburb/Town Australian State or Territory OR State or Province outside Australia Postcode

13 MAY 2001 12 MAY 2011 House 60, Road 8 PC Culture Housing Society Shiekhertek, Mohammadpur, Dhaka

Haseen Fatima Alam BANGLADESH 13 MAY 2001 12 MAY 2011 House 60, Road 8 PC Culture Housing Society Shiekhertek, Mohammadpur, Dhaka

Processing Details
Click here to edit these details Have you or any person included in this application previously been to Australia, held or currently hold a visa for travel to Australia? No Have you or any person included in this application ever been refused an entry permit or visa to Australia? No Have you or any person included in this application ever had a visa cancelled? No Are you or any person included in this application currently awaiting a decision on another visa application (not including this application)? No Click here to edit these details

Applicant skills assessment

Nominated Occupation Name of assessing authority Date of Skills Assessment Reference/Receipt number Click here to edit these details Telecommunications Network Engineer Engineers Australia 27 APR 2011 3890280

Applicant regional Australia

You may be eligible for points if you have lived and studied in regional Australia. Have you lived and studied for at least two years in one or more areas in population growth metropolitan area ? No regional Australia or a low

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Applicant professional year in Australia

You may be eligible for points if you have completed a professional year in Australia related to your nominated occupation or a closely related occupation for 12 out of the 48 months immediately before lodging this application. Have you completed a professional year in Australia? No If Yes, name of professional year Click here to edit these details

Applicant educational qualifications

Please provide details of Australian and/or overseas post-secondary qualifications.

Australian qualifications Overseas qualifications

Qualification Course Name Institution Name City Country Date from Date to Bachelor Degree B.S.c in Engineering ( Electrical & Electronics) Bangladesh Institute of Technology ( BIT) Chittagong BANGLADESH 18 MAY 1996 22 FEB 2001

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Applicant specific work experience

You may be eligible for points for specific work experience Have you worked in an occupation on the Skilled Occupations List (SOL) for 36 out of the 48 months immediately before lodging this application? Yes If yes, is this work experience in your nominated occupation or a closely related occupation? Yes

Applicant Australian work experience

You may be eligible for points if you have been employed in Australia. Have you been employed in Australia in your nominated occupation or a closely related occupation for 12 out of the 48 Months immediately before lodging this application? No Click here to edit these details

Applicant past employment

List your employment for the last four years. Only past employment in occupations on the Occupations List (SOL) is relevant. Position Employer name Country Date from Date to Telecommunications Network Engineer Banglalink( Orascom Telecom Bangladesh Ltd) BANGLADESH 2 MAR 2006 12 MAY 2011 Planning, designing and Implementing network backbone MSC (Mobile Switching Center), IN (Intelligent Network) and VAS (Value Added Services).Integration and maintenance of banglalink GPRS, EDGE system with MSC, BSC and Core Network (HLR, VLR) . Analyse Network Quality data of IN & GPRS and produce trend report for technical planning and improving the quality. Monitoring and analysing current utilization trend of different MSC sites to assess need for updates, upgrades, enhancements, preventive maintenance and requirement new systems Skilled

Description of duties

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Applicant language ability

Click here to edit these details IMPORTANT NOTE: You must provide evidence of your English language ability, or evidence that an English language test has been booked (Skilled - Regional Sponsored (Subclass 487) visa applicants only) when you lodge this application. Failure to do so may result in you being unable to satisfy the criteria for this visa, and this application may be refused If you are the holder of an eligible passport from either the: United Kingdom (UK); Canada; New Zealand; United States of America (USA); or Republic of Ireland you are considered to have met the threshold English language requirement (competent or concessional competent English) and are not required to sit an IELTS or OET test. The recorded language ability will also be used to determine liability for the second instalment charge for each person aged 18 years or over included in this application. Please provide details of the English language ability of ALL persons aged 18 years or over included in this application. Have you undertaken an English test within the last 24 months? Yes If yes, provide details of the most recent English test Name of test Date of test Test reference number What is your language ability IELTS 8 MAY 2010 10BD000443ARMH040G Competent

Spouse/de facto partner language ability

Click here to edit these details Has your spouse/de facto partner undertaken an English test within the last 24 months? No If yes, provide details of your spouse/de facto partner's most recent English test Name of test Date of test Test reference number What is your spouse/de facto partner's language ability Click here to edit these details

Your accumulated points based on your previous answers

For information on your current pass mark applicable to your visa subclass Based on the answers you have provided in this application the following self assessment matrix has been created with an indicative score against each factor of the points test. Please note: Your score against each skill factor and 'your total points score' are based on your own assessment of your skills. These scores are not endorsed by the Department. If by your own assessment you have reached the pass mark for the visa subclass for which you are applying, this is not a guarantee that your application will be successful. Your application will be rigorously assessed on the information in this form and the evidence you provide, using the pass mark which applies at the time your application is lodged. Any inaccuracies in the information provided may affect the points awarded when your application is assessed. Failure to substantiate claims made may affect the points awarded when your application is assessed. Changes to the Migration Occupation in Demand List and the Skilled Occupations List between the time of lodgement and time of assessment may affect the points awarded when your application is

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assessed. You may still be eligible for spouse/de facto partner points if your spouse/de facto partner obtains a suitable skills assessment before your application is decided. Occupation Age English language Specific work experience Australian work experience Australian educational Regional and low population growth Australia Spouse/de facto partner skill State or Territory nominated Designated area Total Points: 60 25 15 10 0 0 0 0 0 0 110

Do you wish to apply for designated language points? No Click here to edit these details

Your accumulated points based on your previous answers

Occupation Age English language Specific work experience Australian work experience Australian educational Regional and low population growth Australia Spouse/de facto partner skill State or Territory nominated Designated area Designated language points Fluency in a community language NAATI translator-interpreter accreditation Total Points: 0 0 60 25 15 10 0 0 0 0 0 0

110

NOTE - Point totals displayed do not confirm any entitlement to a visa.

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Acknowledgement for a person whose score is on or above the pass mark

Your total point score based on the answers you have provided in this application is 110 which is equal to or above the required score for the visa subclass you have selected. Please be advised that when your application is assessed, you may be awarded less points and consequently may not be granted a visa. I have read and understood the above Yes Click here to edit these details

Acknowledgement regarding social security and employment

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I understand that if granted a visa: there is a two year waiting period after gaining permanent residency for social security payments, including unemployment benefits, for most newly arrived migrants; I will need to have enough money, even if unemployed, to support myself if I hold a provisional visa and for the first two years I am a permanent resident, and if I run out of money or fail to get a job in that period, that would not be sufficient reason to make me eligible for social security income support payments; the cost of living in Australia, compared to many other countries, is high; approval to migrate does not guarantee employment in Australia and that it is entirely my own responsibility to secure employment after arrival, including investigating my prospects before I arrive in Australia; work availability varies significantly from time to time in different parts of Australia and that for many jobs in Australia, applicants must be eligible for membership of a professional or industry organisation and/or be able to be registered or licensed with an Australian state authority before working in a particular occupation. I have advised all family members aged 16 years or over who are migrating to Australia of the above and they have advised me that they understand these obligations. Yes

Declaration for all applicants

Click here to edit these details Warning: Under the Migration Act 1958, there are penalties for deliberately giving false or misleading information. I declare that the information I have supplied in this application is complete, correct and up-to-date in every detail. I understand that if I give false or misleading information, my application may be refused, or any visa granted may be cancelled. I understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia by way of this application. I will inform the department of any changes to my personal circumstances (including change of address) while my application is being considered. I authorise the Australian Government to make any enquiries necessary to determine my eligibility for permanent stay in Australia, and to use any information supplied in this application for that purpose. The agencies/organisations to which information may be disclosed include: Federal, State or Territory government agencies; Federal, State or Territory law enforcement agencies; State or Territory housing authorities (including private landlords); Local government authorities; Financial institutions; Educational institutions and; Private businesses (including telecommunication and internet service providers, insurance companies). I consent to my details and information about my visa application being provided to employers, Commonwealth and State/Territory governments and regional organisations in Australia, who may facilitate skill matching (if applicable). I consent to information about my visa application being provided to my nominating State/Territory (if applicable). I have read and understood the information supplied to me in this application. Yes Click here to edit these details

Values statement
I confirm that I have read, or had explained to me, information provided by the Australian government on Australian society and values. I understand Australian society values respect for the freedom and dignity of the individual, freedom of religion, commitment to the rule of law, Parliamentary democracy, equality of men and women and a spirit of egalitarianism that embraces mutual respect, tolerance, fair play and compassion for those in need

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and pursuit of the public good. Australian society values equality of opportunity for individuals, regardless of their race, religion or ethnic background. the English language, as the national language, is an important unifying element of Australian society. I undertake to respect these values of Australian society during my stay in Australia and to obey the laws of Australia. I understand that, if I should seek to become an Australian citizen: Australian citizenship is a shared identity, a common bond which unites all Australians while respecting their diversity. Australian citizenship involves reciprocal rights and responsibilities. The responsibilities of Australian citizenship include obeying Australian laws, including those relating to voting at elections and serving on a jury. If I meet the legal qualifications for becoming an Australian citizen and my application is approved I understand that I would have to pledge my loyalty to Australia and its people. All other persons included in this application, who are aged 18 years or over, have advised me that they have read, or had explained to them, information provided by the Australian government on Australian society and values and agree with the statement above. Yes

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