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Nomination application form
Nomination application form
Michael
2020-11-03T00:55:07+11:00
Nomination application form
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Terms and Conditions
View Terms and Conditions
View Privacy Statement
*
I have read and agree to the terms and conditions
Application context
All references to 'the applicant' in this form relate to the legal entity that is nominating the worker/position. Refer to help text for further information.
Select the option which best describes the sponsorship this nomination is being lodged under:
*
The applicant's sponsorship has been approved, or they have applied to become a sponsor, under the Australian business provisions.
The applicant's sponsorship has been approved, or they have applied to become a sponsor, under the Overseas business provisions.
The applicant is a party to a Labour Agreement or have commenced negotiations with the Department to enter into a Labour Agreement.
Legal name
Legal name
*
Related sponsorship
Provide the related sponsorship's identification number.
Reference number type
*
Sponsorship Application ID number
Sponsorship Application Transaction Reference Number (TRN)
Sponsorship Application ID number
Transaction Reference Number (TRN)
International trade agreement
Is the applicant seeking concessions under the provisions of an international trade agreement?
*
Yes
No
Citizenship of nominee
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Is the nominee a citizen or permanent resident of any other country?
*
Yes
No
Give details of other citizenship or permanent residence that the nominee might hold.
Country
Status
Citizen
Permanent resident
Has the nominee been working for the applicant in Australia, in the nominated position for at least the last two years?
*
Yes
No
Date employment commenced
MM slash DD slash YYYY
Intra-corporate transfer
Is this an intra-corporate transfer?
*
Yes
No
Provide details of where the nominee is currently working.
Legal name
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Current position details
Will the nominee be responsible for a substantial part of the business' operations in Australia?
Yes
No
Give details
Postcode
Enter the postcode where the nominated person will spend most of their working hours.
Postcode
*
Occupation
Occupation code (ANZSCO)
111111
111211
121111
121211
121212
121213
121214
121215
121216
121217
121221
121299
121311
121312
121313
121314
121315
121316
121317
121318
121321
121322
121399
121411
131112
131113
131114
132111
132211
132311
132411
132511
133111
133112
133211
133411
133511
133512
133513
133611
133612
134111
134211
134212
134213
134214
134299
134311
134411
134412
134499
135111
135112
135199
139911
139912
139913
139914
139915
139999
141111
141211
141311
141999
142115
149111
149112
149113
149212
149311
149413
149912
149913
149914
211112
211212
211213
211299
211311
212111
212212
212312
212314
212315
212316
212317
212318
212411
212412
212413
212415
212416
212499
221111
221112
221113
221211
221213
221214
222111
222112
222113
222199
222211
222213
222299
222311
222312
223111
223112
223113
223211
224111
224112
224113
224212
224213
224214
224311
224412
224511
224512
224611
224711
224712
224912
224914
224999
225111
225112
225113
225211
225212
225213
225311
225499
231111
231113
231114
231213
232111
232112
232212
232213
232214
232311
232312
232313
232411
232412
232413
232414
232511
232611
233111
233112
233211
233212
233213
233214
233215
233311
233411
233511
233512
233513
233611
233612
233911
233912
233913
233914
233915
233916
233999
234111
234112
234113
234211
234212
234213
234311
234312
234313
234399
234411
234412
234413
234511
234513
234514
234515
234516
234517
234518
234599
234611
234711
234911
234912
234913
234914
234915
234999
241111
241213
241311
241411
241511
241512
241513
241599
242111
242211A
242211B
249111
249211
249212
249214
249299
249311
251111
251112
251211
251212
251213
251214
251311
251312
251411
251412
251511
251512
251513
251911
251912
251999
252111
252112
252211
252213
252214
252299
252311
252312
252411
252511
252611
252711
252712
253111
253112
253211
253311
253312
253313
253314
253315
253316
253317
253318
253321
253322
253323
253324
253399
253411
253511
253512
253513
253514
253515
253516
253517
253518
253521
253911
253912
253913
253914
253915
253917
253918
253999
254111
254211
254212
254311
254411
254412
254413
254414
254415
254416
254417
254418
254421
254422
254423
254424
254425
254499
261111
261112
261211
261212
261311
261312
261313
261314
261399
262111
262112
262113
263111
263112
263113
263211
263212
263213
263299
263311
263312
271111
271214
271299
271311
272111
272112
272113
272114
272115
272199
272311
272312
272313
272314
272399
272412
272413
272499
272511
272611
272612
272613
311111
311211
311212
311213
311214
311215
311216
311299
311312
311399
311411
311412
311413
311499
312111
312113
312114
312116
312199
312211
312212
312311
312312
312511
312512
312611
312911
312912
312913
312999
313111
313112
313113
313199
313211
313212
313213
313214
321111
321211
321212
321213
321214
322113
322211
322311
322312
322313
323111
323112
323113
323211
323212
323213
323214
323299
323313
323314
323412
324111
324211
324212
324311
331111
331112
331211
331212
331213
332111
332211
333111
333211
333212
333311
333411
334111
334112
334113
334114
334115
341111
341112
341113
342111
342211
342212
342311
342313
342314
342315
342411
342413
351111
351112
351211
351311
351411
361111
361112
361114
361199
361311
362111
362211
362212
362213
362311
362411
391111
392111
392311
393213
393311
394111
394211
394213
394299
399111
399112
399212
399213
399411
399512
399514
399516
399599
399611
411111
411112
411211
411213
411214
411311
411411
411611
411711
411712
411713
411715
411716
441211
451211
451399
451711
451815
452311
452312
452313
452314
452315
452316
452317
452321
452411
452413
452499
511111
511112
599612
599915
611211
612112
612115
639211
Occupation name (ANZSCO)
Caveat on occupation
Reason caveat does not apply
Select the reason the caveat does not apply
Business turnover more than specified minimum
Salary more than specified minimum
Employee numbers more than specified minimum
Position is not in an excluded location
Position does not involve low-skilled tasks
International trade obligation applies
Position has been endorsed/certified by relevant body
Nominee eligible for grandfathered provisions
Other
Sponsor details
Annual turnover
Give details of the annual turnover of the applicant for the last financial year.
Annual turnover
*
Range the annual turnover falls into
*
Less than AUD 100,000
AUD 100,000 to less than AUD 1 million
AUD 1 million to less than AUD 2 million
AUD 2 million to less than AUD 4 million
AUD 4 million to less than AUD 10 million
AUD 10 million to less than AUD 25 million
AUD 25 million and above
Adverse information
Is there any adverse information to declare about the applicant or a person associated with the applicant, including any information relating to the contravention of Australian laws, insolvency, sponsorship breaches and/or other circumstances which might reasonably be considered adverse information?
*
Yes
No
Give Details
Labour hire practices
Is the applicant nominating the position(s) to recruit or hire out overseas workers to an unrelated business?
*
Yes
No
Give details
Business contact details
Business contact person
A contact person for the applicant must be nominated to whom departmental enquiries may be directed during the nomination application process. The address or contact details of the applicant's migration agent should not be entered on this page.
Family name
*
Given names
*
Position in business
*
Contact telephone numbers
Enter numbers only with no spaces.
Business phone
Mobile / Cell phone
Email address
Email address
*
Postal address
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Address
Address 2
State or Province
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western australia
State or Province
Postal code
Nomination contact person
Does the applicant authorise another person to receive written correspondence on their behalf?
This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.
No
Yes, a migration agent
Yes, another person
Migration agent
MARN
Family name
Given names
Organisation
Authorised recipient contact details
Authorised person
Family name
Given names
Postal address
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Address
Address 2
Suburb / Town
State or Province
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western australia
Postal code
Contact telephone numbers
Enter numbers only with no spaces.
Business phone
Mobile / Cell phone
Electronic communication
The Department prefers to communicate electronically as this provides a faster method of communication. All correspondence, including notification of the outcome of the application will be sent to:
Email address
Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.
Nominated position details
Proposed period of employment
Proposed period of employment of the nominee
Up to 1 year
Up to 2 years
Up to 3 years
Up to 4 years
Position details
Job title
Describe the position to be undertaken, including responsibilities and main duties.
Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.
Responsibilities
Main tasks
Other information about the position, including information about why this position cannot be filled from the local labour market
Qualifications for the position
Describe the qualifications, relevant skills, employment experience and registrations/licenses required to be held by the nominee. Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.
Relevant qualifications
Relevant skills
Relevant experience
Does the position require the nominee to hold a licence, registration or professional membership?
Yes
No
Registration / Licensing / Professions membership requirements
Workforce details
Of the Australian operations of the applicant, what is the total number of:
Australian employees (including Australian citizens and permanent residents)
Foreign employees (i.e. non-Australian citizens or non-permanent residents)
Australian employment details
What is the total number of Australian citizens or permanent residents employed by the applicant as:
Professionals
Tradespersons
Recent Australian university graduates with less than 12 months work experience
Apprentices employed under a training agreement or contract of training
Other trainees employed under a training agreement or contract of training
Other
Foreign employment details
Of the total number of foreign employees, what is the number of:
Temporary Skill Shortage (subclass 482) visa holders and Temporary Work (Skilled) (subclass 457) visa holders
Skilled Employer Sponsored Regional (Provisional) (subclass 494) visa holders
Other temporary work or temporary activity visa holders
Overseas students
Working holiday makers
Other
Salary arrangements for an equivalent Australian worker
Give details of salary arrangements for an equivalent Australian worker in the nominated position. Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed. Enter the salary that would be paid to an Australian worker to do the equivalent work for one year (full-time hours).
Market salary rate
'Total non-monetary components' plus 'Total monetary components' must equal 'Market salary rate'.
Number of hours per week
Enter the number of full-time hours per week used to calculate this rate.
Monetary components of the market salary rate
Give details of the monetary components that make up the market salary rate.
Salary component
Description
Amount
Wages
Annualised salary
Guaranteed allowance
Guaranteed overtime
Guaranteed loading
Other
Non-monetary components of market salary rate
Are there any non-monetary components of the market salary rate?
Yes
No
Give details
Non-monetary component
Agreed monetary value
Accommodation
Meals
Accommodation and meals
Car/transport
Health insurance
Additional superannuation contribution
Other
Method of calculating the market salary rate
Does the applicant already have Australian employee(s) doing the same work as the nominated person?
Yes
No
Employment arrangement
Select the type of employment arrangement that applies to an equivalent Australian employee.
Award
Collective / enterprise agreement
Individual arrangement
Other
Give Details
Are there other terms and conditions that apply to the Australian employees?
Yes
No
Give Details
The applicant declares that the market salary rate provided reflects the salary package received by equivalent Australian employee(s).
Yes
No
Give details of the evidence provided to demonstrate the salary arrangements for this Australian worker.
Note: if the Australian employee is being paid above the award rate provide copies of relevant employment contracts and pay slips, as well as details of the relevant agreement or award.
Evidence type
Give Details
Enterprise Agreement
Industrial award
Employment contract
Payslips
Other
Salary details of nominated position
Give details of salary arrangements that the applicant proposes will apply to the nominee in the nominated position. Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed.
Guaranteed annual earnings
Number of hours per week
Monetary components of the nominee's salary
List
Salary component
Description
Amount
Wages
Annualised salary
Guaranteed allowance
Guaranteed overtime
Guaranteed loading
Other
Non-monetary components of the nominee's salary
Are there any non-monetary components of the nominee's salary?
Yes
No
Give details
Non-monetary component
Agreed monetary value
Accommodation
Meals
Accommodation and meals
Car/transport
Health insurance
Additional superannuation contribution
Other
Other details
Will the business / organisation be paying the nominated person's salary?
Yes
No
Give details
Has the nominated person agreed to pay the employer or the employer's agent for any purpose whatsoever included, but not limited to, recruitment, travel, visa application or agent fees?
Yes
No
Give details
Will the applicant make any deductions from these earnings apart from tax?
Yes
No
Give details including amounts and purpose of deductions
Will the terms and conditions of employment of the applicant's Australian employee(s) apply to the nominated person?
Yes
No
Give details
Location of the nominated position
Give details of the main location where the nominated person will be working.
Address where nominated person will be employed
Business name at this location
Business web site / URL
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Address
Address 2
State / Territory
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western australia
Postcode
Hours per week at this location
Business contact person at this location
Family name
Given names
Position in business
Contact telephone numbers
Enter numbers only with no spaces.
Business phone
Mobile / Cell phone
Email address
Email address
Alternative locations
Will the nominated person be working in any other location?
Yes
No
Add details
Business name at this location
Hours per week at this location
Labour market testing
Was Labour Market Testing required for this position?
Yes
No
Is the applicant permitted to provide flexible evidence as an alternative to specific advertising details?
Yes
No
Give Details
The applicant declares that Labour Market Testing has been conducted in accordance with current Labour Market Testing requirements.
Yes
No
Review the Department's website for details of Labour Market Testing requirements. If this application is lodged without having advertised the position in accordance with these requirements, it will not be able to be approved.
Commenced date
MM slash DD slash YYYY
Length of Labour Market Testing
Less than 28 days
28 days to 3 months
Up to 6 months
Over 6 months
Ongoing
Advertisements for the position
Provide the details of all advertisements for the position.
Describe where and how the applicant advertised the position
Date advertisement published
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Other details
Has the applicant retrenched any Australian citizens or Australian permanent residents in the nominated occupation, or made their positions redundant, in the last four months?
Yes
No
Give details
Does the applicant operate in the Agricultural sector?
Yes
No
Is the nominated person the holder of a Subclass 417 (Working Holiday) visa, or a Subclass 462 (Work and Holiday) visa who is currently employed by the applicant?
Yes
No
Nominee's details
Nominee's personal details
Family name
Given names
Sex
Female
Male
Other
Date of birth
MM slash DD slash YYYY
Nominee's Australian immigration history
Does the nominee already hold a primary subclass 457 or 482 visa?
Yes
No
Is the nominee currently in Australia?
Yes
No
Has the nominee ever applied for, or held a visa to come to Australia?
Yes
No
Nominee's contact details
Are current contact details available to be entered for the nominated person?
Yes
No
Nominee's relationship to the applicant
Is the nominee an owner, director, principal or partner of the applicant?
Yes
No
Role/position(s) held
Company secretary
Director
Owner
Partner
Shareholder
Does the nominee have an existing relationship with any of the owners, directors, principals or partners of the applicant?
Yes
No
Give details of the relevant owner, director, principal or partner and their relationship to the nominee
Family name
Given names
Position / role
Relationship to nominee
Company secretary
Director
Owner
Partner
Shareholder
Aunt
Brother
Business Associate
Child
Cousin
Daughter/Son-in-law
Fiance/Fiancee
Friend
Grand Child
Grand Parent
Mother/Father-in-law
Nephew
Niece
Parent
Sister
Sister/Brother-in-law
Spouse/De Facto Partner
Step Child
Step Parent
Step-brother
Step-sister
Uncle
Nominee's accompanying members of the family unit
Will the nominee be accompanied by any members of their family unit?
Yes
No
Unknown
Add details
Family name
Given names
Date of birth
Passport number
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Nomination withdrawal
If the associated sponsorship application is refused or withdrawn, does the applicant want to withdraw this nomination application?
Yes
No
If the nomination application is withdrawn, does the applicant want to seek a refund of the associated nomination fees?
Yes
No
Certifications
The applicant certifies that:
The applicant has the authority to enter into legal commitments for the nominating business/organisation.
Yes
No
The tasks of the position include a significant majority of the tasks of the nominated occupation as listed in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement, and the position is not excluded by a caveat.
Yes
No
The qualifications and experience of the nominee are commensurate with the qualifications and experience specified for the nominated occupation in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement.
Yes
No
The nominated occupation is a position with the applicant, or an associated entity of the applicant, or the nominated occupation is specified in the relevant Legislative Instrument.
Yes
No
The nominated position has not been created solely to secure a migration outcome for the nominee.
Yes
No
The nominated occupation fits within the nature, size and scope of the applicant.
Yes
No
The proposed salary for the nominated position is the market salary rate for positions in the nominated occupation in the location where the applicant operates.
Yes
No
The applicant will be engaging the nominee as an employee under a written contract of employment.
Yes
No
The nominated occupation is exempt from this requirement
The written contract of employment will comply with all requirements imposed by Commonwealth, State or territory law relating to employment including, if applicable, the National Employment Standards.
Yes
No
The nominated occupation is exempt from this requirement
Paying for visa sponsorship
Section 245AR of the Migration Act 1958 prohibits asking for or receiving a benefit in return for the occurrence of a 'sponsorship-related event' as defined by section 245AQ of that Act. Refer to
Paying for visa sponsorship - certification requirement
for more information.
The applicant certifies that they have not engaged in conduct in relation to this nomination that constitutes a contravention of subsection 245AR(1) of the Migration Act 1958.
Yes
No
Declarations
Giving false or misleading information is a serious offence. The applicant declares that they:
Have read and understood the information provided to them in this application.
Yes
No
Have provided complete and correct information in every detail on this form, and on any attachments to it.
Yes
No
Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.
Yes
No
Form 1442i
Have read the information contained in the Privacy Notice (Form 1442i).
Yes
No
Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).
Yes
No
Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.
Yes
No