Nomination application form Nomination application form Nomination application form Step 1 of 17 5% Terms and ConditionsView Terms and Conditions View Privacy Statement* I have read and agree to the terms and conditions Application contextAll 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 nameLegal name*Related sponsorshipProvide the related sponsorship's identification number.Reference number type*Sponsorship Application ID numberSponsorship Application Transaction Reference Number (TRN)Sponsorship Application ID numberTransaction Reference Number (TRN)International trade agreementIs the applicant seeking concessions under the provisions of an international trade agreement?* Yes No Citizenship of nominee*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsIs 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.CountryStatus 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 transferIs this an intra-corporate transfer?* Yes No Provide details of where the nominee is currently working.Legal nameCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCurrent position detailsWill the nominee be responsible for a substantial part of the business' operations in Australia? Yes No Give detailsPostcodeEnter the postcode where the nominated person will spend most of their working hours. Postcode*OccupationOccupation code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ccupation name (ANZSCO) Caveat on occupationReason caveat does not applySelect the reason the caveat does not apply Sponsor detailsAnnual turnoverGive details of the annual turnover of the applicant for the last financial year.Annual turnover*Range the annual turnover falls into*Less than AUD 100,000AUD 100,000 to less than AUD 1 millionAUD 1 million to less than AUD 2 millionAUD 2 million to less than AUD 4 millionAUD 4 million to less than AUD 10 millionAUD 10 million to less than AUD 25 millionAUD 25 million and aboveAdverse informationIs 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 DetailsLabour hire practicesIs the applicant nominating the position(s) to recruit or hire out overseas workers to an unrelated business?* Yes No Give details Business contact detailsBusiness contact personA 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 numbersEnter numbers only with no spaces.Business phoneMobile / Cell phoneEmail addressEmail address*Postal addressCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAddressAddress 2State or ProvinceAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern australiaState or ProvincePostal code Nomination contact personDoes 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 agentMARNFamily nameGiven namesOrganisationAuthorised recipient contact detailsAuthorised personFamily nameGiven namesPostal addressCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAddressAddress 2Suburb / TownState or ProvinceAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern australiaPostal codeContact telephone numbersEnter numbers only with no spaces.Business phoneMobile / Cell phoneElectronic communicationThe 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 addressNote: 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 detailsProposed period of employmentProposed period of employment of the nomineeUp to 1 yearUp to 2 yearsUp to 3 yearsUp to 4 yearsPosition detailsJob titleDescribe 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. ResponsibilitiesMain tasksOther information about the position, including information about why this position cannot be filled from the local labour marketQualifications for the positionDescribe 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 qualificationsRelevant skillsRelevant experienceDoes the position require the nominee to hold a licence, registration or professional membership? Yes No Registration / Licensing / Professions membership requirements Workforce detailsOf 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 detailsWhat is the total number of Australian citizens or permanent residents employed by the applicant as:ProfessionalsTradespersonsRecent Australian university graduates with less than 12 months work experienceApprentices employed under a training agreement or contract of trainingOther trainees employed under a training agreement or contract of trainingOtherForeign employment detailsOf 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 holdersSkilled Employer Sponsored Regional (Provisional) (subclass 494) visa holdersOther temporary work or temporary activity visa holdersOverseas studentsWorking holiday makersOther Salary arrangements for an equivalent Australian workerGive 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 weekEnter the number of full-time hours per week used to calculate this rate.Monetary components of the market salary rateGive details of the monetary components that make up the market salary rate.Salary componentDescriptionAmount Non-monetary components of market salary rateAre there any non-monetary components of the market salary rate? Yes No Give detailsNon-monetary componentAgreed monetary value Method of calculating the market salary rateDoes the applicant already have Australian employee(s) doing the same work as the nominated person? Yes No Employment arrangementSelect the type of employment arrangement that applies to an equivalent Australian employee. AwardCollective / enterprise agreementIndividual arrangementOtherGive DetailsAre there other terms and conditions that apply to the Australian employees? Yes No Give DetailsThe 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 typeGive Details Salary details of nominated positionGive 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 earningsNumber of hours per weekMonetary components of the nominee's salaryListSalary componentDescriptionAmount Non-monetary components of the nominee's salaryAre there any non-monetary components of the nominee's salary? Yes No Give detailsNon-monetary componentAgreed monetary value Other detailsWill the business / organisation be paying the nominated person's salary? Yes No Give detailsHas 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 detailsWill the applicant make any deductions from these earnings apart from tax? Yes No Give details including amounts and purpose of deductionsWill 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 positionGive details of the main location where the nominated person will be working. Address where nominated person will be employedBusiness name at this locationBusiness web site / URLCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAddressAddress 2State / TerritoryAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern australiaPostcodeHours per week at this locationBusiness contact person at this locationFamily nameGiven namesPosition in businessContact telephone numbersEnter numbers only with no spaces.Business phoneMobile / Cell phoneEmail addressEmail addressAlternative locationsWill the nominated person be working in any other location? Yes No Add detailsBusiness name at this locationHours per week at this location Labour market testingWas 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 DetailsThe 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 TestingLess than 28 days28 days to 3 monthsUp to 6 monthsOver 6 monthsOngoingAdvertisements for the positionProvide 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 detailsHas 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 detailsDoes 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 detailsNominee's personal detailsFamily nameGiven namesSex Female Male Other Date of birth MM slash DD slash YYYY Nominee's Australian immigration historyDoes 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 detailsAre current contact details available to be entered for the nominated person? Yes No Nominee's relationship to the applicantIs the nominee an owner, director, principal or partner of the applicant? Yes No Role/position(s) held 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 nomineeFamily nameGiven namesPosition / roleRelationship to nominee Nominee's accompanying members of the family unitWill 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 withdrawalIf 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 CertificationsThe 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 sponsorshipSection 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 DeclarationsGiving 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 1442iHave 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 Email