Application for Employer Nomination for a Permanent Appointment

Terms and Conditions

No
Yes

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.

Scheme details

Scheme type:

Business / organisation details

Legal name:

Does the applicant have a trading name?

No
Yes

Registration details

Is the applicant currently registered with the Australian Taxation Office (ATO)?

No
Yes

Is the applicant registered with the Australian Securities and Investments Commission (ASIC) or the Australian Stock Exchange (ASX)?

No
Yes

Work location postcode

Give details of the postcode where the nominated person will be employed

Postcode:

Position details

Occupation code (ANZSCO)

Nominator details

Australian Trusted Trader

Is the applicant an approved Australian Trusted Trader?

No
Yes

Trading details

Length of time the applicant has been trading in Australia:

Business structure:

Give a brief description of the business operation:

Does the applicant have a webpage?

No
Yes

Franchise details

Does the applicant have a webpage?

No
Yes

Trust details

Is the applicant the trustee for any other business activities?

No
Yes

Give details of the owners, directors, principals and / or partners.

Industry details

Industry type:

Annual turnover

Give details of the annual business turnover of the applicant for the last financial year

Annual turnover:

Range the annual turnover falls into:

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?

No
Yes

Business contact details

Contact person details

Give details of the contact person within the business / organisation.

Family name: Given names:

Position in business:

Contact telephone numbers

Business phone:

Mobile / Cell phone:

Email address

Email address:

Head office address

Give details of the business / organisation's head office address in Australia. Note that a street address is required. A post office address cannot be accepted as a business / organisation address.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the postal address the same as the head office address?

No
Yes

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Authorised recipient

Does the applicant authorise another person to receive written correspondence on their behalf?

No
Yes

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

This person is referred to as the 'authorised recipient'.

Nominated position details

Address where nominated person will be employed

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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:

Enter the number of full-time hours per week used to calculate this rate.

Number of hours per week

Monetary components of the market salary rate

Give details of the monetary components that make up the market salary rate

Total monetary components:

Non-monetary components of market salary rate

Are there any non-monetary components of the market salary rate?

No
Yes

Method of calculating the market salary rate

Does the applicant already have Australian employee(s) doing the same work as the nominated person?

No
Yes

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

Total monetary components:

Non-monetary components of the nominee's salary

Are there any non-monetary components of the nominee's salary?

No
Yes

Other details

Will the business / organisation be paying the nominated person's salary?

No
Yes

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?

No
Yes

Will the applicant make any deductions from these earnings apart from tax?

No
Yes

Will the terms and conditions of employment of the applicant's Australian employee(s) apply to the nominated person?

No
Yes

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:

Nominated Person

Nominated person details

Family name: Given names:

Sex

Male
Female
Indeterminate / Intersex / Unspecified

Date of birth:

Day

Month

Year

Passport details

Are the details of a current passport available to be entered for the nominated person?

No
Yes

Place of birth

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Residential address

Note that a street address is required. A post office address cannot be accepted as a residential address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact telephone numbers

Business phone:

Mobile / Cell phone:

Migrating members of the family unit

Are there any migrating members of the family unit included in this application?

No
Yes

ENS / RSMS Declarations

Giving false or misleading information is a serious offence.

No
Yes

The applicants declare that they

No
Yes

Have the authority to enter into legal commitments for the nominating business / organisation.

No
Yes

Will provide full-time employment for the visa applicant for at least two years.

No
Yes

Acknowledge that any resulting visa may be cancelled if holder does not commence work within six months or does not continue to work in the nominated position for at least two years.

No
Yes

Acknowledge that any non-compliance with Australian agreements, awards and conditions may incur penalties under Australia's industrial relations system and affect future immigration nominations.

No
Yes

Certifications

The applicant certifies that:

No
Yes

The applicant has the ability to fund full-time employment for the nominated person for at least two years

No
Yes

The nominated person has been employed in the position / nominated occupation on a full-time basis, undertaking work in Australia for a total period of at least three (3) years in the last four (4) year period (excluding any period where the nominated person was temporarily stood down or required to work reduced hours due to COVID-19 restrictions).

No
Yes

The nominated person has been employed in the position / nominated occupation on a full-time basis , undertaking work in Australia for a total period of at least two (2) years in the last three (3) year period (excluding any period where the nominated person was temporarily stood down or required to work reduced hours due to COVID-19 restrictions).

No
Yes

The nominated person holds relevant occupation licenses and registrations pertaining to the position to be filled

No
Yes

The nominated person's 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.

No
Yes

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.

Declarations

Giving false or misleading information is a serious offence.

No
Yes

The applicants declare that they:

No
Yes

Have read and understood the information provided to them in this application

No
Yes

Have provided complete and correct information in every detail on this form, and on any attachments to it.

No
Yes

Understand that if any fraudulent documents or false or misleading information has been provided with this application, or if any of the applicants fail to satisfy the Minister of their identity, the application may be refused and the applicant(s), and any member of their family unit, may become unable to be granted a visa for a specified period of time.

No
Yes

Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.

No
Yes

Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.

No
Yes

Understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia.

No
Yes

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.

No
Yes

Have read the information contained in the Privacy Notice (Form 1442i) .

No
Yes

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)

No
Yes

Signature

Date

Day

Month

Year

Application for Employer Nomination for a Permanent Appointment

Application for Employer Nomination for a Permanent Appointment