| Nationality |
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| Date of Birth |
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| Highest education standard attained |
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| Qualification Details |
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| Occupation, main job functions, and since when? |
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| Nominated Occupation |
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| Self Employed/Business |
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| Funds and/or assets you be willing to invest in Australian (AUS$) |
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| I am interested in studying a |
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| Preferred study area (eg: Engineering) |
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| English efficiency (approx indication) |
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| Other languages |
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| Relatives in Australia |
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| Do you, or anyone else in your family unit, have any health problems or criminal record? |
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| Settlement in Australia |
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| Comments |
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