PSW VISA APPLICATION FORM
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PERSONAL INFORMATION (OUTSIDE AUSTRALIA)
First Name
Middle Name
Last Name
Suburb
Town/City
State
Postcode
Country
Email Address
Phone number
Gender
Male
Female
Other
Marital Status
Married
Never Married
De Facto
Divorced
Separated
Engaged
Widowed
Date of Birth
National ID No.
PERSONAL INFORMATION (INSIDE AUSTRALIA)
Street name
Suburb
Postcode
State
New South Wales
Victoria
Northern Territory
South Australia
Western Australia
Australian Capital Territory
Tasmania
Queensland
TRAVEL DOCUMENT INFORMATION
Passport No.
Country
Issued Date
Expiry Date
Place of Issue
OTHER TRAVEL DOCUMENT INFORMATION (IF ANY)
Old Passport No.
Country
Issued Date
Expiry Date
Place of Issue
CURRENT OR PREVIOUS VISA
Identification type
Select identification type
Visa Grant Number
Application ID
Transaction Reference Number
Enter visa identification type
HIGHEST EDUCATION QUALIFICATION
Course Level
Doctorate
Masters
Bachelors
Associate Degree
Advanced Diploma
Diploma
Certificate
Year 12
Year 10
Date of Completion
Full Course Name
College/University
PARTNER'S INFORMATION (IF ANY)
First Name
Middle Name
Last Name
Town/City
Suburb
State
Postcode
Country
Email Address
Phone Number
Gender
Male
Female
Marital Status
Married
Never Married
De Facto
Divorced
Separated
Engaged
Widowed
CHILDREN INFORMATION (IF ANY)
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
PARENTS INFORMATION
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Country of residence
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Country of residence
SIBLING(S) INFORMATION
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Country of residence
Relationship
Brother
Sister
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Country of residence
Relationship
Brother
Sister
First Name
Middle Name
Last Name
Gender
Male
Female
Date of Birth
Country of residence
Relationship
Brother
Sister
HEALTH COVER INFORMATION
Provider Name
nib OSHC
Medibank
ahm OSHC
Bupa
Allianz
Policy Number
Start Date
Expiry Date
SUBMIT FORM
