1012272014 —_hitpsfeftrade.nsw gov aulsysmigration8et3enneacassicl60756945452 ee 4a 19634075024537/190_Application 22910914 php Erma: mira enguriaeaby Application for NSW Nomination for a Business/Skilled - Nominated Visa * ‘Thank you for your intrest in migrating to NSW. To be eligible for NSW nomination, you must demonstrate that you meet NSW nomi Department of Immigration and Border Protcetion (DIBP) of the visa for which you intend to apply wll athe visa riot commencing an application, please ensue that you mect the visa requirements and can submit all appropiate evidence to support you claims. Applicants shuld ensure that they meet the eligibility criteria in place atthe time tat they submit an application. Applicants who donot meet he eligibility criteria should Applicants must meet NSW nomination evitria that aplics athe time that they apply for NSW nomination. Applicants who do nat meet NSW criteria tne of ppictc sccupation = wil be declined. Please ensure yu complet this form using Google Chrome td donot ab through this frm This application form cannot be saved. Do not complete tis form until you are ready to submit your aplication, upload your evdenceané make payment. * Which vse ae you seeking NSW nomination for? 190 Have you read NSW nomination information and DIBP information on ths yg» Link to DIBP + Skillet BOI Number Cc Nominated Oovupaton For information on occupations cently eligible for NSW nomination please refer tothe NSW State Sled Oseuption List. ‘Tocomplete dropdown mens below, select your eld of employment followed by your nominated occupation Field cr " + Nominated Occupation Sebel fell— 7 Checklist “Ths form canot be saved. Please make sure you hve all the required documsntaton before you commence. The evidence that you upload to support your claims should «colour or cotied black and white copes of the original. Any evidence thats atin English should be, uansated by a National Accreditation AWosty fr Taplaors ane (NAAT secreted tala, Mandatory Bio-data page of passport ™ Cates asssement fom relevant asseingautoty glsh language ability estrus = IFLTSIOET *, Educational qulifetions * Full curiouum vitsesume © Opvional Employment references, Levers of erence Contracts of employment Payrll ecords tx tums o ther employment evidence Applicant self assessment - Points claims ‘Completing this self assessment and subaiting your application des not guaratee NSW nomination. Your application wil e rigorously assessed against he requirement information and evidence that you submit o suppor your cain, For more detailed informacion on the eit and asesamentgudeline, pleas refer o NSW nom DIRE website A * Dat of Bi diam] a Tol Pi — Enlsh Language Ay “IELTS. oH *Lisening — + ealne = + wating — * Speaking Ca oer : + Lining SS * Resting — + wig — * sping SS hips rade.nsw gov aulsysmigraliongels/enineoclassc/60766945452 ee /4a91a634075024537/190_Applcation 22910914 ahpl 181012272014 —_hitpsfeftrade.nsw gov aulsysmigration8et3enneacassicl60756945452 ee 4a 19634075024537/190_Application 22910914 php “Tota Pints ‘Educational Qualifications ‘Education! qualiffation can be fom an Australian edcstionlinsiution or awarded by an overseas educational instition of recognised standard * Educational Qualifications “Tota Points Ca Ce ‘Stille Employment ‘Toclaim pois for skilled employment you must have, inthe 10 years before you are invited to apply, a least 20 paid hours of paid work per Weck in your nominated sill ‘ra closely related occupation. A muaxintu of20 pints can be awarded fr aay combination of ovescas and Austalian skid employment! 1. Overseas siled employment 2. Auta skilled employment “Tota Pints Other Pains Chins “Tova Pints “Tota Pints ‘Nomination by New South Wales SELF ASSESSMENT GRAND TOTAL ‘Who is Completing Tis Fors? ‘Are you a Migration Agent? MIGRATION AGENT DETAILS Tite + Given Name(s) + Last Name il Ades * Contaet number ~inchode intrational dling code i ouside Austeta ‘MARA Reystation Number ‘Organisation Name Migration Agent Address Adare | Adees2 County Applicant Details Tide * Given Name(s) Last Name Bil Address * Cootact number ~inchide intemational dising code if outside Australia * Counny of bith * citizenship Passport expiry date [ddmmyyyy} Austalian Visa ype beld (any) ‘Via expiry date (d/nyyyy] ‘Your Current Residential Address Adare * Suburb Town | SateTenitory Post Code * Country Depends Do you have any dependants? + Number of dependents Supporting Documents For your appiction 1 be processed pene: ‘Uplond each document as. an invidunt e ‘Chick the Ad File utton fo upload each file separately Save les in PDF formal Ce Aumalia study ualifieatons (Credeniled community language qualifications, Studying aod ving in egonal Australi, Pare sl "Name files appropriately. For example, "passport pal, “skills assessment pi", "employment pl” ‘Sean documents clearly citer in colour or certified black and white copes of the original Review scanned documents and ensure thatthe canned copy is clear and easy to e88, Set camera or scanner o low resolution to prevent unnecessarily are les [Name ies appropriately. For example, “passport pa", skills assessment pl, “employment pd" hips rade.nsw.gov aulsysmigralionels/enineoclassc/60765945452 ee /4a91a634075024837/190_Applcation 22910914 phpl 281012272014 —_hitpsfeftrade.nsw gov aulsysmigration8et3enneacassicl60756945452 ee 4a 19634075024537/190_Application 22910914 php + Tota filesize cannot be lager than 25M (25 00K) stony dn + Bio dia page ofthe passport please do not scan entire paso. + Valid sills assesment fom slevant assessing authority for Your occupation + English language aby results TELTSIOFT + Educational qualifications ~ certificates and academic transcripts Fall curculum viteresume Evidence to uportal ponts-relatd claims that you make in your aplication Please note: soporting dacuments wil only upload afer you “submit” your application, may take 3 moment fr the files upload (vmetimes several mines), Pleased refresh the browser window. New File Upload + Document Type 1 chose Fie JNo fe chosen © catenin de Yale Privacy Statement ‘The personal information you provide on thi form it suet the Privacy & Personal Inforition Proestion Act 1998. I being clleted by NSW Trade & Investment ‘purpose eat fo NSW nomination fora Skilled Nominated vss (subelse 190), [NSW Trade &tavestment will nt disclose your persona information anybody ese unless authorised bylaw. The provision of this information isrquied tbe supe assessing your eligibility fr NSW Nomination fora Skilled ~ Nominated visa Subclass 190), you choose nol wo provide the requested inforsation we may not beable to smpliation ‘You ve the right to request accesso, and comet detail of your perooal information held by the department. Further information regarding privacy can be obtained fot Investment website at ww rade nsw gov auegaLarivacy Declaration LIMITATIONS OF NSW NOMINATION [NSW nominatsseplians to aply for a Skiled Nominated visa if they mest NSW cligiilityrquiement in an occupation thai on NSW Skilled Oceupetons List NS" ‘hey apply for NSW nomination. The oceupatons eligible for NSW nomination wil hinge from Sime to ine depending om economic need, Applicants wha do no meet ‘rite ncdng whose oseupaton notion the NSW SOL atthe time tht they apply for nomination, wil be declined Allaplistons are assessed agninet te criteria on the base of information and evidence submited to support claims made. Applicat wh demoastrete that they most NS nomination and who submit properly documented aplication, may be nominated by NSW to apply forthe Skiled~ Nominated (sbelass 190) visa, however NSW nonin ‘guaranteed at ny ste ‘Obtaining NSW nomination sony the fst step for prospective migrants to obtain this visa Applicants applying for NSW nomination should also be aware tha: + NSW nomination is valid for one nomination and agaist one Expression of Increst (EON oly ‘NSW nominations wali for 60 days only anda nomination doesnot imply that NSW wil approve any subsegucnt applications for sate nomination 5 The Departmen of Immigzain and Border Proecon (DIBP) hs soe responsiblity fer the grating of aso enter or stay in Atsralia and NSW nomination doce migration advice or mean hut a visa application wll be approved by the DIB. + NSW nomination docs pot consiute te ranting of vis Lo eer sayin Avstal APPLICANT DECLARATIONS {consent fo NSW Trae & lavestncnt shoring te information provided in my NSW nomination aplication form withthe Deparment of Immigration and Borer Proteti ‘hid paes forthe purposes of vecation and processing of my nomination andor visa application. | declare tha the information submited in his apliston iste and aceurate and that have read CommonweakBVNSW criteria for this visa and assess that I mest this {acknowledge tha NSW nominations vali for one nomination and against one pression of Interest (1 umber only [granted a Skilled - Nominated visa subclass 190) by th Department of Immigration and Border Protection (DIBP), apre te: + Live and wosk in NSW for to yeas fom the date of visa grant (if aeady residing in Australia or the date of my aval in Auta. ‘+ Advise NSW Trade & Investment of my adress on arcival in NSW (if applicable) and of ay change of home or business adress using tbe frst wo yeas tbat res + Respond to NSW Trade & Investment surveys or requests for update information on employment and stement in NSW. | have read the information sted above and understand and acept these conditions (OR am Migration agent completing this form on behalf of my cient. MIGRATION AGENT DECLARATIONS Tee hat have informed the applicant of the information contained in this apliaion "believe tha the applicant understands the information have rend the information listed above and understand a cept these condtins Pay Now Ressv Dae —, * Required Field hips rade.nsw gov aulsysmigraliongels/enineoclassc/60765945452 1e014a91a634075024537/190_Application 22910914 phpl a3