Client Intake Form

Confidential & Secure

Personal Details

Step 1 of 10

Fields marked * are required

Answer Yes or No to each question. Select Yes to provide further details.

Have you ever had an Australian visa refused?

Have you ever had an Australian visa cancelled?

Have you ever overstayed a visa in Australia or any other country?

Have you ever been removed, deported, or excluded from any country?

Do you have any outstanding debt to the Australian Government?

All health information is kept strictly confidential and used only for visa assessment purposes.

Have you ever had tuberculosis (TB)?

Have you had contact with a person who has active tuberculosis?

Have you had a chest x-ray that showed an abnormality?

Do you have a medical condition that may require treatment or monitoring while in Australia?

Have you ever had or currently have: blood disorder, cancer, heart disease, hepatitis, HIV, kidney disease, mental illness, pregnancy, or respiratory disease?

Do you require special medical care, specialised equipment, or daily assistance?

Answer honestly. Failure to disclose relevant information may result in visa refusal or cancellation.

Have you ever been charged with any offence in any country?

Have you ever been convicted of any offence in any country?

Has a domestic/family violence order ever been made against you?

Is there currently an arrest warrant or Interpol notice issued for you?

Are you on a sex offender register in any country?

Have you ever been acquitted of an offence due to unsoundness of mind?

Have you ever been found not fit to plead in criminal proceedings?

Have you ever been assessed as a national security risk by any country?

Have you ever been involved in war crimes, genocide, terrorism, people trafficking, or smuggling?

Have you served in the military, police, intelligence, or militia of any country?

Have you received training in weapons or explosives?

What do you need assistance with? *

Document upload coming soon. Our team will contact you to collect your documents securely after reviewing this form.

The following documents will be required — please have them ready:

Passport
Visa Grant Letter
VEVO Check
COE (Confirmation of Enrolment)
Academic Documents
English Test Results
Resume / CV
Refusal / Cancellation Letters (if any)

I declare that the information provided is true and correct. I understand that false or misleading information may affect my visa application. I consent to ImmigrationIQ collecting and using my information for assessment, education, and migration assistance purposes.