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EXPRESSION OF INTEREST (EOI) FORM for

SKILLED NOMINATED REGIONAL SUBCLASS 489

Your Details
Family name

Given name(s)

Sex MALE  FEMALE 

Date of birth DD/MM/YYYY

Email address

Phone number

Address: Street

Suburb

State

Postcode

Country

Occupation

ANZSCO Code
SkillSelect EOI reference number
(if known)
Please note the SkillSelect EOI reference
number is not mandatory at this stage.

Documents
Please attach copies of the following documents. Maximum file size per email is 10MB each. Multiple emails are
permitted to allow for sending of all required documents.

 IELTS test results


 Skills assessment
 Passport bio page
 Resume

2097152

___________________________________________________________________________________________________
Office Use Only: Date Received _______________ Completed _______________ Application Invited Yes/ No

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