Tra Application Scan

Pl!EASE A TTACIH TH~S !
PAGE TO THE fFIRONT OF YOUR

APf?l~CA T~ON
Name
f--~_11_1_F_U_L__A_L·_ _i1_M_ _ _ _ _--ll Date of Birth
TRA Reference number . Agent
Amount Paid
How are you paying for your oVisa \.)i"Master Card

application fee?
If you are unable to pay by Visa or MasterCard, please contact TRA about alternate payments methods.
Do not send your application form until we have advised you how to pay.
For further information regarding the fees, refer to the TRA Migration Skills Assessment Applicant
Guidelines.
~ .. DEClARATION AND !P>R~VACY STATEMENT

Have you (and your agent/representative, if applicable) signed the Declaration and ~es
1
Privacy Statement in Part 1o of y·o ur application? \)'l r
IMPORTANT Note: If you and your agent/representative have not signed your application TRA
may return your application to you not assessed.
Department of Education and Training

TRA Migration Skills Assessment Application Form version 6.0
Page 13 of 15
Aust.rallian Government
Document publishing date (July 2015)
Important Information
This version of the TRA Migration Skills Assessment Application is unable to be

completed electronically and should be printed and completed by hand .
.· -~ --·,

What can I apply for using this form?
Use this form to apply for a TRA Migration Skills Assessment of your qualifications and
employment to determine whether you have the skills and experience required for a skilled
worker in your nominated occupation in Australia.
The TRA Migration Skills Assessment Applicant Guidelines (Guidelines) provide information
about the eligibility requirements and process of applying for a TRA Migration Skills
Assessment. These Guidelines are available on the TRA website
(http://tradesrecognitionaustralia.gov.au). It is strongly recommended that you read the
Guidelines before completing this form. A document checklist is also available on the TRA
website.
Please answer all questions and tick the relevant boxes.
Fields marked with a G must be completed.

Leaving a question blank may delay the processing of your application or result in an unsuccessful
outcome ..
Have you previously applied to o Yes, please write your TRA Reference number ~o
Trades Recognition Australia? * below
TRA Reference Number
INFORMATION ABOUT YOUR NOMINA TED OCCUPATION
What _occu_pation are. you seeking a Title:... 1::1_£-t..-TRIC.AL fNC~I- ANZSCOCode: 1 JQ..312._
. 3
. . .
*
~ ·• . .
migration assessment for? NEF-1<. TEcJ1N(i.!.iAN

For more information about skilled occupations referto Skilled
Occupation List (SOL) or Consolidated Sponsored Occupation
List (CSOL) on the Department of Immigration and Border
Protection website.
INFORMATION ABOUT YOUR PASSPORT AND AUSTRALIAN VISA
Passport Number
Country of Passport Issue ~

G/~1\l&, LA DES ft
·What visa-sub-class are you
intending to apply for? * SUB c. LAS.<S !50 .
Do you have a current Australian o Yes

visa? ~
· If yes, what is your Australian Visa I ~-

Sub Class? * NA
L---------------------------------------------~
Department of Education and Training ·

Page 2 of 1.5
First Name Q
~AIFUL
Middle Name
Family Name * ALAM
Date of Birth ~ Day ~Month ~Year l i9B1

Gender JZf Male o Female
Home/Residential Address Q
FLAT# Q.f~ ~ HOU01::. .1=1- 392 - 393 . (<.OAb i/: (> (l-J;;.v.j)
/
iVli~PUR. DOHS/ Dl-iAKA

City/Suburb Q
MIRPUR..
State i:t Postco
DHAKA l~l(:,
de
Country v GANl:rjLA DI=S f+

Do you want your mail sent to a o Yes JZ( No
different address (Postal
Address)? ~
Enter your postal address

if different to your home address
for example a PO Box . . -.
City/Suburb ~
NA
State of) Postco
Nf; de NA
Country ~
J\IA
Telephone Number
Mobile Number
+l$80 191-<i-'154 352_
EMAIL NOTIFICATION
Please enter your Email Address

here *

Page 3 of 15
f?aui 3- ~NFORIMA T~O~ ABOUT YOUR AGENT OIR
!REPRESENTA l~VIE
Do you authorise an agent or DYes ve]No
representative to act on your behalf?
0
Name of your agent/representative
Business/organisation (if applicable)
Agent/representative's address
City/Suburb
State Post co
de
Country
Telephone number
Mobile number
PLEASE NOTE: All correspondence will go to your Agent or Representative.
EMAIL NOTIFICATION
If you nomin_§lted an agent, would DYes

you like your agent or representative
to receive your TRA correspondence
by email? *
Please enter your agent or
representative's email address here

Page 4 of 15
IPa~ui ~- YOlUR. RELEVANT VOC/A T~O~Al QUAl~IF~CA T~ON DETA~lS
How many years of general
education have you completed? -!)
I
Have you completed a period of D No
vocational training? *
If yes, was the training part time or o Part Time -JZfull Time Average Hours Per
full time? Week
If yes, was the training part of an DYes $No

apprenticeship?
Date Training Started Day Month Year

0.3 02- '.2_002-
-
(v--
2.00b )
Date Training Finished
Qualification(s) Obtained
Day
11 Month
(oY Year
(Name on certificate) 0AC..HE.LO R.. Oi=' SC..I El'-le.G IN ELEC-Tf<.l cAL AND
ELE~..TRONtC- ENC:</ NE.£/l-.1 NV,
Name of training institution r.t Ci-l i ITi~ Cn ON61 <JN l V2i'<.SITY DF E.N&i lr\JG£1~1 NL'l AND
(Name on certificate)
'TELI-I N 0 LO &t "/
Name of authority that issued the
qualification ~ NA
(If not the training institution)
Institution address '* KAP TAl RoAD UIIT/AU?oNC7-

..
P-AN
. . ,._ t;,UNIA
..
HWY
, ~ .
City/Suburb ~
c.wrrA u,oN6J
.. · ... .
State
t.H ITTA&lONO, JPostcode J-434lj
Country 0
f3ANL"L-fti'.:JES H
Telephone number +- ~~- o31 ·- 7-119 i/
+ ?;% ·- 0'2>1 .- 71491 b /
Institution website '* vvltJ'W. c..~A.et. "'e . bd
Have you completed any other o Yes y1ZJ' No, go to part 5
relevant vocational training? *
If yes, was the training part time or o Part Time o Full Time Average Hours Per
full time? Week
o No
EJ
If yes, was the training part of an oYes
apprenticeship?
c==J
EJ
Date training started Day Month Year
Date training finished Day Month Year c==J

Page 5 of 15
Part 4- YOUR IRlElEVAN1r V/OCAT~O
How many years of general
education have you completed? ilt
Have you completed a period of D No

vocational training? *
If yes, was the training part time or o Part Time -J2(Full Time Average Hours Per
full time? Week
If yes, was the training part of an DYes $No

apprenticeship?
Date Training Started Day Month Year 2-.-

02> OL 2,0 0
Date Training Finished Day Month Year

11 0'6 2.00b
Qualification(s) Obtained
(Name on certificate) 13 AC..HELOR.. or: SC...I ENt& IN cLEC.T/<.1 cAL AND
ELEC..T 1~.0 N I c... EN C.., / NE"ER. I i'-IL~
Name of training institution ~ CHi T"Ti~C:noNV, <JNI VER..$ 1TY OF F-NG-d 1\lGE. R.. I \'>ilry AND
(Name on certificate)
TE..C.I-\N 0 LO c..,·y
Name of authority that issued the
qualification Q NA
(If not the training institution)
Institution address * KAPTAI RoAD c.-HI TfAu-,oNCr, - ~N ~c.Jf\1/A HwY

City/Suburb * C..HITTA U,ON6]
-- . ·-
State
~ITTA&tON&,
I Postcode l-434~
Country i3f
/3ANlnL-Al:lES H
Telephone number + %% -o-;)1 ·-11494t, / t- %%- o31 ·- 7-119 i/
Institution website ~
vv IN vJ . c..\AeJ . o- e · iod
Have you completed any other o Yes ya' No, go to part 5
relevant vocational training? '*
If yes, was the training part time or o Part Time o Full Time Average Hours Per
full time? Week
o Yes
EJ
If yes, was the training part of an 0 No
apprenticeship?
c=J
EJ
Date training started Day Month Year
Date training finished Day Month c=J Year

Page 5 of 15
Qualification(s) obtained
Name of training institute
Institute \address
City/Suburb
Country I Postcode I
Telephone number
Institution website
P:atui ~ - [))0 YOlUJ IHJAVE A Y OCClUPAT~ONAll i CENSIES?

Have you been issued with an o Yes . JZ('No
occupational licence for your
nominated occupation? iil
Licence obtained
Name of licensing organisation
Organisation address - - "'

-· .
'
City/Suburb
Country j Postcode l
Telephone number
Licensing organisation website

Page 6 of 15
fPaurfr tS -YOU~ IEMPlOYMIE~T A1" lHE RIEQU~fR!ErD SK~llS lEVEl
Details of relevant employers
IMPORTANT Note: You must provide an employment statement for all periods of employment claimed in
this application form . Refer to Section 2.8 of the TRA Migration Skills Assessment Applicant Guidelines for
documentary evidence requirements for all employment claims.
At what age did you start your

employment in your nominated ~3 YEARS /x I MOi-..!Tit
occupation? i)
Most recent employer's company

BAf\16-?LALINk Dl&!iTAL C.OMMUI\Jtc.A noNS L-TD.
name ~
Employer's address ~ Ti Cn E/2./.s bEN __, 1-JOU-5£ 4 (.sw H)

GIR. UTTAM M I R. .S HAt-J KAT .SI·iA RA 1<.- GlUL'SHAN-/
City/Suburb
lJHM<A
Country
BAN&!LJ~ bE'sH I Postcode I /2..!2..,
Telephone number
1-~8-01'0 1 -/~0G'//2.1
Your occupation with this employer* E.Ntr,{ NEF-R. JJ
hiD R.K£..D As li n Tt<.AN.S MiSS/oN ~C.NIOR
Date employment started /finished *

Month
01-
I J.,.oo1-
Year
1'1 Cib I~
Q.O/b
Second em'ployer company name

- ---- .
Employer's address 0
NA
City/Suburb
State I Postcode I
Country
Telephone number
Your occupation with this employer*

NA
Date employment started /finished ilf
Month
NA
IYear
Nit
II1 MonmNI} I Yea~N/t

Page 7 of 15
Third employer's company name
NA
Employer's address * NA
City/Suburb
State IPostcode I
Country
Telephone number
Your occupation with this employer*

NA-
Montn
I Year I Montn I Year
I'
lPAIRT 1 ~ OJIHIIER IRIEliEVArNJT lEMPlOVMfE~T
4. Name and address of employer Occupation with Employed Employed to

employer from
Month I
Year
I
5. Name an.d ~d~d!ess of emplo~eJ Occupation with ~mgloyed , ...
'~
Employed to
employer from
'·. ~ ·- . . ... .-::-- Month I

Year
"I I
6. Name and address of employer Occupation with Employed
Employed to
employer from
Month I
Year
I

Page 8 of 15
In your own words describe the work you have done over the past three years as a skilled worker in your
nominated occupation, explaining:
" duties or tasks you have undertaken

" how often did you do each task/duty (e.g. daily, weekly, monthly);
" what types of machines, equipment, tools, instruments and materials you have used and the
frequency with which you use them;
" details of any supervisory responsibility you have had;
" whether you were self-employed or employed by an organisation.
If the space provided is not sufficient please attach additional pages.
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YOUR ORIGINAL SIGNATURE AND THAT OF YOUR AGENT/REPRESENTATIVE (where

applicable) IS REQUIRED IN PART 10 PRIVACY CONSENT AND DECLARATION

Page 9 of 15
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j\'\ob'tl€. : ·t-~'!l-0191 - IM412-I

r?AIRT Sl- PIFUVACCY STATEMENT
All personal information collected by Trades Recognition Australia (TRA) is protected by the Privacy Act
1988 (Privacy Act). Schedule 1 of the Privacy Act contains the Australian Privacy Principles (APPs), which
prescribe the rules for handling personal information.
The Privacy Act defines 'personal information' as:

'information ·or an opinion about an identified individual, or an individual who is reasonably identifiable:
(a) Whether the information or opinion is true or not; and
(b) Whether the information or opinion is recorded in a material form or not'
Privacy information
Under the APPs, the Department of Education and Training (Department) is required to have a clearly
expressed and up to date policy about the way the Department manages personal information. This policy
contains information about how you may access the personal information the Department holds about you,
and how you may correct any inaccuracies in that information. We will correct your personal information if it
is inaccurate (subject to restrictions on such access/alteration of records under the applicable provisions of
any law of the Commonwealth).
It also includes information as to how you may make a complaint about a breach of the APPs, and how the
Department will respond to such a complaint.
A copy of the Department's privacy policy is available on the Department's website at:
https://ed ucation. gov .au/privacy-policy
More information about the Privacy Act, including a copy of the full text of the APPs, can be obtained from
the Office of the Australian Information Commissioner's website at: www.oaic.gov.au
Collection
TRA collects personal information from applicants for the purposes of:
o Processing applications, verifying evidence provided with applications, and assessing whether an
applicant has suitable skills in a nominated occupation;
o Confirming authorisation by an applicant of his or her representative or migration agent, and to
provide contact details for that representative or migration agent;
o Allowing you to make a payment of fees to TRA so you can lodge an application;
o Allowing TRA to confirm payment and processing refunds as applicable.
o Conducting investigations and ensuring compliance with relevant laws, awards or standards; and
o Ensuring compliance with the Commonwealth Fraud Control Guidelines (2011 ).
Personal information collected by the Department will only be used for the purposes outlined above. If TRA
is not able to collect your personal information, your application will not be able to proceed.
In the course of assessing your application, TRA may receive unsolicited personal information about you
from a third party. If TRA would normally have been able to collect that information or it forms a part of a
Commonwealth record, it will be treated in accordance with the APPs. If not, TRA will destroy or de-identify
that information.

o~no -tn nf ... J:
Disclosure
TRA may give some or all of the information it collects from applicants or third parties to the Department of
Immigration and Border Protection, the Migration Review Tribunal, the Australian Federal Police, your
employer/s, your supervisor/s, your nominated agent or representative, the organisations that issued your
qualifications, TRA approved registered training organisations, agencies providing advice to TRA on
qualifications such as UK NARIC, organisations or individuals providing in-country verification services, the
Australian Skills Quality Authority, the Reserve Bank of Australia, your banking institution , contractors, the
Fair Work Ombudsman and other Australian and state/territory government agencies.
TRA may disclose your personal information to these entities for the reasons that are listed above in the
collection section .
As part of the application process , TRA may be required to disclose your personal information to an
overseas recipient to verify information in your employment and training claims. Typically, this personal
information will be your name and date of birth. These overseas recipients are likely to be located in the
country or countries from which you are making your employment or training claims.
Personal information collected by TRA will not be disclosed to any other third parties without your consent,
except where authorised or required by law.
Complaints
Please note, applicants are responsible for ensuring the accuracy and validity of all information provided to
TRA.
Complaints about breaches of privacy should be referred to:
Privacy Contact Officer

Legal and Compliance Group
GPO Box 9880
CANBERRA ACT 2601
AUSTRALIA
Email: privacy@Education .gov .au

Page 11 of 15
Please sign !below to confili"m you agree with the statements listed.
I hereby acknowledge that I have been provided with a Trades Recognition Australia (TRA), Australian
Privacy Principle 5 Notice by the Department of Education and Training. I understand that by providing my
consent in this form, I am acknowledging that I have read and understood the contents of this Notice.
Collection
1understand that by providing my consent in this form, I am authorising TRA to collect my personal
information for the purposes of:
o Processing applications, verifying evidence provided with applications, and assessing whether an
applicant has suitable skills in a nominated occupation;
o Confirming authorisation by an applicant of his or her representative or migration agent, and to
provide contact details for that representative or migration agent;
o Allowing you to make a payment of fees to TRA so you can lodge an application;
o Allowing TRA to confirm payment and process refunds as applicable,
o Conducting investigations and ensuring compliance with relevant laws, awards or standards; and
o Ensuring compliance with the Commonwealth Fraud Control Guidelines (2011 ).
I consent to TRA collecting my personal information for these purposes. I understand that if I do not give my
consent to TRA collecting my personal information, my application will not be able to proceed.
I understand that TRA may collect unsolicited personal information about me from third parties. I consent to
TRA collecting unsolicited personal information from third parties where TRA is authorised by law to do so.
Disclosure
I understand that by providing my consent in this form, I am authorising TRA to disclose my personal
information to any of the entities listed in the APP 5 notice, for any of the purposes li$ted above,.:
I understand that TRA may disclose my personal information to overseas recipients, for the purposes ·of
.....~:~... .. ... -
verifying my employment, training information and processing refunds. I consent to my personal information
being disclosed by TRA to overseas recipients for this purpose. I understand that by providing my conse11t · ·
to disclose my personal information to the overseas recipients for this purpose, APP 8.1 will not apply.
Declaration
I confirm that information supplied on this application form and in support of claims made on this application
form is true and correct.
I understand that giving false or misleading information is a serious offence
If an agent or representative has assisted me, I declare I have not provided false or misleading information
to the agent or representative for the preparation of this application.
APPLICANT SiGNATURE $rtLtJv0 iUPwvv DATE (DD/MMIYY) :; ~J../o '8(1 b

If an agent or representative has assisted in the preparation of your application your agent or
representative must complete the declaration below. Agent/Representative, please sign below to
confirm you agree with the statements listed.
I prepared the application in accordance with the information supplied by the applicant;
I understand that giving false or misleading information is a serious offence;
1am authorised by the applicant to give the information in this application to TRA.
AGENT/
REPRESENTATIVE SIGNATURE_ _ _ _ _ _ _DATE (DD/1\/JM/YY)_ _ _ _ __

Page 12 of 15
Trades II: Application Status Tracking:
10
Payrnent Portal Sign Out
Payment Summary
You have successfully made a payment for your TRA Migration Skills Assessment
Applicant Details regarding to this payment
Name: SAIFULALAM
Date of Birth: 1/01/1984
Email Address: saifulalameee@gmail.com
Phone Number: 8801914454352
Payment Date 22/08/2016
Amount: $1000.00
Customer Reference Number: 15118650205894
Receipt Number: 19265664
This is not an application - you must fill out an application form and submit it to TRA.
Print this page and attach it to your application
Pnnt
f)..:pa· tn·ent o' Educ.;,rro r ancl rramrng

Copyri911t <i;; Corr.rnon·Nealth of i\ustra l ra 1 Education and Trarning Web Site Privacy Statement 1 Drsclaimer
Errv•ronr'lenl PROC Version: 2.3 .9.l
https://extranet.education.gov.au/tradesllnterface/Pages/Payment/Summary.aspx?CRNum ber= 15118650205894&Recei piN umber= 19265664&dateStamp= 22%2.. . 1/1

ATTACH PAYMENT RECEIPT HERE
GST Exempt. GST does not apply to

the fees pursuant to section 81-
The fee for this
Fees and Charges 15.01 of the A New Tax System
service is: (Goods and Services Tax)
Regulations 1999.)
Pay Online Application fees are paid by Visa or MasterCard using TRA's Online YUSA
Portal. When you are ready to pay, access the Online Portal at:
https://extranet.deewr.qov.au/trades/lnterface/Paqes/Security/Logon.aspx
Signing in
·C·
You will need a username and password to sign in and make a payment. If you do
not already have a username and password, register for an account by selecting
the relevant service under the Register section and follow the on screen
instructions. After registering, a username and password will be provided to you.
Making your payment
Enter your username and password to sign in. Follow the on screen instructions to
make your payment.
Important information
6 Payments by Visa or MasterCard are processed in Australian Dollars (AUD) only. You
may incur banking and currency conversion fees. Transactions use encrypted security
through the Government EasyPay service operated by the Reserve Bank of Australia.
TRA does not have access to and will never store your full card details.
6 After signing in to the Online Portal, make sure you select the correct service so that
you pay the correct amount.
·- ..... ., ·-- . ~ ... . Print and attach a copy of your payment receipt to this application form.
Can't print or lost Your payment receipt should be printed and attached to this form before submitting
your payment the form to TRA. If you cannot print your payment receipt or have lost it, please
receipt? print a copy of your receipt sent to the email address linked to your account when
payment is made.
If you still cannot provide a copy of your receipt, complete as much information as
you can below. If TRA is unable to find your payment using these and other details
on this form, you may be required to provide additional proof of payment, such as a
bank statement. TRA will contact you by email if additional proof is needed.
Customer
Reference
Number
Do NOT
provide the
Date and Last Four
Estimated Time Digits or Card full card
number
of Payment Used

Page 14 of 15
Need help ? Please contact us for further assistance with making payments.
~ Online. Refunds
www.tradesrecognitionaustralia.gov.au/ The TRA Refund
Email trafinance@education.gov.au Policy is available from
the TRA website.
Phone +61 2 6240 8778 (outside Australia) 6 Migration agents
paying on behalf of an
applicant are strongly
Phone 1300 360 992 (within Australia) advised to review this policy
before making a payment.

Page 15 of 15

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Pl!EASE A TTACIH TH~S !

PAGE TO THE fFIRONT OF YOUR

How are you paying for your oVisa \.)i"Master Card

~ .. DEClARATION AND !P>R~VACY STATEMENT

Department of Education and Training

Document publishing date (July 2015)

This version of the TRA Migration Skills Assessment Application is unable to be

Department of Education and Training

Please answer all questions and tick the relevant boxes.

Fields marked with a G must be completed.

TRA Reference Number

INFORMATION ABOUT YOUR NOMINA TED OCCUPATION

migration assessment for? NEF-1<. TEcJ1N(i.!.iAN

INFORMATION ABOUT YOUR PASSPORT AND AUSTRALIAN VISA

Country of Passport Issue ~

Do you have a current Australian o Yes

· If yes, what is your Australian Visa I ~-

Department of Education and Training ·

Family Name * ALAM

Date of Birth ~ Day ~Month ~Year l i9B1

iVli~PUR. DOHS/ Dl-iAKA

Country v GANl:rjLA DI=S f+

Enter your postal address

Please enter your Email Address

Department of Education and Training

Name of your agent/representative

Business/organisation (if applicable)

PLEASE NOTE: All correspondence will go to your Agent or Representative.

If you nomin_§lted an agent, would DYes

Department of Education and Training

If yes, was the training part of an DYes $No

Date Training Started Day Month Year

Institution address '* KAP TAl RoAD UIIT/AU?oNC7-

Date training finished Day Month Year c==J

Have you completed a period of D No

If yes, was the training part of an DYes $No

Date Training Started Day Month Year 2-.-

Date Training Finished Day Month Year

Institution address * KAPTAI RoAD c.-HI TfAu-,oNCr, - ~N ~c.Jf\1/A HwY

Date training finished Day Month c=J Year

Department of Education and Training

Name of training institute

P:atui ~ - [))0 YOlUJ IHJAVE A Y OCClUPAT~ONAll i CENSIES?

Name of licensing organisation

Organisation address - - "'

Licensing organisation website

Department of Education and Training

At what age did you start your

Most recent employer's company

Employer's address ~ Ti Cn E/2./.s bEN __, 1-JOU-5£ 4 (.sw H)

Date employment started /finished *

Second em'ployer company name

Your occupation with this employer*

Department of Education and Training

Your occupation with this employer*

4. Name and address of employer Occupation with Employed Employed to

'·. ~ ·- . . ... .-::-- Month I