1

GEM CONSULTANTS
Goodwill Education and Migration Consultants
Application Form

FULL NAME : ________________________________

DATE OF BIRTH: ______________________

PASSPORT NUMBER: ______________________

ADDRESS________________________________________________________

EMAIL ADDRESS: _____________________

CONTACT NUMBER _______________________

CIVIL STATUS : ________________

EDUCATION BACKGROUND:

_______________________________________________________

EMPLOYMENT HISTORY :

1.

2.

3.
 2

GEM CONSULTANTS
Goodwill Education and Migration Consultants

PREFERED LOCATION:

NEW SOUTH WALES___ WESTERN AUSTRALIA ___ VICTORIA _____

QUEENSLAND ____ SOUTH AUSTRALIA ____ TASMANIA _____ NORTHERN

TERRITORY ___ AUSTRALIAN CAPITAL TERRITORY ___ ANYWHERE ____

PREFFERED INTAKE: JANUARY ___ APRIL ___ JULY___

OCTOBER____

SIGNATURE: _______________________________

DATE: ______________________________