| Please complete the 147 form, taking note of the following: |
Part A – Category of Visa |
| Question 1 |
Sub class is |
‘416 special program’ |
| |
|
|
Part B – Applicant Details |
| Questions 2-17 |
Please complete |
|
| |
|
|
Part C - Visa details |
| Question 18 |
Please leave Blank |
|
| Question 19 |
Please complete if you have ever been to Australia before |
| |
|
|
Part D - Employment/Activity Details |
| Question 20 |
What occupation? |
‘cellar/vineyard hand’ |
| Question 21 |
Qualification details? |
‘Please see attached CV’ |
| Question 22 |
Hours per week |
'40 + hours' |
| |
Wage is |
‘As per award’ |
| |
Other benefits |
Leave blank |
| |
Name of company: |
Leave blank unless you already know these details |
| Question 23 |
Name of Sponsor |
Bibber International |
| |
|
81 Carrington StreetAdelaide SA 5000 |
| |
|
Australia |
| |
|
|
Part E – Accompanying Family members |
| Question 24-25 |
Please leave blank |
|
| |
|
|
Part F - Health and Character Details |
| Question 26 |
Please answer yes or no |
|
| |
If the answer is yes, please list the countries that you have visited. (please note that if you have spent more than three months in a designated high health risk country, you will be required to have a Chest X-ray before obtaining your visa. Please visit the Health check section of the website). |
| Question 27 |
Please answer yes or no, giving full details if the answer is yes |
| Question 28 |
Do you hold Health Insurance? |
| |
YES, all participants must have travel health insurance that meets the Bibber International requirements. For more information please contact us |
| Question 29 |
Please answer all parts of this question as NO |
| Question 30-32 |
Please read and check all the boxes relating to these questions. |
| |
|
|
| Please note: |
Sections G, H and I, that is questions 33 to 43 should all be left blank - not filled in |
Part J – Assistance with this form |
| Question 45 |
Did you receive assistance in
completing this form? |
YES |
| |
Title |
Mrs |
| |
Family Name |
Caloghiris |
| |
Given Names |
Susan |
| |
Address |
Bibber International |
| |
|
81 Carrington Street
Adelaide SA 5000
Australia |
| |
Mobile phone |
0417 867 440 |
| Question 46 |
Is this person a registered agent? |
YES |
| |
|
|
Part K - Options for receiving written communications |
| Question 49 |
All written communications about this application should be sent to: |
‘Migration Agent’ |
| |
|
|
Part L - Payment Details |
| Please leave this section blank –we will complete them before submission |
| |
|
|
Part M – Declaration |
| Please sign and date the form |
| |
|
|