eCommerce and ExportBusiness Overview

Client Details

Mr Mrs Ms Miss Other:       Gender: Male Female Other

Family name: Given name(s):

Date of birth:      /     /     (DD/MM/YYYY)

Proposed Business for Victorian Visa Nomination/Sponsorship Information

Provide a brief summary of the proposed business activity and how it will be of value to Victoria:

Which product category does your proposed export product(s) fit into, select all that apply:

Dairy products

Beef products

Beauty care

Fashion

Nutrition

Frozen food

Alcohol

Fruits and vegetables

Processed foods

Other, Explain: __________________

Identify or describe the goods or services to be exported: ____________

How will the goods be exported? Select all that apply:

Business to business - Attach a list of proposed clients

Business to client - Attach market research of client base

Which platform will you be distributing through? Select all that apply:

Warehouse

Australia Post

Consolidation Agent

Air Freight

Shipping Container

Other, Explain: __________________

Explain your tasks and duties in managing the day-to-day operations of the business:

What is the intended percentage (%) dollar add you intend to put on your products in-market?

What is the projected value of the export activity over the first 24 months of your visa: $A

Detail the projected Victorian jobs created or retained from the activity:

Projected number of Victorian jobs created: _______ Description of positions: __________________

Projected number of Victorian jobs retained: ______ Description of positions: __________________

Where is the proposed location of the business? Suburb/City: __________________

Identify any local economic benefits the business will create: ____________________________________

Will all products to be exported be 100% manufactured in Victoria?

Yes

No

Explain: __________________

Will you be exporting a trademark product already available in the Australian or international marketplace?

Yes → You are required to attach evidence that you will not engage in ‘grey market’ or ‘parallel exporting’. Evidence your consultation with the trademark owner of the product, for example, attach partnership agreements, provide meeting dates and personnel consulted. Please note an agreement with the manufacturer is required.

No

Indicate the markets the business intends to export to: China

Germany

India

Indonesia

Japan

Malaysia

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Republic of South Korea

United Kingdom

United Arab Emirates

United States of America

Other – explain

Provide any additional information you think important to support your application: __________________

__________________________________________________________________________________________

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Business Overview

I      ______________________________________(the applicant), Date:      /     /      (Print name) (DD/MM/YY)

1. The applicant has read (or has had read to them) the contents of their application and confirms that the information contained therein is true and correct.

2. The Victorian Government may share information relating to the application and the applicant’s business/investment activities in Victoria with the Department of Home Affairs.

3. The Victorian Government reserves the right to make direct contact with the applicant in relation to this application or related matters. This may include contact from the Commissioner of a Victorian Government Business Office (VGBO) to discuss potential assistance in relation to business/investment activity in Victoria.

4. The Victorian Government has no legal authority to deal with visa matters and will not advocate to the Department of Home Affairs or the Migration Review Tribunal on behalf of the applicant.

5. The Victorian Government does not endorse any investment made, or any business activity undertaken, by the applicant nor does it accept liability for any financial loss, cost or expense incurred as a result of any business decision, business activities or investments made by any person in any way connected with this application, or otherwise.

Signature of applicant: _________________________________________ Date:      /     /      (Applicant only to sign) (DD/MM/YY)

Migration Agent / Representative I have discussed the above conditions with my client and am satisfied he/she fully understands their obligations.

Migration Agent/Representative Signature: ____________________________Date:      /     /      (DD/MM/YY)

Privacy Statement The Department of Jobs, Precincts and Regions (DJPR) is committed to protecting personal information provided by you in accordance with the principles of the Victorian privacy laws. The information you provide will be used to manage the terms and conditions of your application, provide you with information about any changes to approval terms and conditions or fees, provide reminders for renewal, and provide other information. The information you provide may be made available to departmental staff, contractors or another government organisation for the purpose of administering or enforcing the Migration Act 1958 (Cth) or another relevant Act. DJPR employees and contractors are required to protect and handle your personal information in accordance with the Privacy and Data Protection Act 2014 (Vic). For more information on how DJPR handles your personal information go to www.economicdevelopment.vic.gov.au/privacy.

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