State Sponsored Investor visa (subclass 893)Part B

You must answer each individual question and complete all appropriate attachments.

1. Mr Mrs Ms Miss Other:       1.1 Nationality:      

2. Family Name:      

3. Given Name(s):      

4. Date of Birth:

     /     /      (DD/MM/YY)

4.1 Age:       years       months

5. Were you the principal applicant for Provisional Visa?

Yes No

6. Date of Provisional Visa expiry:      /     /      (DD/MM/YY)

7. Applicant’s contact details: Residential address:      

Post code:      

Telephone: (     )     

Email:      

8. Applications prepared within Australia:

In order to be eligible to lodge this application people must meet one of the three options to the left.

Please check one.

The Applicant

or

A registered MARA Agent – Number      

or

An Australian Lawyer (eligible to practice)

8.1 Applications prepared outside Australia:

In order to be eligible to lodge this application people must meet one of the four options to the left.

The Applicant

or

A registered MARA Agent – Number      

Please check one. or

An Australian Lawyer (eligible to practice)

or

A Fee for Service Representative living and working in a country that requires them to legally hold a license in order to deal with visa applications

or

A Fee for Service Representative living and operating in a country that does not legally require them to hold a license to handle visa applications. In the absence of licensing, appropriate Department of Home Affairs business migration processing experience is expected.

8.2 Agent/Representative contact details: Company Name:      

Business Address:      

Post code:      

Contact Name:      

Telephone: (     )     

Email:      

8.3 If different to the above, please provide contact details of the individual lodging the formal visa application with the Department of Home Affairs?

Company Name:      

Business Address:      

Post code:      

Contact Name:      

Telephone: (     )     

Email:      

9. Total net assets:

9.1 Total net personal funds transferred to Victoria to date? A$     

9.2 Total net personal assets in the business (if applicable): A$     

9.3 Indicate the number of Full Time and Part Time ‘eligible’ employment opportunities created or maintained by the Victorian based business (if applicable):

Full Time:      Part Time:      

10. As a scanned attachment provide proof of residency in Victoria. This can be in the form of a utility bill or a council rate notice within the last three (3) months.

11. Has the applicant established a business in Victoria?

YES (Please complete section 12)

NO (Continue to 11.1, then to 13)

11.1 If the applicant has not established a business in Victoria what have they been doing in that regard

     

State Sponsored Investor visa (subclass 893) – Part B2 of 4

for the past 4 years?

12. Applicants ‘eligible’ business details:

12.1 Company Name:      

Trading Name:      

Physical Business Address:      

Post code:      

Contact Name:      

Telephone: (     )     

Email:      

12.2 In no more than 100 words describe the business.

     

State Sponsored Investor visa (subclass 893) – Part B3 of 4

13. Statement of Assets and Liabilities in Australia. Information provided to be no more than three (3) months old.

Note: This application must be signed and dated.

14. Application Completed by:

Signature: Date:      /     /      (DD/MM/YY)

Print name:

Please note: Any material supplied in support of this application will not be returned.

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.

State Sponsored Investor visa (subclass 893) – Part B4 of 4

Assets LiabilitiesAustralian Dollars A$

Family Home A$      Home Mortgage (s) A$     

Investment Property (s) A$      Investment Loan (s) A$     

Net Equity in business (s) A$      Personal Loan (s) A$     

Superannuation A$              Cash A$      Other Loans A$        Credit Cards A$          Stock/Bonds etc A$      Other A$      Shares A$        Other Investments A$         

  TOTAL A$      TOTAL A$     

TOTAL NET WORTH A$