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www.interlace.com.au
info@interlace.com.au
1300 365 423

Residential, Travel, Education & Employment History

Please complete every section for the main applicant and the secondary applicant. Use DD/MM/YYYY for all dates and list the most recent entry first.

Applicant details

Main applicant – full name (as on passport)

Secondary applicant – full name (as on passport)

Client reference / EOI number

Date completed

Main applicant: education and employment history are not required on this form, as they have already been provided in the EOI.

1Residential history (last 10 years)

List every address you have lived at in the last 10 years, with no gaps between dates. Write "Present" in the "To" column for your current address.

Main applicant

Secondary applicant

2Travel history (last 10 years)

Since turning 16, list every visit to a country outside your usual country of residence. Enter each trip on its own row, even repeat visits to the same country.

Main applicant

Travelled outside usual country of residence? Yes No

Secondary applicant

Travelled outside usual country of residence? Yes No

3Secondary applicant – latest education

Highest or most recent qualification completed after high school, or the course currently being studied.

Qualification level

Course name

Institution name

Country of institution

Start date

Completion date (or expected)

Still studying this course

4Secondary applicant – latest employment

Current job, or the most recent one if not working now.

Position / job title

Employer name

Country

Hours per week

Date from

Date to

Description of duties

Not currently employed and no previous employment

Declaration

We declare that the information given on this form is complete, correct and current in every detail.

Main applicant signatureDate

Secondary applicant signatureDate

Our branches

Brisbane
Sydney
Perth
Adelaide
Kathmandu
Indonesia
Cambodia
Japan
Fiji

Interlace Studies and Visa Services Pvt. Ltd. · ABN 88 623 971 522 · MARN 2117623 · 2418363 · 2519108 · 1802688