APPLICATION TO CHANGE NOMINATED OCCUPATION
Office use only
Applicants who seek to change their nominated occupation must complete this form. This applies only to those applicants who already hold a successful assessment outcome and who wish to change their nominated occupation. An application for a change of nominated occupation must be lodged within 12 months of the date of the original assessment outcome letter. Lodging of this application allows for the submission of new documents to support your claim for a different assessment outcome. Applicants seeking this service must return the original assessment outcome letter. Applicants who wish to keep the original assessment outcome letter must apply for a new assessment.
PERSONAL DETAILS (PLEASE USE BLOCK LETTERS AND TICK THE APPROPRIATE BOXES BELOW)
Client ID Number:...............................................................Date of original Assessment outcome letter: ........... /........ /....... Title: Prof Dr Mr Mrs Ms Miss Other
Family Name: ………………………………………………………………………………………………………………. Given Names (in full): …………………………………………………………………………………………………. Date of Birth: …..../………./……….. . Male Female Gender: Applicant’s Current Address: ................................................................................................................................ …………………………………………………………………. City:................................................................................................................ Postcode: …………………………………………………. Country: ..................................................................................... Phone: ……………………………………………………………… Mobile: ………………………………........................... Email: ............................................................................................................................................................................ Preferred outcome: (Occupation/Category/ANZSCO code) ............................................................................... Applicant’s Signature .................................................................................................... Date: ...../ .......