Nomination for a Temporary Skill Shortage Visa

Application context

All references to 'the applicant' in this form relate to the legal entity that is nominating the worker/position. Refer to help text for further information. ​

Select the option which best describes the sponsorship this nomination is being lodged under:

  • The applicant's sponsorship has been approved, or they have applied to become a sponsor, under the Australian business provisions.
  • The applicant's sponsorship has been approved, or they have applied to become a sponsor, under the Overseas business provisions.
  • The applicant is a party to a Labour Agreement or have commenced negotiations with the Department to enter into a Labour Agreement.

Legal name

Legal name

Related sponsorship

Provide the related sponsorship's identification number.

Reference number type:

Sponsorship Application ID number

Sponsorship Application Transaction Reference Number (TRN)

International trade agreement

Is the applicant seeking concessions under the provisions of an international trade agreement?

Citizenship of nominee

Is the nominee a citizen or permanent resident of any other country?

    Yes      No

Give details of other citizenship or permanent residence that the nominee might hold.

Add details

  Country

  Status

  Actions

Has the nominee been working for the applicant in Australia, in the nominated position for at least the last two years?

    Yes      No

Date employment commenced

Intra-corporate transfer

Is this an intra-corporate transfer?

    Yes      No

Legal name

Country

Current position details

Will the nominee be responsible for a substantial part of the business' operations in Australia?

     Yes      No

Give details

Postcode

Enter the postcode where the nominated person will spend most of their working hours. ​

 Postcode



Legal name

​Standard Business Sponsorship

Related sponsorship

Provide the related sponsorship's identification number.

Reference number type:

Sponsorship Application ID number

Sponsorship Application Transaction Reference Number (TRN)

International trade agreement

Is the applicant seeking concessions under the provisions of an international trade agreement?

   Yes     No

Citizenship of nominee

Is the nominee a citizen or permanent resident of any other country?

   Yes      No

Give details of other citizenship or permanent residence that the nominee might hold.

Add details

 Country

 Status

 Actions

Has the nominee been working for the applicant in Australia, in the nominated position for at least the last two years?

   Yes      No

Date employment commenced

Intra-corporate transfer

Is this an intra-corporate transfer?

   Yes      No

Provide details of where the nominee is currently working.

Legal name

Country

Current position details

Postcode

Enter the postcode where the nominated person will spend most of their working hours. ​

 Postcode



Legal name

Legal name

Related labour agreement

Provide the related Labour Agreement's reference number.

Reference number type:

Labour Agreement ID number

Labour Agreement Transaction Reference Number (TRN)

Occupation

​Occupation code (ANZSCO)


Sponsor details

Annual turnover

Give details of the annual turnover of the applicant for the last financial year.

Annual turnover

Range the annual turnover falls into:

   Less than AUD 100,000

   AUD 100,000 to less than AUD 1 million

   AUD 1 million to less than AUD 2 million

   AUD 2 million to less than AUD 4 million

   AUD 4 million to less than AUD 10 million

   AUD 10 million to less than AUD 25 million

   AUD 25 million and above

Adverse information

Is there any adverse information to declare about the applicant or a person associated with the applicant, including any information relating to the contravention of Australian laws, insolvency, sponsorship breaches and/or other circumstances which might reasonably be considered adverse information?

     Yes      No

Give details

Labour hire practices

Is the applicant nominating the position(s) to recruit or hire out overseas workers to an unrelated business?

      Yes      No

Give details


Business contact details

Business contact person

A contact person for the applicant must be nominated to whom departmental enquiries may be directed during the nomination application process.

The address or contact details of the applicant's migration agent should not be entered on this page.

Family name

Given names

Position in business

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Email address

Email address

Postal address

Organisation address

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code


Nomination contact person

Does the applicant authorise another person to receive written correspondence on their behalf?

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

  • No
  • Yes, a migration agent
  • Yes, another person

Business contact person

Business contact person at this location

Family name

Given names

Position in business

Contact telephone numbers

Business phone

Mobile / Cell phone

Electronic communication

​Email address

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.


Migration agent contact details

Migration agent

MARN

Family/Given Names

Family name

Given names

Organisation

Postal address

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Electronic communication

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address


Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.

 


This person will be referred to as an Authorised recipient.

Authorised recipient contact details

Authorised person

Family name

​Given names

Postal address

Country

Address

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Electronic communication

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.


Nominated position details

Proposed period of employment

Proposed period of employment of the nominee:

Up to 1 year

Up to 2 years

Position details

Job title

Describe the position to be undertaken, including responsibilities and main duties.

Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.

Responsibilities

Main tasks

Other information about the position, including information about why this position cannot be filled from the local labour market

Qualifications for the position

Describe the qualifications, relevant skills, employment experience and registrations/licenses required to be held by the nominee.

Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.

Relevant qualifications


Workforce details

Of the Australian operations of the applicant, what is the total number of:

Australian employees (including Australian citizens and permanent residents)

Foreign employees (i.e. non-Australian citizens or non-permanent residents)


Australian employment details

What is the total number of Australian citizens or permanent residents employed by the applicant as:

Professionals

Tradespersons

Recent Australian university graduates with less than 12 months work experience

Apprentices employed under a training agreement or contract of training

Other trainees employed under a training agreement or contract of training

Other

Foreign employment details

Of the total number of foreign employees, what is the number of:

Temporary Skill Shortage (subclass 482) visa holders and Temporary Work (Skilled) (subclass 457) visa holders

Skilled Employer Sponsored Regional (Provisional) (subclass 494) visa holders

Other temporary work or temporary activity visa holders

Overseas students

Working holiday makers

Other



Salary arrangements for an equivalent Australian worker

Give details of salary arrangements for an equivalent Australian worker in the nominated position. ​

Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed.

Enter the salary that would be paid to an Australian worker to do the equivalent work for one year (full-time hours).

Market salary rate

Enter the number of full-time hours per week used to calculate this rate.

Number of hours per week

Monetary components of the market salary rate

Give details of the monetary components that make up the market salary rate.

Add details

Salary component

Description

Amount

Actions

Total monetary components

Non-monetary components of market salary rate

Are there any non-monetary components of the market salary rate?

    Yes     No

Add details

Non-monetary component

Agreed monetary value

Actions

Total non-monetary components

Method of calculating the market salary rate

Does the applicant already have Australian employee(s) doing the same work as the nominated person?

    Yes      No

Select the type of employment arrangement that applies to an equivalent Australian employee.

Employment arrangement:

Award

Collective / enterprise agreement

Individual arrangement

Other

Are there other terms and conditions that apply to the Australian employees?

     Yes     No

Give details

The applicant declares that the market salary rate provided reflects the salary package received by equivalent Australian employee(s).

      Yes      No

Give details of the evidence provided to demonstrate the salary arrangements for this Australian worker.

Note: if the Australian employee is being paid above the award rate provide copies of relevant employment contracts and pay slips, as well as details of the relevant agreement or award. ​

Add details

Evidence type

Actions



Salary details of nominated position

Give details of salary arrangements that the applicant proposes will apply to the nominee in the nominated position.

Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed.

Guaranteed annual earnings

Number of hours per week

Monetary components of the nominee's salary

Add details

Salary component

Description

Amount

Actions

Total monetary components

Non-monetary components of the nominee's salary

Are there any non-monetary components of the nominee's salary?

     Yes     No

Add details

Non-monetary component

Agreed monetary value

Actions

Total non-monetary components

Other details

Will the business / organisation be paying the nominated person's salary?

     Yes     No

Has the nominated person agreed to pay the employer or the employer's agent for any purpose whatsoever included, but not limited to, recruitment, travel, visa application or agent fees?

     Yes      No

    Give details

Will the applicant make any deductions from these earnings apart from tax?

     Yes      No

Will the terms and conditions of employment of the applicant's Australian employee(s) apply to the nominated person?

     Yes      No



Location of the nominated position

Give details of the main location where the nominated person will be working. ​

Address where nominated person will be employed

Business name at this location

Business web site / URL

Country

AUSTRALIA

Address

Address 2

Suburb / Town

State / Territory

Postcode

2000

Hours per week at this location

Business contact person at this location

Family/Given Names

Family name

Given names

Position in business

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Email address

Email address

Alternative locations

Will the nominated person be working in any other location?

Yes  No

Add details

Business name at this location

Hours per week at this location

Actions



Labour market testing

Was Labour Market Testing required for this position?

     Yes     No

Is the applicant permitted to provide flexible evidence as an alternative to specific advertising details?

    Yes    No

    ​Reason

    Give details

The applicant declares that Labour Market Testing has been conducted in accordance with current Labour Market Testing requirements.

     Yes    No

Other details

Has the applicant retrenched any Australian citizens or Australian permanent residents in the nominated occupation, or made their positions redundant, in the last four months?

     Yes      No

    Give details

Does the applicant operate in the Agricultural sector?

      Yes    No

Is the nominated person the holder of a Subclass 417 (Working Holiday) visa, or a Subclass 462 (Work and Holiday) visa who is currently employed by the applicant?

       Yes    No



Reason why Labour Market Testing was not required

Occupation exempt

International trade obligation

Major disaster (specified by Minister)

Nominee's details

Nominee's personal details

Family name

Given names

Sex:

Femae

Male

Other

Date of birth

Nominee's Australian immigration history

Does the nominee already hold a primary subclass 457 or 482 visa?

     Yes      No

Is the nominee currently in Australia?

     Yes     No

Nominee's current visa details:
 Visa grant number
 Application ID

  Transaction reference number (TRN)

Place of birth

Town / City

State / Province

Country of birth

Passport details

Enter the following details as they appear in the applicant's passport.

Passport details

Enter the following details as they appear in the applicant's passport.

Sex:

Male
Female
Other

Date of birth

Passport details

Passport number

Country of passport

Nationality of passport holder

Date of issue

Date of expiry

Place of issue / issuing authority

Is this nomination being lodged to facilitate the 457 or 482 visa holder changing employer only?

    Yes     No

Nominee's contact details

Are current contact details available to be entered for the nominated person?

    Yes     No

Residential address

Note that a street address is required. A post office address cannot be accepted as a residential address.

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Enter numbers only with no spaces.

Home phone

Business phone

Mobile / Cell phone

Nominee's relationship to the applicant

Is the nominee an owner, director, principal or partner of the applicant?

      Yes     No

Role/position(s) held

Does the nominee have an existing relationship with any of the owners, directors, principals or partners of the applicant?

      Yes       No

Add details

Name

Position / role

Relationship to nominee

Actions



Nominee's accompanying members of the family unit

Will the nominee be accompanied by any members of their family unit?

     Yes      No     Unkown

Add details

Family name

Given names

Date of birth

Passport number

Actions

Nomination withdrawal

If the associated sponsorship application is refused or withdrawn, does the applicant want to withdraw this nomination application?

       Yes    No

If the nomination application is withdrawn, does the applicant want to seek a refund of the associated nomination fees?

       Yes    No

Certifications

The applicant certifies that:

The applicant has the authority to enter into legal commitments for the nominating business/organisation.

The applicant has the authority to enter into legal commitments for the nominating business/organisation.

      Yes    No

The tasks of the position include a significant majority of the tasks of the nominated occupation as listed in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement, and the position is not excluded by a caveat.

The tasks of the position include a significant majority of the tasks of the nominated occupation as listed in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement, and the position is not excluded by a caveat.

       Yes      No

The qualifications and experience of the nominee are commensurate with the qualifications and experience specified for the nominated occupation in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement.

The qualifications and experience of the nominee are commensurate with the qualifications and experience specified for the nominated occupation in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement.

        Yes      No

The nominated occupation is a position with the applicant, or an associated entity of the applicant, or the nominated occupation is specified in the relevant Legislative Instrument.

The nominated occupation is a position with the applicant, or an associated entity of the applicant, or the nominated occupation is specified in the relevant Legislative Instrument.

       Yes     No

The nominated position has not been created solely to secure a migration outcome for the nominee.

The nominated position has not been created solely to secure a migration outcome for the nominee.

       Yes       No

The nominated occupation fits within the nature, size and scope of the applicant.

The nominated occupation fits within the nature, size and scope of the applicant.

        Yes     No

The proposed salary for the nominated position is the market salary rate for positions in the nominated occupation in the location where the applicant operates.

The proposed salary for the nominated position is the market salary rate for positions in the nominated occupation in the location where the applicant operates.

          Yes     No

The applicant will be engaging the nominee as an employee under a written contract of employment.

The applicant will be engaging the nominee as an employee under a written contract of employment.

       Yes      

       No

       The nominated occupation is exempt from this requirement

The written contract of employment will comply with all requirements imposed by Commonwealth, State or territory law relating to employment including, if applicable, the National Employment Standards.

The written contract of employment will comply with all requirements imposed by Commonwealth, State or territory law relating to employment including, if applicable, the National Employment Standards.

       Yes

        No

        The nominated occupation is exempt from this requirement

Paying for visa sponsorship

Section 245AR of the Migration Act 1958 prohibits asking for or receiving a benefit in return for the occurrence of a 'sponsorship-related event' as defined by section 245AQ of that Act. Refer to Paying for visa sponsorship - certification requirement for more information.

The applicant certifies that they have not engaged in conduct in relation to this nomination that constitutes a contravention of subsection 245AR(1) of the Migration Act 1958.

The applicant certifies that they have not engaged in conduct in relation to this nomination that constitutes a contravention of subsection 245AR(1) of the Migration Act 1958.

       Yes     No


Declarations

Warning:

Giving false or misleading information is a serious offence.

The applicant declares that they:

Have read and understood the information provided to them in this application.

Have read and understood the information provided to them in this application.

     Yes     No

Have provided complete and correct information in every detail on this form, and on any attachments to it.

Have provided complete and correct information in every detail on this form, and on any attachments to it.

       Yes   No

Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.

Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.

       Yes      No

Have read the information contained in the Privacy Notice (Form 1442i).

Have read the information contained in the Privacy Notice (Form 1442i).

Have read the information contained in the Privacy Notice (Form 1442i).

       Yes      No

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

       Yes       No

Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.

Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.

Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.

       Yes     No


Review Page

Please check that the information provided is correct before you continue.

Application context

Click here to edit the Application context

All references to 'the applicant' in this form relate to the legal entity that is nominating the worker/position. Refer to help text for further information. ​

Select the option which best describes the sponsorship this nomination is being lodged under:

The applicant's sponsorship has been approved, or they have applied to become a sponsor, under the Australian business provisions.

Legal name

Legal name

Jack Willson

Standard Business Sponsorship

Related sponsorship

Provide the related sponsorship's identification number.

Reference number type

Sponsorship Application Transaction Reference Number (TRN)

Reference number

EGOQNUEHDX

International trade agreement

Is the applicant seeking concessions under the provisions of an international trade agreement?

Yes

International Trade Agreement

Citizenship of nominee

UNITED STATE

Is the nominee a citizen or permanent resident of any other country?

No

Has the nominee been working for the applicant in Australia, in the nominated position for at least the last two years?

No

Intra-corporate transfer

Is this an intra-corporate transfer?

No

Postcode

Enter the postcode where the nominated person will spend most of their working hours. ​

Postcode

2000

Occupation - TSS

Occupation 

code (ANZSCO)

132211

Occupation name (ANZSCO)

Finance Manager

Sponsor details - TSS

Sponsor details

Click here to edit the Sponsor details

Annual turnover

Give details of the annual turnover of the applicant for the last financial year.

Annual turnover

40000 AUD

Range the annual turnover falls into

Less than AUD 100,000

Adverse information

Is there any adverse information to declare about the applicant or a person associated with the applicant, including any information relating to the contravention of Australian laws, insolvency, sponsorship breaches and/or other circumstances which might reasonably be considered adverse information?

Is there any adverse information to declare about the applicant or a person associated with the applicant, including any information relating to the contravention of Australian laws, insolvency, sponsorship breaches and/or other circumstances which might reasonably be considered adverse information?

No

Labour hire practices

Is the applicant nominating the position(s) to recruit or hire out overseas workers to an unrelated business?

Is the applicant nominating the position(s) to recruit or hire out overseas workers to an unrelated business?

No

Business contact details

Business contact details

Click here to edit the Business contact details

Business contact person

Business contact person

A contact person for the applicant must be nominated to whom departmental enquiries may be directed during the nomination application process.

The address or contact details of the applicant's migration agent should not be entered on this page.

Family/Given Names

Family name

Smith

Given names

Jules

Position in business

Manager

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

0654789547

Mobile / Cell phone

Email address

Email address

[email protected]

Postal address

Organisation address

Country

AUSTRALIA

Address

Sydney

Address 2

Suburb / Town

Sydney

State / Territory

New South Wales

Postcode

2000

Authorised recipient - 457

Nomination contact person

Click here to edit the Nomination contact person

Does the applicant authorise another person to receive written correspondence on their behalf?

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

No

Business contact person

Business contact person at this location

Family/Given Names

Family name

Smith

Given names

Jules

Position in business

Manager

Contact telephone numbers

Business phone

0654789547

Mobile / Cell phone

Electronic communication

Email address

[email protected]

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.

Nominated position details - TSS

Click here to edit the Nominated position details

Proposed period of employment

Proposed period of employment of the nominee

Up to 1 year

Position details - 457 Nom

Position details

Job title

Manager

Describe the position to be undertaken, including responsibilities and main duties.

Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.

Responsibilities

Managing the overall department

Main tasks

Regulating the task

Other information about the position, including information about why this position cannot be filled from the local labour market

For the international icus

Qualifications for the position

Describe the qualifications, relevant skills, employment experience and registrations/licenses required to be held by the nominee.

Note: A reference to supporting documents attached to this application is not appropriate for the completion of these questions. Answers should be provided. In addition, supporting documentation should be considered where appropriate, taking into account the advice provided in the nomination document checklist available on the website.

Relevant qualifications

Management

Relevant skills

Management

Relevant experience

Management

Does the position require the nominee to hold a licence, registration or professional membership?

No

Workforce details - TSS

Workforce details

Click here to edit the Workforce details

Of the Australian operations of the applicant, what is the total number of:

Australian employees (including Australian citizens and permanent residents)

30

Foreign employees (i.e. non-Australian citizens or non-permanent residents)

30

Australian employment details - TSS

Australian employment details

What is the total number of Australian citizens or permanent residents employed by the applicant as:

Professionals

5

Tradespersons

5

Recent Australian university graduates with less than 12 months work experience

5

Apprentices employed under a training agreement or contract of training

5

Other trainees employed under a training agreement or contract of training

5

Other

5

Foreign employment details - TSS

Foreign employment details

Of the total number of foreign employees, what is the number of:

Temporary Skill Shortage (subclass 482) visa holders and Temporary Work (Skilled) (subclass 457) visa holders

5

Skilled Employer Sponsored Regional (Provisional) (subclass 494) visa holders

5

Other temporary work or temporary activity visa holders

5

Overseas students

5

Working holiday makers

5

Other

5

Salary arrangements for an equivalent Australian worker

Click here to edit the Salary arrangements for an equivalent Australian worker

Give details of salary arrangements for an equivalent Australian worker in the nominated position. ​

Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed.

Enter the salary that would be paid to an Australian worker to do the equivalent work for one year (full-time hours).

Market salary rate

4000AUD

Enter the number of full-time hours per week used to calculate this rate.

Number of hours per week

30

Monetary components of the market salary rate

Give details of the monetary components that make up the market salary rate.

Monetary component details of the market salary rate #1

Monetary component details of the market salary rate

Salary component

Wages

Amount

2000 AUD

Total monetary components

2000 AUD

Non-monetary components of market salary rate

Are there any non-monetary components of the market salary rate?

Yes

Non-monetary component details of market salary rate #1

Non-monetary component details of market salary rate

Non-monetary component

Meals

Give details

Meals

Agreed monetary value

2000 AUD

Total non-monetary components

2000 AUD

Method of calculating the market salary rate

Does the applicant already have Australian employee(s) doing the same work as the nominated person?

No

The applicant declares that the market salary rate provided reflects the salary package that would be provided to the equivalent Australian employee(s).

No

Give details of the evidence the applicant used to determine the market salary rate.

Evidence to determine market salary rate #1

Evidence to determine market salary rate

Evidence type

Industrial award

Give details

For the work

Give details of how the applicant used this information to determine the market salary rate. Include the monetary and non-monetary components, and why a particular salary amount was selected.

Note: if there is a difference between the market salary rate determined and the proposed salary of the nominee, the applicant must explain why.

Give details

gREAT

Salary arrangements for nominated position

Salary details of nominated position

Click here to edit the Salary details of nominated position

Give details of salary arrangements that the applicant proposes will apply to the nominee in the nominated position.

Note: Do not include mandatory superannuation payments in amounts provided below. Overtime hours and payments can only be included where guaranteed.

Guaranteed annual earnings

20000 AUD

Number of hours per week

30

Monetary components of the nominee's salary

Nominee salary - monetary component details #1

Monetary component details

Salary component

Wages

Amount

20000 AUD

Total monetary components

20000 AUD

Non-monetary components of the nominee's salary

Are there any non-monetary components of the nominee's salary?

No

Other details

Will the business / organisation be paying the nominated person's salary?

No

Give details

HREAT

Has the nominated person agreed to pay the employer or the employer's agent for any purpose whatsoever included, but not limited to, recruitment, travel, visa application or agent fees?

Has the nominated person agreed to pay the employer or the employer's agent for any purpose whatsoever included, but not limited to, recruitment, travel, visa application or agent fees?

No

Will the applicant make any deductions from these earnings apart from tax?

No

Will the terms and conditions of employment of the applicant's Australian employee(s) apply to the nominated person?

No

Give details

ALL

Workplace location

Location of the nominated position

Click here to edit the Location of the nominated position

Give details of the main location where the nominated person will be working. ​

Address where nominated person will be employed

Business name at this location

World Newtech

Business web site / URL

World Newtech

Country

AUSTRALIA

Address

Sydney

Address 2

Suburb / Town

Sydney

State / Territory

New South Wales

Postcode

2000

Hours per week at this location

30

Business contact person

Business contact person at this location

Family/Given Names

Family name

James

Given names

Carl

Position in business

Manager

Contact telephone numbers

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

654789547

Mobile / Cell phone

45455545875

Email address

Email address

[email protected]

Alternative locations

Will the nominated person be working in any other location?

No

Labour market testing

Labour market testing

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Was Labour Market Testing required for this position?

No

Reason why Labour Market Testing was not required

Occupation exempt

Nominee details - TSS

Nominee's details

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Nominee's personal details

Names, Sex & DoBFamily/Given Names

Family name

Duet

Given names

Sean

Sex

Male

Date of birth

09 Jan 1980

Nominee's Australian immigration history

Does the nominee already hold a primary subclass 457 or 482 visa?

No

Is the nominee currently in Australia?

No

Has the nominee ever applied for, or held a visa to come to Australia?

No

Nominee's details

Place of birth

Town / City

New York

State / Province

New York

Country of birth

UNITED STATES

Passport details

Passport details - Full

Enter the following details as they appear in the applicant's passport.

Names, Sex & DoBFamily/Given Names

Family name

Duet

Given names

Sean

Sex

Male

Date of birth

09 Jan 1980

Passport details

Passport number

5478524

Country of passport

UNITED STATES - USA

Nationality of passport holder

UNITED STATES - USA

Date of issue

21 Oct 2015

Date of expiry

20 Oct 2025

Place of issue / issuing authority

United States Department of State

Nominee's contact details

Are current contact details available to be entered for the nominated person?

No

Nominee's relationship to the applicant

Is the nominee an owner, director, principal or partner of the applicant?

No

Does the nominee have an existing relationship with any of the owners, directors, principals or partners of the applicant?

No

Nominee's accompanying family members

Nominee's accompanying members of the family unit

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Will the nominee be accompanied by any members of their family unit?

No

Nomination withdrawal - TSS

Nomination withdrawal

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If the associated sponsorship application is refused or withdrawn, does the applicant want to withdraw this nomination application?

No

If the nomination application is withdrawn, does the applicant want to seek a refund of the associated nomination fees?

No

Certifications

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The applicant certifies that:

The applicant has the authority to enter into legal commitments for the nominating business/organisation.

Yes

The tasks of the position include a significant majority of the tasks of the nominated occupation as listed in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement, and the position is not excluded by a caveat.

Yes

The qualifications and experience of the nominee are commensurate with the qualifications and experience specified for the nominated occupation in the ANZSCO Dictionary, Legislative Instrument or Labour Agreement.

Yes

The nominated occupation is a position with the applicant, or an associated entity of the applicant, or the nominated occupation is specified in the relevant Legislative Instrument.

Yes

The nominated position has not been created solely to secure a migration outcome for the nominee.

Yes

The nominated occupation fits within the nature, size and scope of the applicant.

Yes

The proposed salary for the nominated position is the market salary rate for positions in the nominated occupation in the location where the applicant operates.

Yes

The applicant will be engaging the nominee as an employee under a written contract of employment.

Yes

The written contract of employment will comply with all requirements imposed by Commonwealth, State or territory law relating to employment including, if applicable, the National Employment Standards.

Yes

Paying for visa sponsorship

Section 245AR of the Migration Act 1958 prohibits asking for or receiving a benefit in return for the occurrence of a 'sponsorship-related event' as defined by section 245AQ of that Act. Refer to Paying for visa sponsorship - certification requirement for more information.

The applicant certifies that they have not engaged in conduct in relation to this nomination that constitutes a contravention of subsection 245AR(1) of the Migration Act 1958.

Yes

Read and understood sponsorship obligations

Declarations

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Warning:

Giving false or misleading information is a serious offence.

The applicant declares that they:

Have read and understood the information provided to them in this application.

Yes

Have provided complete and correct information in every detail on this form, and on any attachments to it.

Yes

Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.

Yes

Have read the information contained in the Privacy Notice (Form 1442i).

Have read the information contained in the Privacy Notice (Form 1442i).

Yes

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

Yes

Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.

Have read and understand the sponsorship obligations and other sponsorship requirements and understand that they or the organisation is bound by the sponsorship obligations and other sponsorship requirements with respect to all primary and secondary persons that they or the organisation consents to sponsor in writing.

Yes


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Application charges

Reference no.         Name           Date of birth              Amount (AUD)

Total application charges:

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