Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form If you require this form in an accessible format, contact [email protected] 1. Visa nomination Q1.1 The visa you are applying for Q1.2 Do you hold a Business Innovation and Investment (Provisional) visa (subclass 188) - Investor stream? Q1.3 Who is the primary visa holder of the subclass 188 provisional visa - Investor stream? Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Yes No – you are not eligible to apply for visa nomination You Spouse/partner Other, please specify ____________ 2. Agent/representative details Q2.1 Is a representative or migration agent acting on your behalf to complete this application? Yes Appointment of an Agent form must be attached at the end of this application form. (Go to 2.2) No (Go to Q3.1) Q2.2 Type of representative MARA Registered Migration Agent (Go to Q2.2.1) Fee for Service Representative (Go to Q2.3) Lawyer (registered to practice in Australia) (Go to Q2.3) Other, please specify __________ (Go to Q2.3) Q2.2.1 MARA registration number Q2.2.2 If the agent operates in a country which requires registration or licensing, does the agent hold the required registration or licensing? Q2.3 Title Q2.4 Family name Q2.5 Given name(s) Q2.6 Agency business name Yes No Form version: February 2017 Q2.7 Mailing address Q2.8 City/town/suburb Q2.9 Post code Q2.10 State/province Q2.11 Country Q2.12 Phone number Q2.13 Email address Q2.14 Who will be lodging the visa application with the Department of Border Protection (DIBP)? The same representative (Go to Q3.1) A different representative (Go to Q2.15.1) Different representative details Q2.15.1 Title Q2.15.2 Family name Q2.15.3 Given name(s) Q2.15.4 Agency business name Q2.15.5 Mailing address Q2.15.6 City/town/suburb Q2.15.7 Postal code Q2.15.8 State/province Q2.15.9 Country Q2.15.10 Phone number Q2.15.11 Email address 3. Applicant details Q3.1 Gender Q3.2 Title Q3.3 Family name Q3.4 Given name(s) Q3.5 Date of birth Male Female Other _____________ DD/MM/YYYY Q3.6 Country of birth Q3.7 Nationality Q3.8 Residential address Q3.9 Phone number Q3.10 Applicant's email address A current personal email address is required. Q3.11 Confirm email address Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 2 of 8 4. Others to be included in this application Q4.1 If you have a spouse/partner, will Yes No (Go to Q4.2) they be included in the visa application Q4.1.1 If you responded ‘Yes’ to question 4.1, please provide your spouse/partner’s details Gender Family name(s) Given names(s) Date of birth Male Female Other ____________ DD/MM/YYYY Q4.2 If you have dependents, will they be included in the visa application? Yes No (Go to Q5.1) Q.4.2.2 If you responded ‘Yes’ to question 4.2, please provide your dependents’ details Family name Given name Date of birth Relationship ____________ DD/MM/YYYY 5. Primary provisional visa holder Q5.1 Date of provisional visa expiry Q5.2 Which state or territory government provided you provisional visa nomination? ____________ DD/MM/YYYY VIC NSW QLD NT TAS SA WA ACT 6. Residency Q6.1 How many days have you and your spouse/partner resided in Australia (including Victoria) during your provisional visa? Your spouse/partner: ______ You: ______ Q6.2 How many days have you and your spouse/partner resided in Victoria during your provisional visa? Q6.3 Provide the addresses of where you and your spouse/partner resided in Victoria during your provisional visa. Your spouse/partner: ______ You: ______ Address 1: ______________________________________ ______________________________________ What type of accommodation was this? Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 3 of 8 Hotel Serviced apartment Rental accommodation Purchased property Other, please specify ___________________ Address 2 (if applicable): ______________________________________ ______________________________________ What type of accommodation was this? Hotel Serviced apartment Rental accommodation Purchased property Other, please specify ___________________ You are required to attach evidence that you made a genuine commitment to establish a residence in Victoria during your provisional visa. Evidence can include: Tenancy agreement Property ownership documents Receipts from services apartments or hotels Enrolment of your children in Victorian schools. Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 4 of 8 7. Designated investment Q7.1 Have you or your spouse/partner Yes* No – you are not eligible to invested A$1.5 million in a apply for visa nomination state/territory government security for for this visa stream a period of four years? Note: If you are swapping primary visa applicant roles with your partner from the provisional visa stage (subclass 188 visa) designated investment bonds must have been held jointly by both you and your spouse/partner. *If you responded ‘Yes’, you are required to attach evidence: - a bond holding statement issued by the Treasury Corporation of Victoria or - if the investment has matured, written confirmation from the Treasury Corporation of Victoria 8. Additional business activity Q8.1 Have you or your spouse/partner operated a business in Victoria during your provisional visa? Q8.2 Business details Yes No (Go to Q9.1) Q8.3 Name of business Q8.4 Physical address of your Victorian business Q8.5 City/town/suburb Q8.6 Phone number Q8.7 Website address Q8.8 ABN/ACN Q8.9 Your position/title Q8.10 Your ownership percentage of the business Q8.11 Estimated value of the business Q8.12 Number of full time jobs A$___________ Q8.13 Provide a brief description of your additional business activity Q.8.14 Select the industry sector(s) that best describe your business in Agriculture, forestry and fishing Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 5 of 8 Victoria. Select as many as apply. Mining Manufacturing Electricity, gas, water and waste services Construction Wholesale trade Retail trade Accommodation and food services Transport, postal and warehousing Information media and telecommunications Financial and insurance services Rental, hiring and real estate services Professional, scientific and technical services Administrative and support services Public administration and safety Education and training Health care and social assistance Arts and recreation services Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 6 of 8 Other, please specify______________ 9. Additional investment Q9.1 Have you made any additional investments into Victoria during your provisional visa? Q9.2 Value of the additional investment Yes No (Go to question 10.1) A$_________________ Q9.3 Which of the below best describes your additional investments? Select as many as apply. Equity in private business Government bonds Managed fund Property development Shares in public company Other, please specify _____________ Q9.4 Provide a brief description of your additional investment activity 10. Future investment Q10.1 The Victorian Government may engage with you regarding investment activity in Victoria. Would you require an interpreter to undertake this discussion? Q10.1.1 Please indicate the language you require an interpreter for. Yes No (Go to question 10.2) Arabic Hindi Japanese Mandarin Chinese Spanish Vietnamese Other, please specify _____________ Q10.2 Which of the following sectors would you consider to be attractive for a future investment? Construction technologies Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 7 of 8 Defence Food and fibre (for example, research, technology, infrastructure, production and manufacturing) International education Medical technologies and pharmaceuticals New energy technology Professional services (for example, financial services or engineering design) Transport technologies Other, please specify _____________ For more information see www.business.vic.gov.au/support-for-yourbusiness/future-industries 11. Attachments 11.1 Your Victorian Government visa nomination application requires the attachment of appropriate documentary evidence: • • • • • A signed and scanned Nomination Conditions form (if applicable) A signed and scanned Appointment of an Agent form (if applicable) Evidence of designated investment Evidence of Victorian residence Evidence of additional business or investment activity. This could include: o For stocks, share certificates and evidence of active management o For business activity, current and historical ASIC extract o For investment properties, certificate of title and most recent tenancy agreement. Privacy Statement Protecting your privacy and personal information is important to the Department of Economic Development, Jobs, Transport and Resources (DEDJTR). The Department has implemented technology and security policies, rules and measures to protect the personal information that it has under its control from unauthorised access, improper use, alteration, unlawful or accidental destruction and accidental loss. We are committed to protecting the information we collect and use by complying with the Information Privacy Act 2014. For more information on how DEDJTR handles your personal information go to www.economicdevelopment.vic.gov.au/privacy. Business Innovation and Investment (Permanent) visa (subclass 888) - Investor stream Visa nomination application form 8 of 8
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