First Name

Last Name

Email

Phone

Select gender Female Male Gender

Date of birth

Select an answer Yes No Are you currently involved in a relationship with a person from Australia?

Select an answer Yes No Is your partner willing to sponsor your migration to Australia?

Select an answer Australian Citizen Australian Permanent Resident Eligible New Zealand Resident None of the above Which of the following best describes your partner?

Select relationship Husband or Wife De-facto Partner (living together, not married) Same-Sex partner Fiance (engaged to be married) None of the above is applicable What is your relationship to your partner?

Select a duration Under 6 months 6 - 11 months 12 - 23 months 2 - 4 years 5 years or greater Please specify the total duration of your relationship

Select a duration Under 6 months 6 - 11 months 12 - 23 months 2 - 4 years 5 years or greater Of that time, how long have you lived together?