Request form for Regional Certification under the Skilled by mallorycarlson

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									                            MRDB – RCB 475/487 FORM

Murray Regional Development Board (MRDB) is a Regional Certifying Body (RCB) for the Skilled (Provisional)
Regional Sponsored (Subclass 475/487).

For RCB certification assessment, please complete the following application and return to
nicole.doughty@mrdb.nsw.gov.au


     1. Your Details

          Family name

          Given names

          Sex                       Male       Female

          Date of birth             D           /M              /Y



     2. Place of Birth

          Town/City

          Country

          Citizenship



     3. Current Contact Address




     4. Contact Details

          Telephone

          Mobile

          Email address



     5. Nominated Occupation and ASCO code (listed in the Skilled Occupation list)

          Occupation

          ASCO Code



Confidential                                 Page 1                                           Subclass 475/487
Murray Regional Development Board                                                               November 2008
NSW
     6. Details of ALL dependants included in this sponsorship

                                                      Date of Birth
 Full Name                             Sex M/F                          Relationship to you
                                                      Day/Month/Year




     7. You need at least 100 point’s on DIAC’s points test to qualify for this visa. Please complete the
        following table to assist MRDB to assess your claims for sponsorship

          Criteria                           Points

          Age

          English

          Skilled Occupation

          Work Experience

          Australian Work Experience

          Australian Qualifications

          Occupation in demand

          Community Language

          Regional Australia Study

          Partner Skills

          State/RCB Sponsorship

          Total




Confidential                               Page 2                                             Subclass 475/487
Murray Regional Development Board                                                              November 2008
NSW
     Required documents to be attached to the completed application

     •     A Certified Copy of Skills Assessment
     •     A Copy of International English Language Test (IELTS)
     •     Resume
     •     Copies of Work References
     •     Australian Qualifications/certificate (if applicable)
     •     Certification Fees of AUD $385 (fee increase effective from 1.12.2008)
                            are to be payable to Murray Regional Development Board by a bank Draft or
                            by an electronic transfer to the following account:
                            Account Name:                        Murray Regional Development Board
                            Bank Name and Address:               National Australia Bank
                                                                 497 Kiewa Street, Albury NSW 2640 Australia
                            BSB Number: 082406; Account Number: 641502000
                            and are non-refundable and must be paid prior to an assessment




      Sponsor’s declaration ( OFFICE USE ONLY)

      Subject to the department’s assessment of identity, health, character and other legal requirements:

         Applicant’s name

         Occupation

         ASCO Code

         Subclass                   475                              487


      Has been assessed by this agency as being needed in the Murray region. If approved for the grant of a
      Skilled (Provisional) Regional Sponsored category, visa subclass 475/487 the nominee is likely to
      contribute to the economic development of the Murray region.


         Signature of authorising Officer

         Authorising Officer’s Name

         Date


      Agency’s stamp/seal




Confidential                                    Page 3                                                 Subclass 475/487
Murray Regional Development Board                                                                       November 2008
NSW

								
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