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Questionnaire PDF

The document contains an initial questionnaire for a visa applicant, with sections requesting details about the applicant's name, date of birth, contact information, addresses, relationship status, education history, employment history, and questions regarding any past legal or immigration issues.

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Benjamin Codilla Gerez, Jr.
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© © All Rights Reserved
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54 views

Questionnaire PDF

The document contains an initial questionnaire for a visa applicant, with sections requesting details about the applicant's name, date of birth, contact information, addresses, relationship status, education history, employment history, and questions regarding any past legal or immigration issues.

Uploaded by

Benjamin Codilla Gerez, Jr.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INITIAL QUESTIONNAIRE

APPLICANT DETAILS
Name BENJAMIN JR CODILLA GEREZ

Date of Birth SEPT. 1, 1967

Country of Passport PHILIPPINES

Contact Number 09451001867


Email Address [email protected]

Current Residential
BRGY., 60-A OLD ROAD, SAGKAHAN, TACLOBAN CITY 6500
Address
Relationship status Single/Married/De-facto/others
(Please Circle) N/A
Do you have kids: Yes/No. If yes number of kids………………

EDUCATION
Name of Institute Course Studied Date Started and End Country of Education

GREEN VALLEY COLLEGE BACHELOR OF EDUCATION 2014-2015


FOUNDATION, INC. 24 UNITS (TEACHERS PHILIPPINES
CERTIFICATE)

AUSTRALINA NATIONAL GRAD DIP - PUBLIC AUSTRALIA


UNIVERSITY ADMINISTRATION 2008-2009

UNIVERSITY OF EASTERN BACHELOR OF LAWS 1994-2001 PHILIPPINES


PHILIPPINES

BACHELOR OF SCIENCE
DIVINE WORD UNIVERSITY IN COMMERCE - PHILIPPINES
ACCOUNTING 1984-1990

GLOBAL SCHOOL FOR FINISHING COURSE FOR


TECHNOLOGICAL COLLEGE, INC. CALL CENTER AGENTS OCT-DEC 2011 PHILIPPINES

Address: Suite 1202, Level 12, 530 Little Collins Street, Melbourne Victoria 3000
Email: [email protected]
Website: www.newwaymigration.com.au
INITIAL QUESTIONNAIRE

EMPLOYMENT HISTORY
Name of Company Current Position Date Started and End Employment Country
KRATHUMBAEN ENGLISH TEACHER
WISETSAMUTTHAKHUN SCHOOL 2018-2019 THAILAND

SASIPA SCHOOL ENGLISH TEACHER 2016-2018


THAILAND
PONGSAWADI TECHNOLOGICAL
COLLEGE COLLEGE INSTRUCTOR 2013-2016
THAILAND

SOIDAOWITTAYA SCHOOL ENGLISH TEACHER 2012-2013 THAILAND


VICE-GOVERNOR'S OFFICE LEGISLATIVE STAFF
PROV'L GOVT. OF N. SAMAR OFFICER 2008-2012 PHILIPPINES
ACCOUNTANT'S OFFICE
PROV'L GOVT. OF N. SAMAR BOOKKEEPER 1993-2008
PHILIPPINES

Please answer the following in accurate manner as this is important for your visa Yes NO
application (Please tick Yes/No)

Have you ever been refused a visa to any country? If yes name of Country……………..
Been charged with any offence that is currently awaiting legal action?
Been associated with a person, group or organisation that has been/is involved in criminal
conduct?
Been removed, deported or excluded from any country (including Australia)?
Overstayed a visa in any country (including Australia)?
Undergone any military/paramilitary training, been trained in weapons/explosives or in the
manufacture of chemical/biological products?
Served in a military force, police force, state sponsored/private militia or intelligence
agency (including secret police)?

All the information provided by me are accurate and correct and understand that misleading and inaccurate
information may hamper my visa application processing.
bcgerezjr 17 JUNE 2019
Applicant Signature………………………………. Date…………………………………

I understand that this form is to collect the information required for my visa application processing and successful
evaluation or outcome of this does not guarantee the visa outcome to Australia but will help me further process the
application.

Address: Suite 1202, Level 12, 530 Little Collins Street, Melbourne Victoria 3000
Email: [email protected]
Website: www.newwaymigration.com.au

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