Migration Skills Assessment

Application for Formal Appeal of Assessment Outcome

Office use only

CID

Applicants who wish to seek a formal Review of their assessment must complete this form.
An application for a Review must be lodged within 12 months of the date of the original assessment
outcome letter.
The lodging of a Review does not allow for the submission of any new documents to support your claim,
unless requested by the Review Committee.
Applicants seeking a Review should understand that all necessary documentation from their file will be
photocopied and forwarded to the Review Committee. Under Australian Privacy Legislation, an applicants
express permission is required before copies may be forwarded to the Committee. The signed submission of
this form by the applicant will be taken as consent to this dissemination of file documents.
Please note that formal Reviews may take three months or more.

Personal details (Please use block letters AND tick the appropriate boxes below)
Client ID Number: ...........................................................
Title:

Prof

Dr

Mr

Mrs

Date of original Assessment outcome letter: ........../.........../..........

Ms

day month year

Miss

Other (please specify)..............................................................

Family Name: ......................................................................................................................................................................................................

Given Names (in full): ......................................................................................................................................................................................
Gender:

day month year

Male

Female

Applicants Current Address: .........................................................................................................................................................................

..................................................................................................................

City:.................................................................................................

Postcode: ..............................................................................................

Country: .......................................................................................

Phone: . ..................................................................................................

Mobile: .........................................................................................

Email: .....................................................................................................................................................................................................................
Preferred outcome: (Occupation/Category/ANZSCO code - if known) ...........................................................................................
Applicants Signature: .................................................................................................................... Date: ........./........../..........
day month year

method of payment (Please tick the appropriate boxes below)

Review fee for Applicants living Overseas - AUD$200.00
Review fee for Applicants living in Australia - $220.00 (GST included)
This must be paid at the time you apply for a Review. This fee may be refundable if your appeal is upheld.
The Payee is ENGINEERS AUSTRALIA for payments made using cheque, money orders and bank drafts. Overseas
applicants using this form of payment MUST ensure that the bank draft is drawn in Australian Dollars ONLY to a
bank operating in Australia.
Bank Draft/Money Order drawn to an Australian bank in Australian dollars
Cheque

Credit Card Details Please charge credit card (tick one)

Credit Card No:

Australian Money Order

Credit Card (see below).

American Express

Visa

Mastercard

Cardholders Name:................................................................................................................... Expiry Date: .........../...........

month year

Amount: AUD$......................... Cardholders Signature: ................................................ Date: .........../............/...........

day month year

Mail to: Migration Skills Assessment, Education and Assessment, Engineers Australia,

11 National Circuit, BARTON ACT 2600 Australia

FORMAL REVIEW

Date of Birth: ........../........../..........

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