Business Assessment
1
Name*
2
E-Mail*
3
Date of Birth *
4
English Ability
Please Select Native English Speaker Good Average Poor
5
Martial Status
Please Select Never Married Married;De Facto/Common Law Engaged Seperated Divorced Widowed
6
Are you committed to establish and maintain a business or investment activity in Australia?
7
In the last twelve months, which of the following statements applies to your Australian Business.
8
What is the combined net total of your business and personal assets?
Please Select AU$2,250,000 or greater At least AU$1,125,000 At least AU$500,000 At least AU$250,000 Less than AU$250,000
9
What is the total net value for your assets in Australia, or available for transfer to Australia with in 2 years?
Please Select over AU$2.5 Million between AU $1.5 and 2.5 million between AU $0.5 and 1.5 million less than AU $0.5 million
10
In any 2 of the last 4 fiscal years, what was the approximate turnover of your business(es)?
Please Select AU$500,000 or greater At least AU$300,000 Less than AU$300,000
11
What was the approximate turnover of the company or organisation you were employed by?
Please Select AU$50 Million or greater At least AU$10 Million Less than AU$10 Million
12
For how many years have you been involved in directly managing your business(es) or investments?
Please Select 3 years or above 2-3 years less than 2 years
13
In any 2 of the last 4 fiscal years, what was the approximate net value of your business assets?
Please Select AU$200,000 or greater Less than AU$200,000
14
Please specify the most senior position you have held in a company for at least two of the last four years.
Please Select Chairman Chief Executive Officer Managing Director General Manager Director Chief Financial Officer Chief Operations Officer Senior Manager Other
15
In any 1 of the last 5 fiscal years, please indicate your ownership interest in your business.
Please Select 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% less than 10%
16
Have you been actively involved in the day-to-day management of your business(es)?
17
How many levels of management are there above you (ie. more senior to you) in your current role?
Please Select 0 1 2 3 4
18
In any 1 of the last 5 fiscal years, please indicate the approximate net value of your business assets.
Please Select AU$1.5 Million or greater At least AU$750,000 Less than AU$750,000
19
Please describe your share or ownership of your business.
Please Select Sole proprietor of the business Active partner in a partnership Shareholder in a public listed company (at least 10% ownership interest) Shareholder in a public listed company (less than 10% ownership interest) None of the above applies
