* Mandatory Fields
Company Details
Company name:  *
Address:
Telephone:		Facsimile:
E-mail:  *
Position held:
Personnel / HR Manager:  *

Employee Details
Surname:
Given Names:
Partner's Name:
Current Address:
Telephone:		Facsimile:
E-mail:		Mobile:
Title:		Nationality:
Date of Birth:		Language  spoken:
Drivers Licence No:		Passport No:

Children
Name:		Birth date:		School Yr:
Name:		Birth date:		School Yr:
Name:		Birth date:		School Yr:
Name:		Birth date:		School Yr:

Do you need us to help select suitable schools for your children?	Yes   No
Govt/State    Private    Catholic    Uni/Tafe

Educational consultant required?

Yes  No

Other - please indicate:

Medical Do you or your family have any special medical requirements?

Planned Arrival
Initial visit:
Permanent arrival:

Temporary accommodation required?	Yes  No
To be arranged by Relocations in Melbourne?	Yes  No
Hotel  Serviced appartment

Housing Details
Rental - Fully furnished:		Budget:
Rental - Unfurnished:		Budget:
Is rental furniture required?			Yes   No

Preferred suburbs (if known):

	Inner city	Bayside	Eastern		Northern
House or apartment:
Style:

No. of bedrooms             No. of bathrooms

Special requirements:

Do you need to be close to:

Public transport?

Yes

No

Shopping centres?

Yes

No

Schools?

Yes

No

Lease to be in the name of:
Length of lease:

Pets
Will you be bringing any pets with you?	Yes    No
Please state details:

Additional Information (eg religious requirements)