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Business Inovation Stream Business Migration Centre创新业务流的商业移民中心
Payment Reference No. _______________APPLICATION FOR WESTERN AUSTRALIAN GOVERNMENTSTATE NOMINATION FOR A BUSINESS VISABUSINESS INNOVATION AND INVESTMENT (PROVISIONAL) VISA 188 – BUSINESS INNOVATION STREAM Attached is my completed State Nomination Applicationform, including ():Copy of passportbio-data pageCopies of Profit and Loss Statement and Balance sheet for two (2) of the last four (4) yearsCompleted points test provided at the end of this formDeclarationI declare that All of the information contained in my application is correct;I have assessed myself against the Department of Immigration and Border Protection’s 188 Business Innovation (provisional) visa criteria and believe I meet all the requirements; andI will contact the Business Migration Centre upon settling in Western Australia to advise confirmed business activities._______________________ (Name of Applicant)______________________________ (Signature of Applicant)Dated (dd/mm/yyyy): ?????Migration Agent Declaration (if applicable)As the appointed migration agent for the above named applicant I declare that To the best of my knowledge the information contained in the application is correct;I have assessed the applicant against the the Department of Immigration and Border Protection’s 188 Business Innovation (provisional) visa criteria and believe he/she meets all the requirements; andThe applicant has read and understands the content of this application._______________________ (Name of Migration Agent)______________________________(Signature of Migration Agent)Dated (dd/mm/yyyy): ?????Please Note: The Business MigrationCentre reserves the right to request applicants, agents or representatives of applicants for State nomination to formally attest to the accuracy of the information contained in this application or its attachments.Please send your application to:Business Migration CentreSmall Business Development CorporationGPO Box C111PERTHWESTERN AUSTRALIA 6839Telephone:(+618) 6552 3300 Facsimile:(+618) 65
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