Client Contact Form

The best way to start your immigration process is to have a personal consultation with one of our experienced registered immigration advisor.

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Contact Form
Service Agreement
Details of fees and Disbursements

Are you inquiry about your own VISA Options? *

Yes

Have you had an iscah consultation before?*

Yes

What Visa are you interested in discussing with Iscah?*

What Visa are you interested in discussing with Iscah?

What date and time is your appointment with Iscah? (if you have a booked appointment )

What is your MM code? (if you have one)

Surname

Given Name/s (if you have GIVEN Name only, please add name here) *

Preferred Name:

Gender:*

Male

Female

Date of Birth:*

Residential Address:*

Country of residence (if not Australia):*

Home Address (House/Unit Number and Street Name)

Suburb

Postcode

Country

Email address

Mobile number

Current Visa

Current Visa Expiry date

Are you Single or Separated?*

Yes

Are you Married OR in Defacto relationship?*

Yes

Partner's Surname:

Given Name/s (if you have GIVEN Name only, please add name here) *

Preferred Name:

Gender*

Male

Female

Partner’s Date of Birth:*

Partner's Address if different to client 1:*

Partner’s Email:*

Partner's Mobile Number:*

Do you have child?*

Yes

How many children do you have?*

One

Two

Three

Four

Child’s Surname:

Given Name/s (if you have GIVEN Name only, please add name here)

Preferred Name:

Gender

Male

Female

Child’s Date of Birth:

Child’s Surname:

Given Name/s (if you have GIVEN Name only, please add name here)

Preferred Name:

Gender

Male

Female

Child’s Date of Birth:

Child’s Surname:

Given Name/s

Preferred Name:

Gender

Male

Female

Child’s Date of Birth:

Child’s Surname:

Given Name/s

Preferred Name:

Gender

Male

Female

Child’s Date of Birth:

3rd Party Authorisation Form

Date*

Applicant’s First Name:*

Applicant’s Surname (if applicable):*

Email Address*

Email Address

Mobile Number:*

Address:*

Dear*

This letter confirms that,*

(relationship and name to the person who grant the authorization) is authorised to consult visa options and/or to provide any information that needed regarding filing any documents, fill the forms on my behalf since I cannot be there right now due to:

This authorisation letter will be effective until my further notice in writing.

Sincerely,

MM CODE: _______________ (office use)

SERVICE AGREEMENT

IMPORTANT INFORMATION FOR CLIENTS (a reference to ‘Client’ is a reference to all Clients in this Agreement): The terms and conditions of this agreement are set out below. Make sure you have carefully read and understood the terms and conditions before entering into the agreement. If you wish to seek independent legal advice about this agreement, you should do so before signing this agreement. By signing or initialling each page, you are indicating that you have read and understood the terms on that page.

I have read and understood the terms below and I agree to be bound by this agreement.

Responsible Agent ("Agent") Details*

Address*

Phone

Other responsible agents details who are assisting*

Name

Phone

Business Details (if different)*

Name

Client 1 *

Contact Details

Given Name/s

Preferred Name

Date of birth ×

Residential Address

Phone

Is there any other clients to be included in this agreement?

Yes

Client 2*

Contact details

Given Name/s

Preferred Name

Date of birth ×

Residential Address

Phone

Client 3

Contact details

Given Name/s

Preferred Name

Date of birth ×

Residential Address

Phone

Consultation appointment fee is $220 inc gst (onshore), $200 no gst (offshore) or $165 inc gst each, if you have scheduled a Double appointment

The basis of the fees for the services is calculated as follows:

NIL fee – for your follow up visa questions/advice from your Initial Consultation appointment.

Follow up questions/advice by email only – migration@iscah.com

TERMS AND CONDITIONS*

I Accept Privacy Term & Conditions

Client1 Signature

Date *

Client 2 Signature

Date *

Registered Migration Agent Signature ( Office Use Only )

Date *

Would you like a free copy of our monthly visa newsletter emailed to you? *

Yes

Your form has been submitted

Thank you %NAME% for submitting Iscah consultation form.
We have received your answers. You can view it anytime from this link below:
%TRACK_LINK%
We have also attached a copy of your submission.

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