Please complete the below form to register your arrival in Western Australia

* 1. Date

Date
/
/

* 2. Family name

* 3. Given name

* 4. State nomination reference number

* 5. Visa subclass

* 6. Passport nationality

* 7. Nominated occupation

* 8. Date of arrival in Western Australia

Date
/
/

* 9. Date of birth

Date
/
/
Postal address

* 10. Street name and number

* 11. Suburb

* 12. Postcode

* 13. State

* 14. Mobile

* 15. Email

As part of your signed Conditions of State Nomination you indicated that you expected to remain living and working in Western Australia for two years after being granted a visa.

Please notify the Settlement Service team of any changes to your contact details, to ensure you can continue to participate in the post-arrival surveys.

For further information on registration, please contact Settlement Services:
E: settlementservices@dtwd.wa.gov.au
T: +61 8 9224 6540
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