Confirmation of

Employment
Statement

Primary Applicant’s Information

My Full Name is (the primary applicant)

1. I am submitting a true, valid and legitimate offer of future employment or confirmation of current
employment to support my application for nomination by the Victorian Government under the Skilled
Visa Scheme.
2. I understand that the specific details of the employment duties will be verified with the Employer’s
nominated representative(s).
3. I acknowledge that the Employer will be assessed through various Local, State and Federal
Government sources to determine its authenticity.
4. I understand that a frequent and random selection of applicant employment documentation will be
referred onto the Department of Home Affairs for further legitimacy validation consistent with the
provisions of the Health Records Act 2000 and Information Privacy Act 2000.

Primary Applicant Confirmation

This section must be completed by the applicant.
I,
have read and understood the Confirmation of Employment Statement above.
Signature
Date
Employer Confirmation
This section is to be completed by the nominated Employer representative.
I,
Title
have read and understood the Confirmation of Employment Statement above.
Signature
Date
Contact phone number:
Secondary Employer Contact
It is advisable to provide a secondary contact in order to avoid delay in processing the nomination
application.
If the primary nominated Employer contact is not available at the time when contact is made by the
Victorian Government Skilled and Business Migration Program, the following person is authorised to act
on their behalf:
Name:
Title
Contact phone number:
Please print and fill in this Confirmation of Employment Statement and attach it to your online
application for nomination to the Victorian Government.

Privacy Statement
Protecting your privacy and personal information is important to the Department of Economic Development, Jobs, Transport and
Resources (DEDJTR). The Department has implemented technology and security policies, rules and measures to protect the
personal information that it has under its control from unauthorised access, improper use, alteration, unlawful or accidental
destruction and accidental loss. We are committed to protecting the information we collect and use by complying with the
Information Privacy Act 2014. For more information on how DEDJTR handles your personal information go to
www.economicdevelopment.vic.gov.au/privacy.

Confirmation of Employment Statement

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