Visitoz Programmes Application Form
Visitoz 88 DAY Programme Application Form
Australians and NZ Application Form
What to expect
Insurance application form
Tax, Medicare & Superannuation
What to bring ?
365 day joining info
Arrival, meeting and transport to Noosa
Programme for the 9 days
88 day joining info
Halse Lodge, Noosa
Things to do in Noosa
About the training
Training Farm Review
Terms and Conditions
2nd job profile update
Visitoz insurance with Global Secutive
I would like to purchase the insurance provided for Visitoz participants at AU$3.00 per day.
Indicates required field
Date of birth
Address of permanent residence
Home telephone number
Do you have any medical conditions for which you are currently receiving treatment.
Do you have any registered disabilities ?
Please give details
Next of kin information
Full name of next of kin
Their relationship to you
Telephone number of next of kin
Email address of next of kin
We would recommend that you cover yourself from the day you enter Australia or start our training course. If you are joining one of our 88 days programmes, we would recommend that you cover yourself for at least 100 days.
I would like to have insurance from:
Please provide here a start date (DD/MM/YY) for your insurance cover. We would recommend that you cover yourself from the day you enter Australia or start our training course.
Length of insurance:
Please provide the amount of days for which you would like to be covered (minimum length is 14 days). If you are joining one of our 88 days programmes we would recommend that you cover yourself for at least 100 days.
Please provide your credit card details in the section below in payment of your Global Secutive Insurance policy (AU$3.00 per day).
Type of card
Card holder name
Long card number
CVC code (three numbers on the back of the card)
I confirm that I agree to Visitoz taking a payment from the payment card detailed above
I understand that this application form will be submitted to Visitoz.
I confirm that the information I have provided above is true and complete in so far as it is relevant to living and working in rural Australia.
I confirm that I have been made aware of the
Visitoz Global Secutive Insurance policy information
on the visitozapplications.org website and that I understand that the insurance provided is exactly as the one detailed on our website.
I confirm that I understand and agree to the above.