This form contains 450 fields organized into 118 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Adult Details Confirmation
Details of Additional Adult Checkbox
Check this box if you have provided details for each additional adult, provided there are more than 2 adult visa applicants and you answered 'Yes' to question 54.
Assurance of Support
No Checkbox
Check this box if no one provided you with an Assurance of Support for your migration to Australia.
Not sure Checkbox
Check this box if you are not sure whether someone provided you with an Assurance of Support for your migration to Australia.
Yes Checkbox
Check this box if someone provided you with an Assurance of Support for your migration to Australia.
Assurance of Support for Child Under 18 Question
No Checkbox
Check this box if you are not providing Assurance of Support for a child younger than 18 at the time of this application.
Yes Checkbox
Check this box if you are providing Assurance of Support for a child younger than 18 at the time of this application.
Number of Children Number
Please enter the total number of children under 18 for whom you are providing Assurance of Support. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Assurance of Support for More Than 2 Adults Question
No Checkbox
Check this box if you are NOT providing Assurance of Support for more than 2 adult visa applicants.
Yes Checkbox
Check this box if you ARE providing Assurance of Support for more than 2 adult visa applicants.
Assurance of Support Provider Status
No Checkbox
Check this box if you are not the only person providing the Assurance of Support for the migrants covered by this Assurance of Support.
Yes Checkbox
Check this box if you are the only person providing the Assurance of Support for the migrants covered by this Assurance of Support.
Next Question Reference Text
Enter the number of the next question to refer to if you are not the only person providing Assurance of Support. Fill only if 'No' is 'No'.
Depends on: No
Australian Business Number (ABN)
Australian Business Number Part 1 Text
Please provide the first part of the Australian Business Number.
Max length: 2 characters
Australian Business Number Part 2 Text
Please provide the second part of the Australian Business Number.
Max length: 3 characters
Australian Business Number Part 3 Text
Please provide the third part of the Australian Business Number.
Max length: 3 characters
Australian Business Number Part 4 Text
Please provide the fourth part of the Australian Business Number.
Max length: 3 characters
Australian Citizenship by Birth
No Checkbox
Check this box if you are not an Australian citizen who was born in Australia.
Yes Checkbox
Check this box if you are an Australian citizen and were born in Australia.
DummyCalcQ22 Text
Australian Citizenship Details
Australia Checkbox
Check this box if Australia is your country of citizenship.
Citizenship Grant Day Text
Enter the day your Australian citizenship was granted.
Citizenship Grant Month Text
Enter the month your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'.
Max length: 2 characters
Depends on: Australia
Citizenship Grant Year (First Two Digits) Text
Enter the first two digits of the year your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'.
Max length: 2 characters
Depends on: Australia
Citizenship Grant Year (Last Two Digits) Text
Enter the last two digits of the year your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'.
Max length: 4 characters
Depends on: Australia
Australian South Sea Islander Descent Inquiry
No Checkbox
Check this box if you are not of Australian South Sea Islander descent.
Yes Checkbox
Check this box if you are of Australian South Sea Islander descent.
Authorisation Confirmation
No, I am not authorised Checkbox
Check this box if you have not been authorised to complete this form on behalf of your organisation.
Yes, I am authorised Checkbox
Check this box if you have been authorised to complete this form on behalf of your organisation.
Authorised Person's Details
Authorised Person's Name Text
Please provide the full name of the person authorised to complete this form on behalf of your organisation.
Authorised Person's Title/Position Text
Please provide the title or position of the person authorised to complete this form on behalf of your organisation.
Checklist
Department of Home Affairs Request for Assurance of Support letter Checkbox
Check this box if you are providing the Department of Home Affairs Request for Assurance of Support letter to the visa applicant advising that an Assurance of Support is required.
Identity documents Checkbox
Check this box if you are providing identity documents.
Authorising a person or organisation to enquire or act on your behalf (SS313) form Checkbox
Check this box if you are providing the Authorising a person or organisation to enquire or act on your behalf (SS313) form, which is required if you answered Yes at question 60. Fill only if 'Yes' is 'Yes' at question 60.
Depends on: Yes
Proof of your Australian residence status Checkbox
Check this box if you are providing proof of your Australian residence status, which is required if you answered No at question 22.
Evidence of your ongoing income Checkbox
Check this box if you are providing evidence of your ongoing income (e.g., payslips, letter from accountant/employer, profit and loss statement), which is required if you answered question 38.
Evidence of your income from the last financial year Checkbox
Check this box if you are providing evidence of your income from the last financial year (e.g., notice of assessment, ATO letter), which is required if you answered question 39.
Contact Details
Home Phone Number Text
Please enter your home phone number, including the area code.
Max length: 10 characters
Mobile Phone Number Text
Please enter your mobile phone number.
Max length: 10 characters
Fax Number Text
Please enter your fax number, including the area code.
Max length: 10 characters
Work Phone Number Text
Please enter your work phone number, including the area code.
Max length: 10 characters
Alternative Phone Number Text
Please enter an alternative phone number, including the area code.
Max length: 10 characters
Email Text
Please enter your email address.
Country of Birth
Country of Birth Text
Please enter the country where you were born.
Country of Birth Text
Please provide the country where the primary visa applicant was born.
Country of Citizenship
Country of Citizenship Text
Please enter the country where the primary visa applicant holds citizenship.
Current Address
Current Address Line 1 Text
Please provide the first line of your current residential address.
Current Address Line 2 Text
Please provide the second line of your current residential address, such as the suburb, city, or state.
Current Address Postcode Text
Please provide the postcode for your current residential address.
Max length: 4 characters
Current Annual Taxable Income
Current Annual Taxable Income Number
Please enter your current annual taxable income.
Current Country of Residence
Australia Checkbox
Check this box if Australia is the country where you currently live on a long-term basis.
Other Checkbox
Check this box if you currently live on a long-term basis in a country other than Australia.
Other Country of Residence Text
Please provide the name of the country where you currently live, if it is not Australia.
Current Residence Details Text
Please provide additional details or explanations regarding your current country of residence. Fill only if 'Other' is 'Yes'.
Depends on: Other
Current Readily Available Funds Amount
Current Readily Available Funds Amount Number
Enter your organisation's current readily available funds amount.
Customer Reference Number
Customer Reference Number Part 1 Text
Enter the first segment of your customer reference number.
Max length: 3 characters
Customer Reference Number Part 2 Text
Enter the second segment of your customer reference number.
Max length: 3 characters
Customer Reference Number Part 3 Text
Enter the third segment of your customer reference number.
Max length: 3 characters
Customer Reference Number Part 4 Text
Enter the fourth segment of your customer reference number.
Max length: 1 characters
Date
Day Text
Please enter the day of the date.
Max length: 2 characters
Month Text
Please enter the month of the date.
Max length: 2 characters
Year Text
Please enter the year of the date.
Max length: 4 characters
Date Married or Last Reconciled
Day Married or Last Reconciled Text
Enter the day you were married or last reconciled with your partner.
Married Checkbox
Check this box if you are currently married and are providing the date you were married or last reconciled with your partner.
Month Married or Last Reconciled Text
Enter the month you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Max length: 2 characters
Depends on: Married
Year Married or Last Reconciled (First Two Digits) Text
Enter the first two digits of the year you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Max length: 2 characters
Depends on: Married
Year Married or Last Reconciled (Last Two Digits) Text
Enter the last two digits of the year you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Max length: 4 characters
Depends on: Married
Date of Birth
Day of Birth Text
Enter the day of your birth.
Max length: 2 characters
Month of Birth Text
Enter the month of your birth.
Max length: 2 characters
Year of Birth Text
Enter the year of your birth.
Max length: 4 characters
Day of Birth Text
Please enter the day of the applicant's birth.
Max length: 2 characters
Month of Birth Text
Please enter the month of the applicant's birth.
Max length: 2 characters
Year of Birth Text
Please enter the year of the applicant's birth.
Max length: 4 characters
Date of Divorce
Divorced Checkbox
Check this box if your relationship status is divorced.
Divorce Day Date
Provide the day of the divorce. Fill only if 'Divorced' is 'Yes'.
Max length: 2 characters
Depends on: Divorced
Divorce Month Date
Provide the month of the divorce. Fill only if 'Divorced' is 'Yes'.
Max length: 2 characters
Depends on: Divorced
Divorce Year Date
Provide the year of the divorce. Fill only if 'Divorced' is 'Yes'.
Max length: 4 characters
Depends on: Divorced
Date of Last Separation
Separated Checkbox
Check this box if your current relationship status is 'Separated' from your partner, having previously been in a marriage, registered, or de facto relationship, and you need to provide the date of your last separation.
Day of Last Separation Text
Enter the day of your last separation from your partner. Fill only if 'Separated' is 'Yes'.
Max length: 2 characters
Depends on: Separated
Month of Last Separation Text
Enter the month of your last separation from your partner. Fill only if 'Separated' is 'Yes'.
Max length: 2 characters
Depends on: Separated
Year of Last Separation Text
Enter the year of your last separation from your partner. Fill only if 'Separated' is 'Yes'.
Max length: 4 characters
Depends on: Separated
Date of Partner's Death
Widowed Checkbox
Check this box if you are widowed, meaning your partner has passed away, and you were previously in a marriage, registered, or de facto relationship with them.
Day of Partner's Death Text
Enter the day your partner passed away. Fill only if 'Widowed' is 'Yes'.
Max length: 2 characters
Depends on: Widowed
Month of Partner's Death Text
Enter the month your partner passed away. Fill only if 'Widowed' is 'Yes'.
Max length: 2 characters
Depends on: Widowed
Year of Partner's Death Text
Enter the year your partner passed away. Fill only if 'Widowed' is 'Yes'.
Max length: 4 characters
Depends on: Widowed
Date Registered or Last Reconciled
Registered relationship Checkbox
Check this box if your relationship is registered under Australian state or territory law and you need to provide the date it was registered or last reconciled with your partner.
Day Registered or Last Reconciled Text
Please enter the day your registered relationship started or was last reconciled with your partner. Fill only if 'Registered relationship' is 'Yes'.
Max length: 2 characters
Depends on: Registered relationship
Month Registered or Last Reconciled Text
Please enter the month your registered relationship started or was last reconciled with your partner. Fill only if 'Registered relationship' is 'Yes'.
Max length: 2 characters
Depends on: Registered relationship
Year Registered or Last Reconciled Text
Please enter the year your registered relationship started or was last reconciled with your partner. Fill only if 'Registered relationship' is 'Yes'.
Max length: 4 characters
Depends on: Registered relationship
Date Relationship Started or Last Reconciled
De facto Checkbox
Check this box if your relationship is similar to a married couple but you are not married or in a registered relationship, and you are providing the date your relationship started or was last reconciled.
Day Relationship Started or Reconciled Text
Enter the day the de facto relationship started or was last reconciled (DD). Fill only if 'De facto' is 'Yes'.
Max length: 2 characters
Depends on: De facto
Month Relationship Started or Reconciled Text
Enter the month the de facto relationship started or was last reconciled (MM). Fill only if 'De facto' is 'Yes'.
Max length: 2 characters
Depends on: De facto
Year Relationship Started or Reconciled Text
Enter the year the de facto relationship started or was last reconciled (YYYY). Fill only if 'De facto' is 'Yes'.
Max length: 4 characters
Depends on: De facto
Employer Details
Employer's Name Text
Please provide the full legal name of your employer. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 1 Text
Please provide the first line of your employer's street address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Please provide the second line of your employer's street address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Please provide the third line of your employer's street address, typically including suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Please provide the postcode of your employer's address. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Phone Number Text
Please provide the phone number of your employer, including the area code. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Employment Status Inquiry
No Checkbox
Check this box if you are not currently employed.
Yes Checkbox
Check this box if you are currently employed and need to provide employment details.
Employment Details Acknowledgment Text
Please acknowledge your intention to provide employment details by entering the required value. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's Country of Birth
First Child's Country of Birth Text
Enter the country where the first child was born. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's Country of Citizenship
Country of Citizenship Text
Please enter the country of citizenship for the first child. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's Current Address
Address Line 1 Text
Please enter the first line of the child's current address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Please enter the second line of the child's current address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Please enter the third line of the child's current address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Please enter the postcode of the child's current address. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
First Child's Date of Birth
Day of Birth Text
Please enter the day of the first child's birth. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Month of Birth Text
Please enter the month of the first child's birth. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Year of Birth Number
Please enter the year of the first child's birth. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
First Child's Gender
Male Checkbox
Check this box if the first child's gender is male. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Female Checkbox
Check this box if the first child's gender is female. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Non-binary Checkbox
Check this box if the first child's gender is non-binary. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's Name
First Child's Family Name Text
Enter the family name of the first child. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's First Given Name Text
Enter the first given name of the first child. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Child's Second Given Name Text
Enter the second given name of the first child, if applicable. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Other Assurer Details
Full Name Text
Enter the full name of the first other assurer. Fill only if 'No' is 'No'.
Depends on: No
Date of Birth Day Text
Enter the day of birth for the first other assurer. Fill only if 'No' is 'No'.
Max length: 2 characters
Depends on: No
Date of Birth Month Text
Enter the month of birth for the first other assurer. Fill only if 'No' is 'No'.
Max length: 2 characters
Depends on: No
Date of Birth Year Text
Enter the year of birth for the first other assurer. Fill only if 'No' is 'No'.
Max length: 4 characters
Depends on: No
Customer Reference Number Part 1 Text
Enter the first part of the customer reference number for the first other assurer, if known. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 2 Text
Enter the second part of the customer reference number for the first other assurer, if known. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 3 Text
Enter the third part of the customer reference number for the first other assurer, if known. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 4 Text
Enter the fourth part of the customer reference number for the first other assurer, if known. Fill only if 'No' is 'No'.
Max length: 1 characters
Depends on: No
Address Text
Enter the full street address of the first other assurer. Fill only if 'No' is 'No'.
Depends on: No
Suburb/City Text
Enter the suburb or city of the first other assurer's address. Fill only if 'No' is 'No'.
Depends on: No
Postcode Text
Enter the postcode of the first other assurer's address. Fill only if 'No' is 'No'.
Max length: 4 characters
Depends on: No
First Other Name
Other Name Text
Please provide the first other name you have been known by. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of Other Name Text
Please specify the type of this other name, such as name at birth or alias. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
DummyCalcQ19 Text
Other Name Text
Please enter the other name that your partner has been known by. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of Name Text
Please specify the type of other name your partner has been known by, such as name at birth or alias. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Name Text
Please provide the other name used by the primary visa applicant. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of Other Name Text
Please specify the type of other name, for example, name at birth, alias, or previous married name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Other Name Details
First Other Name Text
Please provide the applicant's first other name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Other Name Type Text
Please specify the type of the first other name, for example, 'name at birth' or 'name before marriage'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Partner/Committee Member Details
Full Name Text
Please provide the full legal name of the first partner or committee member.
Position Text
Please provide the position held by the first partner or committee member within the organization.
Permanent Address Street Text
Please provide the street number and street name for the first partner or committee member's permanent residence.
Permanent Address City/State Text
Please provide the city, state, or province for the first partner or committee member's permanent residence.
Permanent Address Postcode Text
Please provide the postcode for the first partner or committee member's permanent residence.
Max length: 4 characters
First Person Citizenship Details
Country of Birth Text
Please enter the country where the first person was born. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Country of Citizenship Text
Please enter the country of citizenship for the first person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Person Current Address
Current Address Line 1 Text
Please provide the first line of the current street address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Current Address Line 2 Text
Please provide the second line of the current address, such as suburb, city, or state. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Please provide the postal code for the current address. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
First Person Details
Family Name Text
Please enter the family name of the person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Given Name Text
Please enter the first given name of the person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Given Name Text
Please enter any second given name of the person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Date of Birth Day Text
Please enter the day of the person's birth. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Date of Birth Month Text
Please enter the month of the person's birth. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Date of Birth Year Text
Please enter the year of the person's birth. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
First Person Gender
Male Checkbox
Check this box if the first person's gender is male. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Female Checkbox
Check this box if the first person's gender is female. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Non-binary Checkbox
Check this box if the first person's gender is non-binary. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Form Completion For Organisation Status
No Checkbox
Check this box if you are not completing this form for an organisation.
Yes Checkbox
Check this box if you are completing this form for an organisation.
Organisation Status: No Text
Indicate if you are not completing this form for an organisation.
Fourth Family Member Details
Family name Text
Please provide the family name of the fourth family member.
First given name Text
Please provide the first given name of the fourth family member.
Second given name Text
Please provide the second given name of the fourth family member.
Date of birth day Date
Please enter the day of birth for the fourth family member.
Max length: 2 characters
Date of birth month Date
Please enter the month of birth for the fourth family member.
Max length: 2 characters
Date of birth year Date
Please enter the year of birth for the fourth family member.
Max length: 4 characters
Male Checkbox
Check this box if the fourth family member identifies as male.
Female Checkbox
Check this box if the fourth family member identifies as female.
Non-binary Checkbox
Check this box if the fourth family member identifies as non-binary.
Current address line 1 Text
Please provide the first line of the current residential address for the fourth family member.
Current address line 2 Text
Please provide the second line of the current residential address for the fourth family member.
Current address line 3 Text
Please provide the third line of the current residential address for the fourth family member.
Current address postcode Text
Please provide the postcode for the current residential address of the fourth family member.
Max length: 4 characters
Country of birth Text
Please provide the country where the fourth family member was born.
Country of citizenship Text
Please provide the country of citizenship for the fourth family member.
Full Name
Mr Checkbox
Check this box if your title is Mr.
Mrs Checkbox
Check this box if your title is Mrs.
Miss Checkbox
Check this box if your title is Miss.
Ms Checkbox
Check this box if your title is Ms.
Mx Checkbox
Check this box if your title is Mx.
Other Title Text
Provide your specific title if 'Other' is selected from the provided options. Fill only if 'Mx' is 'Yes'.
Depends on: Mx
Family Name Text
Enter your family name or surname.
First Given Name Text
Enter your first given name.
Second Given Name Text
Enter your second given name if applicable.
Gender
Male Checkbox
Check this box if your gender is Male.
Female Checkbox
Check this box if your gender is Female.
Non-binary Checkbox
Check this box if your gender is Non-binary.
Male Checkbox
Check this box if the primary visa applicant identifies as male.
Female Checkbox
Check this box if the primary visa applicant identifies as female.
Non-binary Checkbox
Check this box if the primary visa applicant identifies as non-binary.
General
Instructions Button
Instructions Button
Q2GoToQ4 Button
Q3GoToQ5 Button
Q8GoToQ11 Button
Q19GoToQ40 Button
Q22GoToQ29 Button
Q24GoToQ28 Button
Q25GoToQ27_1 Button
Q25GoToQ27_2 Button
Q29GoToQ30a Button
Q29GoToQ30b Button
Q29GoToQ30c Button
Q29GoToQ35a Button
Q29GoToQ35b Button
Q29GoToQ35c Button
Q29GoToQ35d Button
Q39GoToQ48 Button
Q42GoToQ44 Button
Q43.AddressA1 Text
Q43.AddressA2 Text
Q43.AddressB1 Text
Q43.AddressB2 Text
Q43.AddressC1 Text
Q43.AddressC2 Text
Q49.Address1 Text
Q49.Address2 Text
Q51GoToQ55 Button
Q56GoToQ58 Button
Q57.AddressA1 Text
Q57.AddressB1 Text
Button
59.AddressA1 Text
59.AddressB1 Text
Clear Button
History of Travel Outside Australia
No Checkbox
Check this box if you have not travelled outside Australia, including short trips and holidays.
Not applicable - never travelled to Australia Checkbox
Check this box if you have never travelled outside Australia.
Yes Checkbox
Check this box if you have travelled outside Australia, including short trips and holidays.
Indigenous Australian Descent
DummyCalcQ14Atsi Text
No Checkbox
Check this box if you are not of Aboriginal or Torres Strait Islander Australian descent.
Yes - Aboriginal Australian Checkbox
Check this box if you are of Aboriginal Australian descent.
Yes - Torres Strait Islander Australian Checkbox
Check this box if you are of Torres Strait Islander Australian descent.
Instruction
Q48 Text
Max length: 1 characters
Known By Other Names Inquiry
No Checkbox
Check this box if you have not been known by any other name and wish to proceed to the next question.
Yes Checkbox
Check this box if you have been known by any other name and need to provide details below.
Other Name Details Text
Provide details of any other names you have been known by, including name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Known By Other Names Question
No Checkbox
Check this box if the second visa applicant has NOT been known by any other name(s).
Yes Checkbox
Check this box if the second visa applicant HAS been known by other name(s).
Other Name Text
Please provide the other name by which the second visa applicant has been known. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Language and Interpreter Details
No Checkbox
Check this box if you do not need an interpreter for communication.
Interpreter Language Details Text
Please provide details about the specific language or type of interpreter you require.
Yes Checkbox
Check this box if you need an interpreter for communication.
Preferred Spoken Language Text
Please enter your preferred language for spoken communication. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Preferred Written Language Text
Please enter your preferred language for written communication. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Last Entry and Passport Details
Date of Last Entry Text
Please enter the month and day of your last entry into Australia.
Year of Last Entry Text
Please enter the year you last entered Australia. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Passport Number Text
Please enter your passport number. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Country of Issue Text
Please enter the country that issued your passport. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Last Financial Year Details
Financial Year Start Text
Please provide the starting year of the last financial year.
Max length: 2 characters
Financial Year End Text
Please provide the ending year of the last financial year.
Max length: 2 characters
Taxable Income Number
Please provide your organization's taxable income for the last financial year.
Value of Liquid Assets Number
Please provide the value of your organization's liquid assets for the last financial year.
Most Recent Visa Details
DummyCalcQ27 Text
Most Recent Visa Subclass Text
Please provide the subclass of your most recent visa. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Most Recent Visa Granted Day Date
Please enter the day your most recent visa was granted. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Most Recent Visa Granted Month Date
Please enter the month your most recent visa was granted. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Most Recent Visa Granted Year Date
Please enter the year your most recent visa was granted. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Multiple Adult Applicants Question
No Checkbox
Check this box if you are not providing Assurance of Support for more than one adult visa applicant.
DummyCalcQ51 Text
Yes Checkbox
Check this box if you are providing Assurance of Support for more than one adult visa applicant.
Number of Dependent Children
Number of Dependent Children Text
Please provide the total number of children under the age of 18 who are financially dependent on you.
Max length: 2 characters
On Behalf of Organisation Inquiry
No Checkbox
Check this box if you are not completing this form on behalf of an organisation.
Yes Checkbox
Check this box if you are completing this form on behalf of an organisation.
Organisation Base Location
No Checkbox
Check this box if your organisation is not primarily based in Australia.
Yes Checkbox
Check this box if your organisation is primarily based in Australia.
Organisation Financial Evidence Confirmation
Organisation's Financial Capacity Evidence Checkbox
Check this box to confirm you are providing evidence of your organisation's financial capacity for the last and previous financial years, such as tax returns or marketable securities.
Organisation's Address
Address Line 1 Text
Please enter the first line of the organisation's address.
Address Line 2 Text
Please enter the second line of the organisation's address.
Address Line 3 Text
Please enter the third line of the organisation's address.
Postcode Text
Please enter the postcode of the organisation's address.
Max length: 4 characters
Organisation's Name
Organisation Name Text
Please provide the full name of your organisation.
Organisation's Phone Number
Organisation's Phone Number Text
Please provide the organization's phone number, including the area code.
Max length: 10 characters
Other Assurance of Support
Q58_No CheckBox
Assurance Recipient Family Name Text
Please enter the family name of the person or organisation for whom you gave the other Assurance of Support.
Yes Checkbox
Check this box if you have given another Assurance of Support.
Assurance Accepted Day Date
Enter the day of the month when the other Assurance of Support was accepted. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Assurance Accepted Month Date
Enter the month when the other Assurance of Support was accepted. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Assurance Accepted Year Date
Enter the year when the other Assurance of Support was accepted. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Other Citizenship Details
Other Checkbox
Check this box if your country of citizenship is not Australia and you need to provide details in the fields below.
Other Country of Citizenship Text
Enter the name of the country where you hold citizenship, if it is not Australia. Fill only if 'Other' is 'Yes'.
Depends on: Other
Citizenship Granted Day Date
Enter the day the citizenship was granted for the other country. Fill only if 'Other' is 'Yes'.
Max length: 2 characters
Depends on: Other
Citizenship Granted Month Date
Enter the month the citizenship was granted for the other country. Fill only if 'Other' is 'Yes'.
Max length: 2 characters
Depends on: Other
Citizenship Granted Year Date
Enter the year the citizenship was granted for the other country. Fill only if 'Other' is 'Yes'.
Max length: 4 characters
Depends on: Other
Other Names Details Instruction
DummyCalcQ50 Text
Other Names Question
No Checkbox
Check this box if the primary visa applicant has not been known by any other names.
Yes Checkbox
Check this box if the primary visa applicant has been known by other names.
Partner Assistance Claim
No Checkbox
Check this box if your partner has never claimed or received assistance from the organization.
Yes Checkbox
Check this box if your partner has previously claimed or received assistance from the organization.
Partner's Other Name 1 Text
Provide the first other name your partner has been known by, such as their name at birth, an alias, or a previous married name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner Known by Other Names
No Checkbox
Check this box if your partner has not been known by any other names, including name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name.
Yes Checkbox
Check this box if your partner has been known by any other names, such as name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name, and provide details below.
Other Name Text
Please provide any other names your partner has been known by, such as their name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Customer Reference Number
Part 1 of Customer Reference Number Text
Provide the first part of your partner's customer reference number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 2 of Customer Reference Number Text
Provide the second part of your partner's customer reference number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 3 of Customer Reference Number Text
Provide the third part of your partner's customer reference number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 4 of Customer Reference Number Text
Provide the fourth part of your partner's customer reference number. Fill only if 'Yes' is 'Yes'.
Max length: 1 characters
Depends on: Yes
Partner's Date of Birth
Partner's Date of Birth Day Text
Please enter the day of your partner's birth.
Max length: 2 characters
Partner's Date of Birth Month Text
Please enter the month of your partner's birth.
Max length: 2 characters
Partner's Date of Birth Year Text
Please enter the year of your partner's birth.
Max length: 4 characters
Partner's Gender
Male Checkbox
Check this box if your partner's gender is male.
Female Checkbox
Check this box if your partner's gender is female.
Non-binary Checkbox
Check this box if your partner's gender is non-binary.
Partner's Name
Mr Checkbox
Check this box if your partner's title is 'Mr'.
Mrs Checkbox
Check this box if your partner's title is 'Mrs'.
Miss Checkbox
Check this box if your partner's title is 'Miss'.
Ms Checkbox
Check this box if your partner's title is 'Ms'.
Mx Checkbox
Check this box if your partner's title is 'Mx'.
Partner's Other Title Text
Provide your partner's title if it's not listed as Mr, Mrs, Miss, Ms, or Mx. Fill only if 'Mx' is 'Yes'.
Depends on: Mx
Partner's Family Name Text
Enter your partner's family name.
Partner's First Given Name Text
Enter your partner's first given name.
Partner's Second Given Name Text
Enter your partner's second given name.
Permanent Address
Address Line 1 Text
Enter the first line of your permanent address.
Address Line 2 Text
Enter the second line of your permanent address.
Address Line 3 Text
Enter the third line of your permanent address.
Postcode Text
Enter the postcode for your permanent address.
Max length: 4 characters
Permission to Enquire
No Checkbox
Check this box if you do not want to authorise a person or organisation to make enquiries, updates, act, or get payments on your behalf.
Yes Checkbox
Check this box if you want to authorise a person or organisation to make enquiries, updates, act, or get payments on your behalf.
Position in Organisation
Position in Organisation Text
Provide your specific role or title within the organisation.
Postal Address
Address Line 1 Text
Enter the first line of your postal address.
Address Line 2 Text
Enter the second line of your postal address.
Address Line 3 Text
Enter the third line of your postal address, typically including suburb, city, or state.
Postcode Text
Enter the postcode for your postal address.
Max length: 4 characters
Previous Assistance Inquiry
No Checkbox
Check this box if you have never claimed or received assistance from us.
Yes Checkbox
Check this box if you have previously claimed or received assistance from us.
Previous Financial Year Details
Previous Financial Year Start Text
Enter the start component of the financial year that is previous to the last financial year.
Max length: 2 characters
Previous Financial Year End Text
Enter the end component of the financial year that is previous to the last financial year.
Max length: 2 characters
Previous Financial Year Taxable Income Number
Enter the organization's taxable income for the financial year previous to the last financial year.
Previous Financial Year Liquid Assets Number
Enter the organization's value of liquid assets for the financial year previous to the last financial year.
Primary Visa Applicant Name
Family name Text
Please enter the family name of the primary visa applicant.
First given name Text
Please enter the first given name of the primary visa applicant.
Second given name Text
Please enter the second given name of the primary visa applicant.
Privacy Notice Confirmation
Q62 Text
Max length: 1 characters
Relationship Status: Never Married
Never married or lived with a partner Checkbox
Check this box if you have never been married and have never lived with a partner.
Residence Requirements Confirmation
Q3_No CheckBox
Yes Checkbox
Check this box if you are currently living in Australia and meet all the residence requirements listed for providing assurance.
Additional Information URL Segment Text
Enter the specific segment or identifier for more information related to residence requirements.
Second Adult Applicant Country of Birth
Country of Birth Text
Provide the country where the second adult applicant was born.
Second Adult Applicant Country of Citizenship
Country of Citizenship Text
Please provide the country of citizenship for the second adult applicant.
Second Adult Applicant Current Address
Address Line 1 Text
Please enter the first line of the second adult applicant's current address.
Address Line 2 Text
Please enter the second line of the second adult applicant's current address.
Address Line 3 / Suburb / City Text
Please enter the third line of the second adult applicant's current address, typically the suburb or city.
Postcode Text
Please enter the postcode for the second adult applicant's current address.
Max length: 4 characters
Second Adult Applicant Date of Birth
Day of birth Text
Enter the day of birth for the second adult applicant.
Max length: 2 characters
Month of birth Text
Enter the month of birth for the second adult applicant.
Max length: 2 characters
Year of birth Number
Enter the year of birth for the second adult applicant.
Max length: 4 characters
Second Adult Applicant Gender
Male Checkbox
Check this box if the second adult applicant identifies as male.
Female Checkbox
Check this box if the second adult applicant identifies as female.
Non-binary Checkbox
Check this box if the second adult applicant identifies as non-binary.
Second Adult Applicant Name
Family Name Text
Please enter the family name of the second adult applicant.
First Given Name Text
Please enter the first given name of the second adult applicant.
Second Given Name Text
Please enter the second given name of the second adult applicant.
Second Child's Country of Birth
Country of Birth Text
Please enter the country where the second child was born. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Child's Country of Citizenship
Second Child Country of Citizenship Text
Please provide the country of citizenship for the second child. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Child's Current Address
Address Line 1 Text
Enter the first line of the second child's current residential address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Enter the second line of the second child's current residential address, if applicable. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Enter the third line of the second child's current residential address, such as the city, suburb, or state. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Enter the postcode for the second child's current residential address. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Second Child's Date of Birth
Second Child's Date of Birth Day Text
Please enter the day of the second child's birth (e.g., 01 for the 1st). Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Second Child's Date of Birth Month Text
Please enter the month of the second child's birth (e.g., 01 for January). Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Second Child's Date of Birth Year Text
Please enter the four-digit year of the second child's birth (e.g., 2000). Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Second Child's Gender
Male Checkbox
Check this box if the second child's gender is Male. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Female Checkbox
Check this box if the second child's gender is Female. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Non-binary Checkbox
Check this box if the second child's gender is Non-binary. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Child's Name
Family Name Text
Please enter the second child's family name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Given Name Text
Please enter the second child's first given name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Given Name Text
Please enter the second child's second given name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Assurer Details
Full Name Text
Please enter the full name of the second other assurer. Fill only if 'No' is 'No'.
Depends on: No
Date of Birth Day Text
Please enter the day of birth for the second other assurer. Fill only if 'No' is 'No'.
Max length: 2 characters
Depends on: No
Date of Birth Month Text
Please enter the month of birth for the second other assurer. Fill only if 'No' is 'No'.
Max length: 2 characters
Depends on: No
Date of Birth Year Text
Please enter the year of birth for the second other assurer. Fill only if 'No' is 'No'.
Max length: 4 characters
Depends on: No
Customer Reference Number Part 1 Text
Please enter the first part of the customer reference number for the second other assurer. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 2 Text
Please enter the second part of the customer reference number for the second other assurer. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 3 Text
Please enter the third part of the customer reference number for the second other assurer. Fill only if 'No' is 'No'.
Max length: 3 characters
Depends on: No
Customer Reference Number Part 4 Text
Please enter the fourth part of the customer reference number for the second other assurer. Fill only if 'No' is 'No'.
Max length: 1 characters
Depends on: No
Address Line 1 Text
Please enter the first line of the address for the second other assurer. Fill only if 'No' is 'No'.
Depends on: No
Address Line 2 Text
Please enter the second line of the address for the second other assurer. Fill only if 'No' is 'No'.
Depends on: No
Address Line 3 Text
Please enter the third line of the address for the second other assurer. Fill only if 'No' is 'No'.
Depends on: No
Postcode Text
Please enter the postcode for the second other assurer's address. Fill only if 'No' is 'No'.
Max length: 4 characters
Depends on: No
Second Other Name
Second Other Name Text
Please provide the second other name you have been known by. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Name Type Text
Please specify the type of the second other name provided, such as name before marriage or alias. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
31.OtherName2 Text
Depends on: Yes
31.OtherNameType2 Text
Depends on: Yes
Second Other Name Text
Please provide the second other name the primary visa applicant has been known by. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Name Type Text
Please specify the type of the second other name, such as name before marriage, alias, or adoptive name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Name Details
Other Name Text
Please provide the other name for the second visa applicant. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of Other Name Text
Please describe the type of other name provided, for example, name before marriage. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Partner/Committee Member Details
Second Partner Full Name Text
Please provide the full name of the second partner or committee member.
Second Partner Position Text
Please provide the position held by the second partner or committee member.
Second Partner Permanent Address Line 1 Text
Please provide the first line of the permanent address for the second partner or committee member.
Second Partner Permanent Address Line 2 Text
Please provide the second line of the permanent address for the second partner or committee member, such as street or suburb.
Second Partner Postcode Text
Please provide the postcode for the permanent address of the second partner or committee member.
Max length: 4 characters
Second Person Citizenship Details
Country of Birth Text
Please provide the country where the second person was born. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Country of Citizenship Text
Please provide the country of citizenship for the second person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Person Current Address
Address Line 1 Text
Enter the first line of the second person's current address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Enter the second line of the second person's current address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Enter the third line of the second person's current address, typically including suburb, city, or state. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Enter the postcode of the second person's current address. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Second Person Details
Family Name Text
Please provide the family name of the second person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Given Name Text
Please provide the first given name of the second person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Given Name Text
Please provide the second given name of the second person. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Date of Birth - Day Text
Please provide the day of birth for the second person. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Date of Birth - Month Text
Please provide the month of birth for the second person. Fill only if 'Yes' is 'Yes'.
Max length: 2 characters
Depends on: Yes
Date of Birth - Year Text
Please provide the year of birth for the second person. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Second Person Gender
Male Checkbox
Check this box if the second person's gender is male. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Female Checkbox
Check this box if the second person's gender is female. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Non-binary Checkbox
Check this box if the second person's gender is non-binary. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Self-Employment Details
Self-Employment/Other Income Details Text
Please provide detailed information about your self-employment or other means of generating income. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Self-Employment Inquiry
No Checkbox
Check this box if you are not currently self-employed or generating income by other means and wish to proceed to the next question.
Yes Checkbox
Check this box if you are currently self-employed or generating income by other means and need to provide further details.
Self-Employment Details Text
Please provide details about your self-employment or other means of generating income. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Signature
Signature Text
Please provide your signature in this field.
Statement by Assurer Confirmation
Q63 Text
Max length: 1 characters
Subclass 202 Visa Application Status
No Checkbox
Check this box if the person(s) you are providing Assurance of Support for have not applied for a visa with a subclass of 202.
Yes Checkbox
Check this box if the person(s) you are providing Assurance of Support for have applied for a visa with a subclass of 202.
Taxable Income for Last Financial Year
Financial Year Start Text
Please provide the starting year for the last financial year.
Max length: 2 characters
Financial Year End Text
Please provide the ending year for the last financial year.
Max length: 2 characters
Taxable Income (Dollars) Number
Please provide the whole dollar amount of taxable income for the last financial year.
Taxable Income (Cents) Text
Please provide the cents amount of taxable income for the last financial year.
Third Family Member Details
Third Family Member's Family Name Text
Please provide the family name of the third family member.
Third Family Member's First Given Name Text
Please provide the first given name of the third family member.
Third Family Member's Second Given Name Text
Please provide the second given name of the third family member.
Third Family Member's Date of Birth Day Text
Please provide the day of birth for the third family member.
Max length: 2 characters
Third Family Member's Date of Birth Month Text
Please provide the month of birth for the third family member.
Max length: 2 characters
Third Family Member's Date of Birth Year Text
Please provide the year of birth for the third family member.
Max length: 4 characters
Male Checkbox
Check this box if the third family member identifies as male.
Female Checkbox
Check this box if the third family member identifies as female.
Non-binary Checkbox
Check this box if the third family member identifies as non-binary.
Third Family Member's Current Address Line 1 Text
Please provide the first line of the current address for the third family member.
Third Family Member's Current Address Line 2 Text
Please provide the second line of the current address for the third family member.
Third Family Member's Current Address Suburb/City Text
Please provide the suburb or city of the current address for the third family member.
Third Family Member's Current Address Postcode Text
Please provide the postcode of the current address for the third family member.
Max length: 4 characters
Third Family Member's Country of Birth Text
Please provide the country of birth for the third family member.
Third Family Member's Country of Citizenship Text
Please provide the country of citizenship for the third family member.
Third Partner/Committee Member Details
Third Partner Full Name Text
Please provide the full name of the third partner or committee member.
Third Partner Position Text
Please enter the official position held by the third partner or committee member.
Third Partner Permanent Address (Line 1-2) Text
Please provide the first two lines of the permanent residential address for the third partner or committee member.
Third Partner Permanent Address (Line 3) Text
Please provide the third line of the permanent residential address, typically including suburb or city, for the third partner or committee member.
Third Partner Postcode Text
Please enter the postcode of the permanent residential address for the third partner or committee member.
Max length: 4 characters
Unincorporated Organisation Inquiry
No Checkbox
Check this box if the organisation is not an unincorporated organisation.
Organisation Name Text
Please provide the name of the organisation for which you are inquiring about its unincorporated status.
Yes Checkbox
Check this box if the organisation is an unincorporated organisation.
Visa Change Status
Q27_No CheckBox
Yes Checkbox
Check this box if your visa has changed since you arrived in Australia.
Visa Details on Arrival
Visa Subclass Text
Enter the subclass of your visa on arrival. Fill only if 'Permanent', 'Temporary' is 'Yes', any.
Depends on: Permanent, Temporary
Day Visa Granted Text
Enter the day the visa was granted. Fill only if 'Permanent', 'Temporary' is 'Yes', any.
Max length: 2 characters
Depends on: Permanent, Temporary
Month Visa Granted Text
Enter the month the visa was granted. Fill only if 'Permanent', 'Temporary' is 'Yes', any.
Max length: 2 characters
Depends on: Permanent, Temporary
Year Visa Granted Number
Enter the year the visa was granted. Fill only if 'Permanent', 'Temporary' is 'Yes', any.
Max length: 4 characters
Depends on: Permanent, Temporary
Visa Type on Arrival
Permanent Checkbox
Check this box if you arrived on a permanent visa.
Temporary Checkbox
Check this box if you arrived on a temporary visa.
New Zealand passport (Special Category visa) Checkbox
Check this box if you arrived using a New Zealand passport under a Special Category visa.
Temporary Visa Details Text
Provide additional details about the temporary visa you arrived on.
Not sure Checkbox
Check this box if you are not sure what type of visa you arrived on.