Department of Home Affairs — Appointment or cessation of a registered migration agent, legal practitioner or exempt person providing immigration assistance (Appointment notification form) Instructions

Enter the primary street address or postal delivery line for correspondence, including unit or street number and street name. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter any additional address details such as building name, level, unit number, PO Box or other delivery instructions for correspondence. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the suburb or locality and the state or territory for the correspondence address. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the postcode for the correspondence address. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if the agent is also an authorized recipient.

Check this box if the agent is an authorized recipient.

Check this box if the agent is not an authorized recipient.

Check this box if the agent is an authorized recipient.

Enter the country code, area code, and phone number for the migration agent's office.

Enter the area code and phone number for the migration agent's office.

Enter the phone number for the migration agent's office.

Enter the mobile or cell phone number of the migration agent.

Enter the family name of the migration agent, legal practitioner, or exempt person being appointed.

Enter the given names of the migration agent, legal practitioner, or exempt person being appointed.

Enter the name of the organization if the migration agent is associated with one.

Enter the Migration Agent Registration Number (MARN) if the appointment is ending.

Enter the Legal Practitioner Number if the appointment is ending.

Check this box if you have NOT been authorised to receive written communication on behalf of your client(s) in relation to the matter indicated in Question 15.

Check this box if you HAVE been authorised to receive written communication on behalf of your client(s) in relation to the matter indicated in Question 15 (if selected, follow the form instruction to go to Part C).

Enter the primary street address for the business or residential property, including unit, level or PO box and street number and name. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the suburb or locality of the business or residential address. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the state or territory (and any additional locality information) for the business or residential address. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the postcode for the business or residential address. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if you are providing assistance in the capacity of a registered migration agent (then proceed to Question 9). Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if you are providing assistance in the capacity of a legal practitioner (then proceed to Question 9). Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if you are providing assistance in the capacity of an exempt person (then proceed to Question 11). Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the first line of the client's business or residential address, such as the street number and name or PO Box.

Enter the second line of the client's address for additional details, such as unit or building name.

Enter the suburb, town or city (and state/territory if applicable) for the client's business or residential address.

Enter the postcode for the client's business or residential address.

Enter the day component of Client 1's date of birth.

Enter the Department of Home Affairs unique client ID number for Client 1 (leave blank if unknown).

Enter the primary mobile or cell phone number for Client 1, including country and area codes if applicable.

Enter the client's family (surname) as it appears on official documents; if the client is an organisation, provide the organisation or contact person's family/last name.

Enter the client's given (first and middle) name(s) in full as they appear on official documents.

Enter the telephone country code for the client's office phone (digits only, include '+' if normally used).

Enter the area or city code for the client's office phone (digits only).

Enter the subscriber number for the client's office phone, excluding country and area codes (digits only, include any local trunk prefix if required).

Enter the full legal name of the organisation for Client 1 (provide the organisation name if applicable; leave blank if the client is an individual).

Enter the business or residential address of the client.

Enter the suburb or locality of the client's address.

Enter the country of the client's address.

Enter the postcode of the client's address.

Check this box if the person receiving immigration assistance (the client) is a visa applicant.

Check this box if the client is a sponsor or a sponsor applicant.

Check this box if the client is a nominator or a nominator applicant.

Check this box if the client is a proposer or a proposer applicant.

Check this box if the client is a visa holder whose visa is currently being considered for cancellation or has already been cancelled.

Check this box if the client is a person requesting ministerial intervention.

Enter the country code, area code, and phone number for the client's office.

Enter the area code and phone number for the client's office.

Enter the family name of the client.

Enter the given names of the client.

Enter the date of birth of the client in the format DAY MONTH YEAR.

Enter the name of the organization if the client is associated with one.

Enter the Department of Home Affairs Request ID number (RID) associated with the client.

Enter the Department of Home Affairs Transaction Reference Number (TRN) associated with the client.

Check this box if you do not wish to receive communications regarding the end of the appointment.

Check this box if you wish to receive communications regarding the end of the appointment.

Check this box to confirm the first declaration regarding the communication preferences.

Check this box to confirm the second declaration regarding the communication preferences.

Check this box to confirm the third declaration regarding the communication preferences.

Check this box to confirm the fourth declaration regarding the communication preferences.

Enter the date for the communication declaration. Use the format DD/MM/YYYY.

Check this box if you do not agree to the Department communicating with you by email or other electronic means. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if you agree to the Department communicating with you by email or other electronic means (then provide your email address in the Email address field). Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the email address the Department can use to communicate with you if you consent to electronic communication. Fill only if 'Q7 Yes' is 'Yes'.

Enter the country code, area code, and phone number for the end of the appointment notification.

Enter the mobile or cell phone number for the end of the appointment notification.

Enter the email address for the end of the appointment notification.

Check this box to confirm the first declaration regarding the appointment.

Check this box to confirm the second declaration regarding the appointment.

Check this box to confirm the third declaration regarding the appointment.

Check this box to confirm the fourth declaration regarding the appointment.

Enter the date for the declaration regarding the appointment. Use the format DD/MM/YYYY.

Enter the Department of Home Affairs Request ID number (RID) for the client, if known.

Enter the Department of Home Affairs Transaction Reference Number (TRN) associated with this matter, if known.

Check this box if you are notifying the Department that you have been newly appointed to provide immigration assistance (start of an appointment).

Check this box if you are notifying the Department that your appointment to provide immigration assistance has ended (termination of an appointment).

Enter the organisation's full name (if applicable); provide the official or trading name used for this appointment or leave blank if not applicable. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the family (last) name of the other client (dependant) you are providing immigration assistance for.

Enter the given (first and middle) name(s) of the other client (dependant) you are providing immigration assistance for.

Enter the family name (surname) of the second additional client exactly as it appears on official identity documents.

Enter the given name(s) (first and middle names) of the second additional client exactly as they appear on official identity documents.

Enter the family name (surname) of the third other client you are assisting; provide the full last name as it appears on official documents.

Enter the given name(s) (first and middle names) of the third other client you are assisting; include all forenames exactly as they should appear on records.

Enter the family (last/surname) name of the fourth other client you are listing who is receiving immigration assistance.

Enter the given (first and middle) name(s) of the fourth other client you are listing who is receiving immigration assistance.

Enter the family (last/surname) name of the fifth other client you are including who is receiving immigration assistance.

Enter the given name(s) (first and middle names) of the fifth other client you are including who is receiving immigration assistance.

Check this box if there is no other registered migration agent or legal practitioner from your organisation who the Department may discuss this case with.

Check this box if there is another registered migration agent or legal practitioner from your organisation and you will provide their details in the fields below.

Enter the family name (surname) of the other registered migration agent or legal practitioner from your organisation. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the given names (first and any middle names) of the other registered migration agent or legal practitioner from your organisation. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the international country code for the other agent/practitioner’s office telephone number. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the area or city code for the other agent/practitioner’s office telephone number. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the local office telephone number for the other registered migration agent or legal practitioner. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the mobile or cell telephone number for the other registered migration agent or legal practitioner. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the other registered migration agent’s Migration Agent Registration Number (MARN) as issued by the regulator. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Enter the other legal practitioner’s Legal Practitioner Number (LPN) as issued by the relevant authority. Fill only if 'Yes (Give details of the other registered migration agent/legal practitioner)' is 'Yes'.

Check this box if you are a close family member (for example spouse, child, parent, brother or sister) and that relationship is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if you are the sponsor of the person and that sponsorship is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if you are the nominator of the person and that nomination is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if you are a member of a diplomatic mission, consular post or an international organisation and that status is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if you are a member of parliament or a member of their staff and that role is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if you are an official appointed or engaged under the Public Service Act 1999, or a member of state/territory public services who provides immigration assistance as part of your duties, and that is the reason you are an exempt person. Fill only if 'Exempt person' is 'Exempt person'.

Check this box if your title is 'Mr'. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if your title is 'Mrs'. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if your title is 'Miss'. Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box if your title is 'Ms'. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the registrant's title (for example Mr, Mrs, Miss, Ms, or write another title if applicable). Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the registrant's family name (surname) as it appears on official documents. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the registrant's given name(s), including all first and middle names in full. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the registrant's date of birth. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the Migration Agent Registration Number (MARN) issued to the migration agent by the relevant registration authority. Fill only if 'Registered migration agent' is 'Registered migration agent'.

Enter the Legal Practitioner Number (LPN) issued to the legal practitioner by the relevant legal admissions or registration authority. Fill only if 'Legal practitioner' is 'Legal practitioner'.

Enter the international country dialing code for the office telephone (numbers only, e.g. 61 for Australia) without the '+' sign. Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the area or city code for the office telephone (numbers only; omit any leading trunk zero if the country code is entered separately). Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the local office telephone number (the main number excluding country and area codes, digits only). Fill only if 'Q1 - New appointment' is 'New appointment'.

Enter the mobile/cell phone number where you can be reached (include area code if applicable but exclude the country code if entered above). Fill only if 'Q1 - New appointment' is 'New appointment'.

Check this box when you are providing assistance with an application process (i.e. help to prepare or submit an application).

Enter the specific type or name of the application for which you are providing assistance (e.g., visa subclass or application category). Fill only if 'Application process' is 'Yes'.

Provide the date the application was lodged with the relevant authority. Fill only if 'Application process', 'Not yet lodged' is 'Yes' and Not yet lodged is 'No' (all).

Check this box when the application has not yet been lodged (use instead of entering a lodgement date). Fill only if 'Application process' is 'Yes'.

Check this box when you are providing assistance specifically with a cancellation process (for example, the client's visa is being considered for cancellation or has already been cancelled).

Enter the visa subclass number or code for the visa being cancelled (e.g., 457, 482) as shown on the visa grant or relevant paperwork. Fill only if 'Cancellation process' is 'Yes'.

Provide the date on which the visa was originally granted to the client. Fill only if 'Cancellation process' is 'Yes'.

Check this box when the assistance you are providing relates to a specific matter (for example, sponsorship monitoring and sanction activity by the Department, or assistance for only one stage of a two-stage visa, ministerial intervention); then provide the details in the adjacent text area.

Describe the specific matter you are providing assistance with (for example, sponsorship monitoring, sanction activity, ministerial intervention or details of one stage of a two‑stage visa), including any relevant dates, case numbers and concise factual information. Fill only if 'Specific matter — give details' is 'Yes'.