Form 1399 – Declaration of Service (Department of Home Affairs, Australia) Instructions
This form contains 911 fields organized into 184 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Information Row 1 | ||
| Additional Information Row 1 Question Number | Text |
Provide the question number for the first row of additional information.
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| Additional Information Row 1 Details | Text |
Provide the additional information details for the first row.
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| Additional Information Row 10 | ||
| Question Number 10 | Text |
Enter the question number for the 10th row of additional information.
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| Additional Information 10 | Text |
Provide any additional information relevant to the 10th row.
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| Additional Information Row 11 | ||
| Question Number Row 11 | Text |
Provide the question number for this additional detail entry.
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| Additional Information Detail Row 11 | Text |
Enter the additional information relevant to the question number in this row.
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| Additional Information Row 12 | ||
| Question Number 12 | Text |
Enter the question number for row 12.
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| Additional Information 12 | Text |
Provide any additional information for row 12.
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| Additional Information Row 13 | ||
| Row 13 Question Number | Text |
Enter the question number for the 13th row of additional information.
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| Row 13 Additional Information | Text |
Provide the additional information for the 13th row.
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| Additional Information Row 14 | ||
| Question Number 14 | Text |
Please enter the question number for this row of additional information.
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| Additional Information 14 | Text |
Please provide any additional information relevant to this row.
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| Additional Information Row 15 | ||
| Row 15 Question Number | Text |
Enter the question number for this additional information.
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| Row 15 Additional Information | Text |
Provide the additional information for this row.
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| Additional Information Row 16 | ||
| Row 16 Question Number | Text |
Provide the question number for row 16.
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| Row 16 Additional Information | Text |
Provide the additional information for row 16.
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| Additional Information Row 17 | ||
| Question Number 17 | Text |
Provide the question number for Additional Information Row 17.
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| Additional Information Row 17 | Text |
Provide additional information for Row 17.
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| Additional Information Row 18 | ||
| Row 18 Question Number | Text |
Please enter the question number for row 18.
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| Row 18 Additional Information | Text |
Please provide any additional information for row 18.
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| Additional Information Row 19 | ||
| Row 19 Question Number | Text |
Enter the question number for the 19th row of additional information.
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| Row 19 Additional Information | Text |
Enter the additional information for the 19th row.
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| Additional Information Row 2 | ||
| Row 2 Question Number | Text |
Enter the question number for the second row of additional information.
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| Row 2 Additional Information | Text |
Provide any additional information relevant to the question number specified in the second row.
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| Additional Information Row 20 | ||
| Row 20 Question Number | Text |
Provide the question number for row 20 of the additional details.
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| Row 20 Additional Information | Text |
Provide any additional information for row 20 of the additional details.
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| Additional Information Row 21 | ||
| Row 21 Question Number | Text |
Enter the question number for additional information row 21.
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| Row 21 Additional Information | Text |
Enter the additional information details for row 21.
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| Additional Information Row 22 | ||
| Row 22 Question Number | Text |
Enter the question number for row 22.
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| Row 22 Additional Information | Text |
Provide additional information for row 22.
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| Additional Information Row 23 | ||
| Question Number 23 | Text |
Enter the question number for the 23rd row of additional information.
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| Additional Information 23 | Text |
Provide any additional details or comments for the 23rd row.
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| Additional Information Row 24 | ||
| Question Number 24 | Text |
Enter the question number for row 24 of additional information.
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| Additional Information 24 | Text |
Provide additional information for row 24.
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| Additional Information Row 25 | ||
| Row 25 Question Number | Text |
Enter the question number for row 25.
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| Row 25 Additional Information | Text |
Provide any additional information related to row 25.
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| Additional Information Row 26 | ||
| Row 26 Question Number | Text |
Enter the question number for this row of additional information.
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| Row 26 Additional Information | Text |
Provide additional information for this row.
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| Additional Information Row 27 | ||
| Question number_Row_27 | Text | |
| Row 27 Additional Information | Text |
Provide the additional information for row 27.
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| Additional Information Row 28 | ||
| Row 28 Question Number | Text |
Enter the question number for row 28 of additional information.
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| Row 28 Additional Information | Text |
Provide any additional information relevant to row 28.
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| Additional Information Row 29 | ||
| Question Number 29 | Text |
Enter the question number for row 29.
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| Additional Information 29 | Text |
Provide any additional information for row 29.
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| Additional Information Row 3 | ||
| Row 3 Question Number | Text |
Enter the question number for the third row of additional information.
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| Row 3 Additional Information | Text |
Provide any additional information relevant to the third row.
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| Additional Information Row 30 | ||
| Question Number 30 | Text |
Enter the question number for the 30th row of additional information.
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| Additional Information 30 | Text |
Provide the additional information for the 30th row.
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| Additional Information Row 31 | ||
| Row 31 Question Number | Text |
Enter the question number for additional details in row 31.
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| Row 31 Additional Information | Text |
Provide any additional information or details for row 31.
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| Additional Information Row 32 | ||
| Row 32 Question Number | Text |
Enter the question number for additional information in row 32.
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| Row 32 Additional Information | Text |
Provide any additional information or details for row 32.
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| Additional Information Row 33 | ||
| Question Number 33 | Text |
Enter the question number for row 33 of additional information.
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| Additional Information 33 | Text |
Provide any additional information or details for row 33.
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| Additional Information Row 34 | ||
| Row 34 Question Number | Text |
Enter the question number for the 34th row of additional information.
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| Row 34 Additional Information | Text |
Provide additional information related to the 34th row's question.
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| Additional Information Row 35 | ||
| Row 35 Question Number | Text |
Enter the question number for the 35th additional information entry.
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| Row 35 Additional Information | Text |
Provide additional details for the 35th entry.
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| Additional Information Row 36 | ||
| Row 36 Question Number | Text |
Please enter the question number for row 36 of the additional information.
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| Row 36 Additional Information | Text |
Please provide any additional information relevant to row 36.
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| Additional Information Row 37 | ||
| Row 37 Question Number | Text |
Enter the question number for row 37's additional information.
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| Row 37 Additional Information | Text |
Provide any additional information for row 37.
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| Additional Information Row 38 | ||
| Row 38 Question Number | Text |
Please provide the question number for row 38 of the additional information.
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| Row 38 Additional Information | Text |
Please provide the additional information for row 38.
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| Additional Information Row 39 | ||
| Question Number 39 | Text |
Please provide the question number for row 39 of additional details.
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| Additional Information 39 | Text |
Please provide the additional information for row 39.
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| Additional Information Row 4 | ||
| Question number_Row_4 | Text | |
| Additional information_Row_4 | Text | |
| Additional Information Row 40 | ||
| Row 40 Question Number | Text |
Enter the question number for which additional details are being provided in row 40.
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| Row 40 Additional Information | Text |
Provide additional information related to the question number specified in row 40.
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| Additional Information Row 41 | ||
| Row 41 Question Number | Text |
Enter the question number for which you are providing additional details.
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| Row 41 Additional Information | Text |
Provide the additional information pertaining to the specified question number.
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| Additional Information Row 42 | ||
| Row 42 Question Number | Text |
Enter the question number to which the additional information on row 42 pertains.
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| Row 42 Additional Information | Text |
Provide the additional information for the question number specified on row 42.
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| Additional Information Row 5 | ||
| Question Number Row 5 | Text |
Provide the question number for this row of additional information.
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| Additional Information Row 5 | Text |
Enter the additional information relevant to this row's question number.
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| Additional Information Row 6 | ||
| Question Number 6 | Text |
Enter the question number for this additional information entry.
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| Additional Information Row 6 | Text |
Provide additional details or information for this row.
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| Additional Information Row 7 | ||
| Row 7 Question Number | Text |
Enter the question number for row 7.
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| Row 7 Additional Information | Text |
Provide any additional information related to row 7.
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| Additional Information Row 8 | ||
| Row 8 Question Number | Text |
Enter the question number for the eighth row of additional information.
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| Row 8 Additional Information | Text |
Provide the additional information for the eighth row.
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| Additional Information Row 9 | ||
| Question Number Row 9 | Text |
Enter the question number for the ninth row of additional information.
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| Additional Information Row 9 | Text |
Provide any additional information relevant to this entry in the ninth row.
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| Assistance Received Question | ||
| No | Checkbox |
Check this box if you did not receive assistance in completing this form.
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| Yes | Checkbox |
Check this box if you received assistance in completing this form.
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| Assistant's Address | ||
| Assistant's Address Line 1 | Text |
Please enter the first line of the assistant's street address.
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| Assistant's Address Line 2 | Text |
Please enter the second line of the assistant's address, such as suburb, city, or state.
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| Assistant's Postcode | Text |
Please enter the assistant's postcode.
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| Assistant's Location Question | ||
| Assistant's Location No | Checkbox |
Check this box if the person or agent who provided assistance is not in Australia.
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| Assistant's Location Yes | Checkbox |
Check this box if the person or agent who provided assistance is in Australia.
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| Assistant's Name and Title | ||
| Mr | Checkbox |
Check this box if the assistant's title is Mr.
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| Mrs | Checkbox |
Check this box if the assistant's title is Mrs.
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| Miss | Checkbox |
Check this box if the assistant's title is Miss.
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| Ms | Checkbox |
Check this box if the assistant's title is Ms.
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| Assistant's Other Title | Text |
Enter the assistant's title if it is not Mr, Mrs, Miss, or Ms.
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| Assistant's Family Name | Text |
Enter the family name of the person who assisted in completing the form.
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| Assistant's Given Names | Text |
Enter the given names of the person who assisted in completing the form.
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| Assistant's Telephone Contact | ||
| Office Hours Country Code | Text |
Enter the country code for the assistant's office hours telephone contact.
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| Office Hours Area Code | Text |
Enter the area code for the assistant's office hours telephone contact.
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| Office Hours Number | Text |
Enter the main telephone number for the assistant's office hours contact.
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| Mobile Number | Text |
Enter the assistant's mobile or cell phone number.
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| Current Liberation or Militia Group Membership Question | ||
| Current Liberation or Militia Group Membership No | Checkbox |
Check this box if you are not currently a member or supporter of a liberation or militia group.
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| Current Liberation or Militia Group Membership Yes | Checkbox |
Check this box if you are currently a member or supporter of a liberation or militia group.
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| Date of Birth | ||
| Date of birth | Date |
Enter your date of birth.
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| Declaration Date | ||
| Declaration Day | Date |
Enter the day of the declaration.
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| Detainment or Arrest During War or Armed Conflict | ||
| Detainment or Arrest - No | Checkbox |
Check this box if you have NOT been detained or arrested during a war or armed conflict.
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| Detainment or Arrest - Yes | Checkbox |
Check this box if you HAVE been detained or arrested during a war or armed conflict and provide details.
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| Detainment or Arrest Details | Text |
Provide details of your detainment or arrest, including by whom, when, where, and information about your release.
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| Detention Centre/Prison/Transit Camp Guard/Official History | ||
| No | Checkbox |
Check this box if you have never been a guard or official at a detention centre, prison, or transit camp.
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| Yes | Checkbox |
Check this box if you have been a guard or official at a detention centre, prison, or transit camp.
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| Eighth Award Details | ||
| Eighth Award Date Day | Text |
Provide the day of the month the eighth award was received.
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| Eighth Award Name | Text |
Provide the name of the eighth medal, accolade, or award received.
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| Eighth Award Reason | Text |
Provide the reason for receiving the eighth award, such as participation in a specific operation.
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| Eighth Award Presenter Name | Text |
Provide the name of the person who presented you with the eighth award.
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| Eighth Education History Record | ||
| Eighth Education History From Month | Text |
Enter the month when this eighth period of education began.
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| Eighth Education History From Year | Number |
Enter the year when this eighth period of education began.
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| Eighth Education History To Month | Text |
Enter the month when this eighth period of education ended.
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| Eighth Education History To Year | Number |
Enter the year when this eighth period of education ended.
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| Eighth Education History Country | Text |
Enter the country where this eighth period of education took place.
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| Eighth Education History Name of Institution | Text |
Enter the name of the educational institution for this eighth period of education.
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| Eighth Education History Name of Course | Text |
Enter the name of the course or program undertaken during this eighth period of education.
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| Eighth Education Graduated | Checkbox |
Check this box if you graduated from the eighth education history record.
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| Eighth Education Not Completed | Checkbox |
Check this box if the eighth education history record was not completed.
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| Eighth Employment History Record | ||
| ap.7employment from | Text | |
| ap.7employment to | Text | |
| ap.7job description | Text | |
| ap.7name employ | Text | |
| ap.7add employer | Text | |
| Eighth Family Member Employment History | ||
| Eighth Family Member Given Name | Text |
Enter the eighth family member's given name.
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| Eighth Family Member Date of Birth Day | Text |
Enter the day of birth for the eighth family member.
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| Eighth Family Member Position Name | Text |
Enter the name of the position held by the eighth family member.
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| Eighth Family Member Job Description or Role | Text |
Provide a description of the job or role held by the eighth family member.
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| Eighth Family Member Name of Employer | Text |
Enter the name of the employer for the eighth family member.
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| Eighth Family Member Employer Address | Text |
Enter the address of the employer for the eighth family member.
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| Eighth Family Member Years Served | Text |
Enter the number of years the eighth family member served in this position.
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| Eighth Family Member Highest Rank Role or Level | Text |
Enter the highest rank, role, or level achieved by the eighth family member.
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| Eighth Place Lived Outside Australia | ||
| Eighth Place From Month | Text |
Enter the month you started living at this eighth location outside Australia.
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| Eighth Place From Year | Number |
Enter the year you started living at this eighth location outside Australia.
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| Eighth Place To Month | Text |
Enter the month you stopped living at this eighth location outside Australia.
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| Eighth Place To Year | Number |
Enter the year you stopped living at this eighth location outside Australia.
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| Eighth Place Region City or Village | Text |
Enter the region, city, or village of the eighth location where you lived outside Australia.
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| Eighth Place Country | Text |
Enter the country of the eighth location where you lived outside Australia.
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| Eighth Place Reason for Move | Text |
Provide the reason for moving from or to this eighth location outside Australia.
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| Eighth Role/Membership Details | ||
| Eighth Role From Date Day | Text |
Enter the day the eighth role or membership started.
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| Eighth Role From Date Month | Text |
Enter the month the eighth role or membership started.
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| Eighth Role From Date Year | Text |
Enter the year the eighth role or membership started.
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| Eighth Role To Date Day | Text |
Enter the day the eighth role or membership ended.
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| Eighth Role To Date Month | Text |
Enter the month the eighth role or membership ended.
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| Eighth Role To Date Year | Text |
Enter the year the eighth role or membership ended.
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| Eighth Role Position Title | Text |
Enter your position or title for the eighth role or membership.
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| Eighth Role Group Organisation Name | Text |
Enter the name of the group or organisation for the eighth role or membership.
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| Eighth Sibling Details (Siblings Section Row 8) | ||
| Eighth sibling — family name | Text |
Enter the eighth sibling's family (last) name as it appears on official documents.
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| Eighth sibling — given name(s) | Text |
Enter the eighth sibling's given name(s), including first and any middle names.
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| Eighth sibling — country of birth | Text |
Enter the country where the eighth sibling was born.
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| Eighth sibling — province/region/state of birth | Text |
Enter the province, region or state where the eighth sibling was born.
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| Eighth sibling — country of residence | Text |
Enter the country where the eighth sibling currently lives or last lived.
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| Eighth sibling — date of birth | Date |
Enter the eighth sibling's date of birth.
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| Eighth sibling — date of death (if deceased) | Date |
Enter the date of death for the eighth sibling if deceased; leave blank if still living.
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| Eleventh Award Details | ||
| Eleventh Award Day Awarded | Text |
Enter the day the eleventh award was given.
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| Eleventh Award Name | Text |
Enter the name of the eleventh medal, accolade, or award received.
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| Eleventh Award Reason | Text |
Provide the reason for receiving the eleventh award, for example, participation in a specific operation.
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| Eleventh Award Presenter | Text |
Enter the name of the person who presented the eleventh award.
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| Eleventh Education History Record | ||
| Eleventh Education History From Month | Text |
Enter the month the eleventh education history record started.
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| Eleventh Education History From Year | Text |
Enter the year the eleventh education history record started.
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| Eleventh Education History To Month | Text |
Enter the month the eleventh education history record ended.
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| Eleventh Education History To Year | Text |
Enter the year the eleventh education history record ended.
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| Eleventh Education History Country | Text |
Enter the country where the institution for the eleventh education history record is located.
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| Eleventh Education History Institution Name | Text |
Enter the name of the institution for the eleventh education history record.
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| Eleventh Education History Course Name | Text |
Enter the name of the course for the eleventh education history record.
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| Twelfth Education History Record - Graduated | Checkbox |
Check this box if the user has graduated from the twelfth education course listed.
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| Twelfth Education History Record - Not completed | Checkbox |
Check this box if the user has not completed the twelfth education course listed.
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| Eleventh Employment History Record | ||
| Eleventh Employment From Day | Text |
Enter the day the eleventh employment record began.
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| Eleventh Employment To Day | Text |
Enter the day the eleventh employment record ended.
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| Eleventh Employment Job Description | Text |
Provide a detailed description of the job held for the eleventh employment record.
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| Eleventh Employment Employer Name | Text |
Enter the name of the employer for the eleventh employment record.
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| Eleventh Employment Employer Address | Text |
Enter the address of the employer for the eleventh employment record.
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| Eleventh Family Member Employment History | ||
| Eleventh Family Member Given Name | Text |
Enter the given name of the eleventh family member.
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| Eleventh Family Member Date of Birth Month | Text |
Provide the month of birth for the eleventh family member.
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| Eleventh Family Member Position Name | Text |
Enter the name of the position held by the eleventh family member.
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| Eleventh Family Member Job Description or Role | Text |
Provide a description of the job or role performed by the eleventh family member.
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| Eleventh Family Member Employer Name | Text |
Enter the name of the employer for the eleventh family member.
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| Eleventh Family Member Employer Address | Text |
Provide the address of the employer for the eleventh family member.
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| Eleventh Family Member Years Served | Text |
Enter the number of years the eleventh family member served in this position.
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| Eleventh Family Member Highest Rank Role or Level Achieved | Text |
Specify the highest rank, role, or level achieved by the eleventh family member.
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| Eleventh Place Lived Outside Australia | ||
| Eleventh Place Date from Month | Text |
Enter the month you started living in the eleventh place outside Australia.
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| Eleventh Place Date from Year | Text |
Enter the year you started living in the eleventh place outside Australia.
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| Eleventh Place Date to Month | Text |
Enter the month you stopped living in the eleventh place outside Australia.
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| Eleventh Place Date to Year | Text |
Enter the year you stopped living in the eleventh place outside Australia.
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| Eleventh Place Region/City/Village | Text |
Enter the region, city, or village of the eleventh place where you lived outside Australia.
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| Eleventh Place Country | Text |
Enter the country of the eleventh place where you lived outside Australia.
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| Eleventh Place Reason for Move | Text |
Enter the reason for moving from or to the eleventh place outside Australia.
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| Ethnic Group | ||
| Ethnic group | Text |
Enter the name of your ethnic group or groups (for example, Māori, Han Chinese, Pasifika, Yoruba) as you identify them.
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| Fifth Award Details | ||
| Fifth Award Date | Date |
Please provide the date the fifth award was received.
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| Fifth Award Name | Text |
Please provide the name of the fifth medal, accolade, or award received.
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| Fifth Award Reason | Text |
Please explain the reason for receiving the fifth award, for example, for participation in a specific operation.
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| Fifth Award Presenter | Text |
Please provide the name of the person who presented you with the fifth award.
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| Fifth Education History Record | ||
| Fifth Education From Month | Text |
Enter the month when the fifth education history record began.
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| Fifth Education From Year | Text |
Enter the year when the fifth education history record began.
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| Fifth Education To Month | Text |
Enter the month when the fifth education history record ended.
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| Fifth Education To Year | Text |
Enter the year when the fifth education history record ended.
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| Fifth Education Country | Text |
Enter the country where the fifth education institution is located.
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| Fifth Education Institution Name | Text |
Enter the name of the institution for the fifth education history record.
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| Fifth Education Course Name | Text |
Enter the name of the course or program for the fifth education history record.
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| Fifth Record Graduated | Checkbox |
Check this box if you graduated from the fifth listed educational institution.
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| Fifth Record Not Completed | Checkbox |
Check this box if you did not complete the fifth listed educational course.
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| Fifth Employment History Record | ||
| Fifth Employment History Start Day | Text |
Enter the day of the start date for this fifth employment history record.
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| Fifth Employment History Start Month | Text |
Enter the month of the start date for this fifth employment history record.
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| Fifth Employment History Job Description | Text |
Provide a detailed description of the job held for this fifth employment history record.
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| Fifth Employment History Employer Name | Text |
Enter the name of the employer for this fifth employment history record.
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| Fifth Employment History Employer Address | Text |
Enter the address of the employer for this fifth employment history record.
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| Fifth Family Member Employment History | ||
| Fifth Family Member Given Name | Text |
Enter the given name of the fifth family member.
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| Fifth Family Member Date of Birth Day | Text |
Provide the day of birth for the fifth family member.
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| Fifth Family Member Position Name | Text |
Enter the name of the position held by the fifth family member.
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| Fifth Family Member Job Description/Role | Text |
Provide the job description or role of the fifth family member.
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| Fifth Family Member Employer Name | Text |
Enter the name of the employer for the fifth family member.
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| Fifth Family Member Employer Address | Text |
Provide the address of the employer for the fifth family member.
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| Fifth Family Member Years Served | Text |
Enter the number of years the fifth family member served in this position.
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| Fifth Family Member Highest Rank/Role/Level Achieved | Text |
Provide the highest rank, role, or level achieved by the fifth family member.
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| Fifth Place Lived Outside Australia | ||
| Fifth Date From Month | Text |
Enter the starting month of the fifth period you lived outside Australia.
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| Fifth Date From Year | Text |
Enter the starting year of the fifth period you lived outside Australia.
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| Fifth Date To Month | Text |
Enter the ending month of the fifth period you lived outside Australia.
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| Fifth Date To Year | Text |
Enter the ending year of the fifth period you lived outside Australia.
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| Fifth Region City or Village | Text |
Provide the region, city, or village of the fifth place you lived outside Australia.
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| Fifth Country | Text |
Provide the country of the fifth place you lived outside Australia.
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| Fifth Reason For Move | Text |
Explain the circumstances or reason for the move related to the fifth place you lived outside Australia.
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| Fifth Role/Membership Details | ||
| Fifth Role Start Day | Text |
Enter the day your fifth role or membership started.
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| Fifth Role End Day | Text |
Enter the day your fifth role or membership ended.
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| Fifth Role Position/Title | Text |
Provide the name of your position or title for this fifth role or membership.
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| Fifth Role Group/Organization Name | Text |
Enter the name of the group or organization for your fifth role or membership.
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| Fifth Role Location | Text |
Provide the location or address where this fifth role or membership was held.
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| Fifth Role Duties/Job Description | Text |
Describe your specific duties, role, or job for this fifth role or membership.
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| Fifth Role Direct Supervisor/Officer | Text |
Enter the name of your direct supervisor or commanding officer for this fifth role or membership.
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| Fifth Role End of Involvement | Text |
Explain how your involvement or membership in this fifth role ended.
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| Fifth Service History Entry | ||
| Fifth Entry Date From Day | Text |
Provide the day of the month when the fifth service history entry began.
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| Fifth Entry Date To Day | Text |
Provide the day of the month when the fifth service history entry ended.
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| Fifth Entry Position Title | Text |
Enter your position or title for the fifth service history entry.
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| Fifth Entry Rank | Text |
Enter your rank for the fifth service history entry.
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| Fifth Entry Location | Text |
Enter the location(s) where you were deployed or posted for the fifth service history entry.
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| Fifth Entry Group Organisation Name | Text |
Enter the name of the group or organisation for the fifth service history entry.
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| Fifth Entry Supervisor Officer Name Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for the fifth service history entry.
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| Fifth Entry Unit Details | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps for the fifth service history entry.
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| Fifth Sibling Details (Siblings Section Row 5) | ||
| Fifth sibling family name | Text |
Enter the fifth sibling's family (last) name as it appears on official documents.
|
| Fifth sibling given name(s) | Text |
Enter the fifth sibling's given name(s), including any middle names.
|
| Fifth sibling country of birth | Text |
Enter the country where the fifth sibling was born.
|
| Fifth sibling province/region/state | Text |
Enter the province, region or state for the fifth sibling's place of birth (if applicable).
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| Fifth sibling country of residence | Text |
Enter the country where the fifth sibling currently resides.
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| Fifth sibling date of birth | Date |
Enter the fifth sibling's date of birth.
|
| Fifth sibling date of death (if deceased) | Date |
Enter the date of death for the fifth sibling if they are deceased; leave blank if still living.
|
| Fifth Specific Operation | ||
| Fifth Specific Operation Date From | Date |
Enter the starting date for this specific operation.
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| Fifth Specific Operation Date To | Date |
Enter the ending date for this specific operation.
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| Fifth Specific Operation Name | Text |
Provide the name of this specific operation.
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| Fifth Specific Operation Unit Name and Number | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps for this specific operation.
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| Fifth Specific Operation Group/Organisation Name | Text |
Enter the name of the group or organisation (e.g., Army, Air Force) involved in this specific operation.
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| Fifth Specific Operation Location(s) | Text |
Provide the location(s) where this specific operation took place.
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| Fifth Specific Operation Your Position/Role/Duties | Text |
Describe your position, role, and duties during this specific operation.
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| Fifth Specific Operation Direct Supervisor Name and Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for this specific operation.
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| Fifth Training History Entry | ||
| Fifth Training History Entry Date From Day | Text |
Enter the day the fifth training history entry started.
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| Fifth Training History Entry Date To Day | Text |
Enter the day the fifth training history entry ended.
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| Fifth Training History Entry Provider Name | Text |
Enter the name of the group or organization that provided the fifth training history entry.
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| Fifth Training History Entry Course Name | Text |
Enter the name of the course for the fifth training history entry.
|
| Fifth Training History Entry Course Details | Text |
Provide details about the content and skills acquired for the fifth training history entry.
|
| Fifth Training History Entry Qualification Received | Text |
Enter the qualification received, if applicable, for the fifth training history entry.
|
| First Award Details | ||
| First Award Date | Date |
Provide the date the first award was given.
|
| First Award Name | Text |
Enter the full name of the first medal, accolade, or award received.
|
| First Award Reason | Text |
Describe the reason for receiving the first award, for example, participation in a specific operation.
|
| First Award Presenter Name | Text |
Provide the name of the person who presented you with the first award.
|
| First Education History Record | ||
| First Education History Record: Date From Month | Text |
Enter the month when your first education history record started.
|
| First Education History Record: Date From Year | Number |
Enter the year when your first education history record started.
|
| First Education History Record: Date To Month | Text |
Enter the month when your first education history record ended.
|
| First Education History Record: Date To Year | Number |
Enter the year when your first education history record ended.
|
| First Education History Record: Country | Text |
Enter the country where your first education history record took place.
|
| First Education History Record: Name of Institution | Text |
Enter the name of the institution for your first education history record.
|
| First Education History Record: Name of Course | Text |
Enter the name of the course for your first education history record.
|
| ap.education graduated_yes | CheckBox | |
| ap.education graduated_not#20completed | CheckBox | |
| First Employment History Record | ||
| First Employment Start Day | Text |
Enter the day the first employment period began.
|
| First Employment End Day | Text |
Enter the day the first employment period ended.
|
| First Employment Job Description | Text |
Describe the job duties and responsibilities for the first employment period.
|
| First Employment Employer Name | Text |
Enter the name of the employer for the first employment period.
|
| First Employment Employer Address | Text |
Enter the address of the employer for the first employment period.
|
| First Family Member Employment History | ||
| First Family Member Given Name | Text |
Enter the given name of the first family member.
|
| First Family Member Date of Birth | Date |
Enter the date of birth for the first family member.
|
| First Family Member Position Name | Text |
Enter the name of the position held by the first family member.
|
| First Family Member Job Description or Role | Text |
Provide a description of the job or role held by the first family member.
|
| First Family Member Employer Name | Text |
Enter the name of the employer for the first family member.
|
| First Family Member Employer Address | Text |
Enter the address of the employer for the first family member.
|
| First Family Member Years Served | Number |
Enter the total number of years the first family member served in this position.
|
| First Family Member Highest Rank, Role, or Level Achieved | Text |
Enter the highest rank, role, or level achieved by the first family member.
|
| First Parent Details (Parents Section Row 1) | ||
| First parent — Family name | Text |
Enter the first parent's family (surname) as it appears on official documents.
|
| First parent — Given name(s) | Text |
Enter the first parent's given name or names (first and middle names) in the order they appear on official documents.
|
| First parent — Country of birth | Text |
Enter the name of the country where the first parent was born.
|
| First parent — Province/region/state (of birth) | Text |
Enter the province, region or state (if applicable) where the first parent was born.
|
| First parent — Country of residence | Text |
Enter the country where the first parent currently resides.
|
| First parent — Date of birth | Date |
Enter the first parent's date of birth.
|
| First parent — Date of death (if deceased) | Date |
Enter the date of death for the first parent if they are deceased; leave blank if still living.
|
| First Place Lived Outside Australia | ||
| First Date From Month | Text |
Enter the month when you started living at the first place outside Australia.
|
| First Date From Year | Text |
Enter the year when you started living at the first place outside Australia.
|
| First Date To Month | Text |
Enter the month when you stopped living at the first place outside Australia.
|
| First Date To Year | Text |
Enter the year when you stopped living at the first place outside Australia.
|
| First Place Region/City/Village | Text |
Enter the region, city, or village of the first place you lived outside Australia.
|
| First Place Country | Text |
Enter the country of the first place you lived outside Australia.
|
| First Place Reason for Move | Text |
Explain the circumstances that led to your move from the first place you lived outside Australia.
|
| First Role/Membership Details | ||
| First Role From Day | Text |
Enter the day of the month when the first role or membership began.
|
| First Role To Day | Text |
Enter the day of the month when the first role or membership ended.
|
| First Role Position/Title | Text |
Enter the name of your position or title for the first role or membership.
|
| First Role Group/Organisation | Text |
Enter the name of the group or organisation for the first role or membership.
|
| First Role Location (Address) | Text |
Enter the location or address where the first role or membership took place.
|
| First Role Duties/Description | Text |
Provide a description of your specific duties, role, or job for the first role or membership.
|
| First Role Direct Supervisor/Officer | Text |
Enter the name of your direct supervisor or commanding officer for the first role or membership.
|
| First Role End of Involvement | Text |
Describe how your involvement or membership in the first role ended.
|
| First Service History Entry | ||
| First Service History Start Date | Date |
Enter the start date for this service history entry.
|
| First Service History End Date | Date |
Enter the end date for this service history entry.
|
| First Service History Position/Title | Text |
Provide your position or title during this service history entry.
|
| First Service History Rank | Text |
Enter your rank for this service history entry.
|
| First Service History Deployment Location | Text |
Provide the location(s) where you were deployed or posted for this service history entry.
|
| First Service History Group/Organisation Name | Text |
Enter the name of the group or organisation for this service history entry.
|
| First Service History Supervisor/Officer Name and Rank | Text |
Provide the name and rank of your direct supervisor or commanding officer for this service history entry.
|
| First Service History Unit Details | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps, for this service history entry.
|
| First Sibling Details (Siblings Section Row 1) | ||
| First sibling — Family name | Text |
Enter the family (last) name of your first sibling as shown on official records.
|
| First sibling — Given name(s) | Text |
Enter the given and middle name(s) of your first sibling in the order they are used.
|
| First sibling — Country of birth | Text |
Enter the country where your first sibling was born.
|
| First sibling — Province/region/state | Text |
Enter the province, region or state associated with your first sibling's place of birth.
|
| First sibling — Country of residence | Text |
Enter the country where your first sibling currently lives or normally resides.
|
| First sibling — Date of birth | Date |
Provide the date of birth of your first sibling.
|
| First sibling — Date of death (if deceased) | Date |
If your first sibling is deceased, provide their date of death; otherwise leave this field blank.
|
| First Specific Operation | ||
| First Specific Operation Start Date | Date |
Enter the start date of the first specific operation you took part in.
|
| First Specific Operation End Date | Date |
Enter the end date of the first specific operation you took part in.
|
| First Specific Operation Name | Text |
Provide the name of the first specific operation you took part in.
|
| First Specific Operation Unit Details | Text |
Enter the unit name and number for the first specific operation, including your Unit, Battalion, Brigade, Division, and Corps.
|
| First Specific Operation Group/Organisation | Text |
Enter the name of the group or organisation (e.g., Army, Air Force) involved in the first specific operation.
|
| First Specific Operation Location | Text |
Provide the location(s) where the first specific operation took place.
|
| First Specific Operation Position/Role/Duties | Text |
Describe your position, role, or duties during the first specific operation.
|
| First Specific Operation Supervisor/Commander Details | Text |
Provide the name and rank of your direct supervisor or Commanding officer for the first specific operation.
|
| First Training History Entry | ||
| First Training History Entry Date From | Date |
Enter the starting date of the first training history entry.
|
| First Training History Entry Date To | Date |
Enter the ending date of the first training history entry.
|
| First Training History Entry Organization Name | Text |
Provide the name of the group or organization that provided the training for the first training history entry.
|
| First Training History Entry Course Name | Text |
Enter the name of the course for the first training history entry.
|
| First Training History Entry Course Details | Text |
Provide details about the course content and skills acquired for the first training history entry.
|
| First Training History Entry Qualification Received | Text |
Enter the qualification received for the first training history entry, if applicable.
|
| Fourteenth Employment History Record | ||
| Fourteenth Employment From Day | Text |
Provide the day of the start date for the fourteenth employment record.
|
| Fourteenth Employment From Month | Text |
Provide the month of the start date for the fourteenth employment record.
|
| Fourteenth Employment Job Description | Text |
Provide a detailed description of the job duties and responsibilities for the fourteenth employment record.
|
| Fourteenth Employment Employer Name | Text |
Provide the full name of the employer for the fourteenth employment record.
|
| Fourteenth Employment Employer Address | Text |
Provide the full address of the employer for the fourteenth employment record.
|
| Fourteenth Family Member Employment History | ||
| Fourteenth Family Member Given Name | Text |
Enter the given name of the fourteenth family member.
|
| Fourteenth Family Member Date of Birth Day | Text |
Enter the day of birth for the fourteenth family member.
|
| Fourteenth Family Member Date of Birth Month | Text |
Enter the month of birth for the fourteenth family member.
|
| Fourteenth Family Member Date of Birth Year | Text |
Enter the year of birth for the fourteenth family member.
|
| Fourteenth Family Member Position Name | Text |
Enter the name of the position held by the fourteenth family member.
|
| Fourteenth Family Member Job Description Role | Text |
Enter the job description or role of the fourteenth family member.
|
| Fourteenth Family Member Years Served | Text |
Enter the number of years the fourteenth family member served in the position.
|
| Fourteenth Family Member Highest Rank Role Level | Text |
Enter the highest rank, role, or level achieved by the fourteenth family member.
|
| Fourth Award Details | ||
| Fourth Award Date | Date |
Enter the date the fourth award was awarded.
|
| Fourth Award Name | Text |
Enter the name of the fourth medal, accolade, or award received.
|
| Fourth Award Reason | Text |
Provide the reason for receiving the fourth award, for example, participation in a specific operation.
|
| Fourth Award Presenter | Text |
Enter the name of the person who presented you with the fourth award.
|
| Fourth Education History Record | ||
| Fourth Education From Month | Text |
Provide the month when the fourth education record began.
|
| Fourth Education From Year | Text |
Provide the year when the fourth education record began.
|
| Fourth Education To Month | Text |
Provide the month when the fourth education record ended.
|
| Fourth Education To Year | Text |
Provide the year when the fourth education record ended.
|
| Fourth Education Country | Text |
Provide the country where the fourth education record took place.
|
| Fourth Education Institution Name | Text |
Provide the name of the institution for the fourth education record.
|
| Fourth Education Course Name | Text |
Provide the name of the course for the fourth education record.
|
| Fourth Education Record Graduated | Checkbox |
Check this box if the fourth education history record shows that you graduated from the course.
|
| Fourth Education Record Not Completed | Checkbox |
Check this box if the fourth education history record shows that you did not complete the course.
|
| Fourth Employment History Record | ||
| Fourth Employment Start Day | Text |
Enter the day of the start date for the fourth employment record.
|
| Fourth Employment Start Month | Text |
Enter the month of the start date for the fourth employment record.
|
| Fourth Employment Job Description | Text |
Enter the job description for the fourth employment record.
|
| Fourth Employment Employer Name | Text |
Enter the name of the employer for the fourth employment record.
|
| Fourth Employment Employer Address | Text |
Enter the address of the employer for the fourth employment record.
|
| Fourth Family Member Employment History | ||
| Fourth Family Member Given Name | Text |
Provide the given name of the fourth family member.
|
| Fourth Family Member Date of Birth | Date |
Provide the date of birth for the fourth family member.
|
| Fourth Family Member Position Name | Text |
Provide the position name held by the fourth family member.
|
| Fourth Family Member Job Description or Role | Text |
Provide a description of the job or role held by the fourth family member.
|
| Fourth Family Member Employer Name | Text |
Provide the name of the employer for the fourth family member.
|
| Fourth Family Member Employer Address | Text |
Provide the address of the employer for the fourth family member.
|
| Fourth Family Member Years Served | Text |
Provide the number of years the fourth family member served in this position.
|
| Fourth Family Member Highest Rank Role or Level Achieved | Text |
Provide the highest rank, role, or level achieved by the fourth family member.
|
| Fourth Parent Details (Parents Section Row 4) | ||
| Fourth parent — Family name | Text |
Enter the fourth parent's family name (surname) exactly as it appears on official documents.
|
| Fourth parent — Given name(s) | Text |
Enter the fourth parent's given and middle name(s) in full.
|
| Fourth parent — Country of birth | Text |
Enter the country where the fourth parent was born.
|
| Fourth parent — Province/region/state of birth | Text |
Enter the province, region or state (if applicable) where the fourth parent was born.
|
| Fourth parent — Country of residence | Text |
Enter the country where the fourth parent currently resides.
|
| Fourth parent — Date of birth (Year) | Number |
Enter the year of birth for the fourth parent.
|
| Fourth parent — Date of death (Year, if deceased) | Number |
If the fourth parent is deceased, enter the year of death; leave blank if still living.
|
| Fourth Place Lived Outside Australia | ||
| ap.3livedOS from month | Text | |
| ap.3livedOS from year | Text | |
| ap.3livedOS to month | Text | |
| ap.3livedOS to year | Text | |
| ap.3livedOS region | Text | |
| Text | ||
| ap.3livedOS reason | Text | |
| Fourth Role/Membership Details | ||
| Fourth Role Date From Day | Text |
Enter the day of the month when your fourth role or membership started.
|
| Fourth Role Date To Day | Text |
Enter the day of the month when your fourth role or membership ended.
|
| Fourth Role Position/Title | Text |
Provide the name of your position or title for your fourth role or membership.
|
| Fourth Role Group/Organisation Name | Text |
Enter the name of the group or organisation for your fourth role or membership.
|
| Fourth Role Location | Text |
Provide the location or address where your fourth role or membership was held.
|
| Fourth Role Duties Description | Text |
Describe your specific duties, role, or job for your fourth role or membership.
|
| Fourth Role Direct Supervisor | Text |
Provide the name of your direct supervisor or commanding officer for your fourth role or membership.
|
| Fourth Role End Reason | Text |
Explain how your involvement or membership in your fourth role ended.
|
| Fourth Service History Entry | ||
| Fourth Service History From Day | Text |
Enter the day the fourth service history entry began.
|
| Fourth Service History To Day | Text |
Enter the day the fourth service history entry ended.
|
| Fourth Service History Position/Title | Text |
Provide your position or title for the fourth service history entry.
|
| Fourth Service History Rank | Text |
Specify your rank for the fourth service history entry.
|
| Fourth Service History Location | Text |
Enter the location(s) where you were deployed or posted for the fourth service history entry.
|
| Fourth Service History Group/Organization Name | Text |
Provide the name of the group or organization for the fourth service history entry.
|
| Fourth Service History Supervisor/Commanding Officer and Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for the fourth service history entry.
|
| Fourth Service History Unit Details | Text |
Provide the name and number of your unit, including Battalion, Brigade, Division, and Corps for the fourth service history entry.
|
| Fourth Sibling Details (Siblings Section Row 4) | ||
| Fourth sibling — Family name | Text |
Enter the fourth sibling's family (last) name as shown on official documents.
|
| Fourth sibling — Given name(s) | Text |
Enter the fourth sibling's given name(s) (first and any middle names) in full.
|
| Fourth sibling — Country of birth | Text |
Enter the name of the country where the fourth sibling was born.
|
| Fourth sibling — Province/region/state | Text |
Enter the province, region or state of the fourth sibling's birth, if applicable.
|
| Fourth sibling — Country of residence | Text |
Enter the country where the fourth sibling currently resides.
|
| Fourth sibling — Year of birth | Number |
Enter the year of birth for the fourth sibling.
|
| Fourth sibling — Date of death (day) | Text |
If the fourth sibling is deceased, enter the day of death; leave blank if the sibling is living.
|
| Fourth Specific Operation | ||
| Fourth Operation From Day | Text |
Enter the day of the start date for the fourth specific operation.
|
| Fourth Operation To Day | Text |
Enter the day of the end date for the fourth specific operation.
|
| Fourth Operation Name | Text |
Provide the name of the fourth specific operation you took part in.
|
| Fourth Operation Unit Name and Number | Text |
Provide the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps for the fourth specific operation.
|
| Fourth Operation Group/Organisation Name | Text |
Provide the name of the group or organisation (e.g., Army, Air Force) involved in the fourth specific operation.
|
| Fourth Operation Location | Text |
Provide the location(s) where the fourth specific operation took place.
|
| Fourth Operation Position/Role/Duties | Text |
Describe your position, role, or duties during the fourth specific operation.
|
| Fourth Operation Supervisor/Officer Name and Rank | Text |
Provide the name and rank of your direct supervisor or Commanding officer for the fourth specific operation.
|
| Fourth Training History Entry | ||
| Fourth Training History Entry - From Day | Text |
Enter the day the fourth training history entry started.
|
| Fourth Training History Entry - From Month | Text |
Enter the month the fourth training history entry started.
|
| Fourth Training History Entry - Organisation Provided Training | Text |
Enter the name of the group or organization that provided the fourth training history entry.
|
| Fourth Training History Entry - Course Name | Text |
Enter the name of the course for the fourth training history entry.
|
| Fourth Training History Entry - Course Details | Text |
Provide details about the content or skills acquired during the fourth training history course.
|
| Fourth Training History Entry - Qualification Received | Text |
Enter the qualification received for the fourth training history entry, if applicable.
|
| Full Name | ||
| Family name | Text |
Enter your family name (surname/last name) exactly as it appears on your identity documents.
|
| Given names | Text |
Enter all of your given (first and middle) names in the order shown on your identity documents.
|
| General | ||
| ap.assist title add 1 | Text | |
| ap.assist title add 2 | Text | |
| Government Official History Question | ||
| Government Official History Question No | Checkbox |
Check this box if you have never been a government official.
|
| Government Official History Question Yes | Checkbox |
Check this box if you have ever been a government official (e.g., mayor, judge, hospital administrator).
|
| Liberation or Militia Group Membership Question | ||
| Liberation or Militia Group Membership No | Checkbox |
Check this box if you have never been a member or supporter of a liberation or militia group.
|
| Liberation or Militia Group Membership Yes | Checkbox |
Check this box if you have ever been a member or supporter of a liberation or militia group.
|
| Military Service Details | ||
| No Military Service | Checkbox |
Check this box if you have never undertaken any military service.
|
| Conscription Did Not Exist | Checkbox |
Check this box if you did not undertake military service because conscription did not exist during the relevant period.
|
| Conscription Existed But Exempted | Checkbox |
Check this box if conscription existed but you were exempted from military service.
|
| Exemption Explanation | Text |
Explain how you were exempted from military service when conscription existed.
|
| Conscription Existed But Did Not Serve | Checkbox |
Check this box if conscription existed but you did not serve, without being formally exempted.
|
| Non-Service Explanation | Text |
Explain why you did not serve in the military when conscription existed.
|
| Yes Military Service Undertaken | Checkbox |
Check this box if you have undertaken military service.
|
| Service Was Compulsory | Checkbox |
Check this box if your military service was compulsory.
|
| Service Was Voluntary | Checkbox |
Check this box if you joined military service voluntarily.
|
| Ninth Award Details | ||
| Ninth Award Date | Date |
Enter the date when the ninth award was awarded.
|
| Ninth Award Name | Text |
Enter the name of the ninth medal, accolade, or award received.
|
| Ninth Award Reason | Text |
Enter the reason for receiving the ninth award, such as participation in a specific operation.
|
| Ninth Award Presenter | Text |
Enter the name of the person who presented the ninth award.
|
| Ninth Education History Record | ||
| Ninth Education Start Month | Text |
Enter the starting month for your ninth education history record.
|
| Ninth Education Start Year | Text |
Enter the starting year for your ninth education history record.
|
| Ninth Education End Month | Text |
Enter the ending month for your ninth education history record.
|
| Ninth Education End Year | Text |
Enter the ending year for your ninth education history record.
|
| Ninth Education Country | Text |
Provide the country where your ninth education history record took place.
|
| Ninth Education Institution Name | Text |
Enter the name of the institution for your ninth education history record.
|
| Ninth Education Course Name | Text |
Enter the name of the course for your ninth education history record.
|
| Ninth Education History Graduated | Checkbox |
Check this box if the ninth education history record listed was successfully completed and you graduated.
|
| Ninth Education History Not Completed | Checkbox |
Check this box if the ninth education history record listed was not completed.
|
| Ninth Employment History Record | ||
| Ninth Employment Start Day | Text |
Enter the day the ninth employment period began.
|
| Ninth Employment Start Month | Text |
Enter the month the ninth employment period began.
|
| Ninth Employment Job Description | Text |
Enter a description of the job held during the ninth employment period.
|
| Ninth Employment Employer Name | Text |
Enter the name of the employer for the ninth employment period.
|
| Ninth Employment Employer Address | Text |
Enter the address of the employer for the ninth employment period.
|
| Ninth Family Member Employment History | ||
| Ninth Family Member Given Name | Text |
Enter the given name of the ninth family member.
|
| Ninth Family Member Date of Birth Day | Text |
Enter the day of birth for the ninth family member.
|
| Ninth Family Member Position Name | Text |
Enter the position name held by the ninth family member.
|
| Ninth Family Member Job Description/Role | Text |
Enter the job description or role of the ninth family member.
|
| Ninth Family Member Name of Employer | Text |
Enter the name of the employer for the ninth family member.
|
| Ninth Family Member Address of Employer | Text |
Enter the address of the employer for the ninth family member.
|
| Ninth Family Member Years Served | Text |
Enter the number of years the ninth family member served in the position.
|
| Ninth Family Member Highest Rank/Role/Level Achieved | Text |
Enter the highest rank, role, or level achieved by the ninth family member.
|
| Ninth Place Lived Outside Australia | ||
| Ninth Place From Month | Text |
Enter the month of the start date for the ninth place you lived outside Australia.
|
| Ninth Place From Year | Text |
Enter the year of the start date for the ninth place you lived outside Australia.
|
| Ninth Place To Month | Text |
Enter the month of the end date for the ninth place you lived outside Australia.
|
| Ninth Place To Year | Text |
Enter the year of the end date for the ninth place you lived outside Australia.
|
| Ninth Place Region City Village | Text |
Enter the region, city, or village of the ninth place you lived outside Australia.
|
| Ninth Place Country | Text |
Enter the country of the ninth place you lived outside Australia.
|
| Ninth Place Reason for Move | Text |
Enter the reason for moving related to the ninth place you lived outside Australia.
|
| Ninth Role/Membership Details | ||
| Ninth Role Start Day | Text |
Enter the day the ninth role or membership started.
|
| Ninth Role End Day | Text |
Enter the day the ninth role or membership ended.
|
| Ninth Role Position/Title | Text |
Enter the name of your position or title for the ninth role or membership.
|
| Ninth Role Group/Organisation Name | Text |
Enter the name of the group or organisation for the ninth role or membership.
|
| Ninth Role Location | Text |
Enter the address where the ninth role or membership was located.
|
| Ninth Role Duties/Description | Text |
Provide a description of your specific duties, role, or job for the ninth role or membership.
|
| Ninth Role Supervisor/Commander | Text |
Enter the name of your direct supervisor or commanding officer for the ninth role or membership.
|
| Ninth Role End Reason | Text |
Explain how your involvement or membership in the ninth role or group ended.
|
| Ninth Sibling Details (Siblings Section Row 9) | ||
| 9th sibling family name | Text |
Enter the family (last) name or surname of your ninth sibling as shown on official records.
|
| 9th sibling given name(s) | Text |
Enter the given name(s) and any middle name(s) of your ninth sibling in the order they appear.
|
| 9th sibling country of birth | Text |
Enter the name of the country where your ninth sibling was born.
|
| 9th sibling province/region/state (of birth) | Text |
Enter the province, region or state where your ninth sibling was born, if applicable.
|
| 9th sibling country of residence | Text |
Enter the name of the country where your ninth sibling currently resides.
|
| 9th sibling date of birth | Date |
Enter the date of birth of your ninth sibling.
|
| 9th sibling date of death (if deceased) | Date |
If deceased, enter the date of death of your ninth sibling; leave blank if they are still living.
|
| Other Citizenship (Yes/No and Countries) | ||
| Do you hold any other citizenship? — No | Checkbox |
Check this box if you do not hold citizenship of any country other than the one listed as your present country of citizenship.
|
| Do you hold any other citizenship? — Yes | Checkbox |
Check this box if you hold one or more other citizenships, and then list the countries in the adjacent 'Which countries?' field.
|
| Other citizenship — countries | Text |
Enter the name(s) of any other country or countries of which you are a citizen; list multiple countries separated by commas. Fill only if 'Do you hold any other citizenship? — Yes' is 'Yes'.
|
| Other Names (Yes/No and Details) | ||
| Other Names – No | Checkbox |
Check this box if you have not been known by any other names (including name at birth, previous married names or aliases).
|
| Other Names – Yes | Checkbox |
Check this box if you have been known by other names (including name at birth, previous married names or aliases); if checked, provide the requested details in the fields provided.
|
| Other name — Family name | Text |
Enter the family (surname) of any other name you have been known by, including name at birth, previous married names or aliases. Fill only if 'Other Names – Yes' is 'Yes'.
|
| Other name — Given names | Text |
Enter the given (first and middle) names of any other name you have been known by, including name at birth, previous married names or aliases. Fill only if 'Other Names – Yes' is 'Yes'.
|
| Other Service History | ||
| No Other Service History | Checkbox |
Check this box if you have never undertaken any other military, paramilitary, security, intelligence, police or secret police service.
|
| Yes Other Service History | Checkbox |
Check this box if you have ever undertaken any other military, paramilitary, security, intelligence, police or secret police service.
|
| Participation in Abuse Against Prisoners or Civilians | ||
| No, participated in abuse | Checkbox |
Check this box if you have never participated in any physical or psychological abuse against prisoners or civilians.
|
| Yes, participated in abuse | Checkbox |
Check this box if you have participated in any physical or psychological abuse against prisoners or civilians.
|
| Participation in Abuse Against Prisoners or Civilians Details | Text |
Provide details, including a description of the situation, dates, location(s) and how you were involved in any physical or psychological abuse against prisoners or civilians.
|
| Participation in Capture of Civilians | ||
| No Participation in Capture of Civilians | Checkbox |
Check this box if you have not participated in the capture of civilians in a war or armed conflict.
|
| Yes Participation in Capture of Civilians | Checkbox |
Check this box if you have participated in the capture of civilians in a war or armed conflict.
|
| Participation in Capture of Civilians Details | Text |
Provide details about your participation in the capture of civilians, including a description of the situation, dates, location(s), and how you were involved.
|
| Participation in Specific War Crimes | ||
| 20 No Participation | Checkbox |
Check this box if you have not participated in the crime of genocide, a crime against humanity, or a war crime.
|
| 20 Yes Participation | Checkbox |
Check this box if you have participated in the crime of genocide, a crime against humanity, or a war crime.
|
| Participation in War Crimes Details | Text |
Provide reasons for your involvement, including details of who issued orders to commit these crimes, likely punishments if you did not participate, and actions you may have taken to avoid committing these crimes.
|
| Participation in War or Armed Conflict | ||
| 19 No | Checkbox |
Check this box if you have not participated in a war or armed conflict in any way.
|
| 19 Yes | Checkbox |
Check this box if you have participated in a war or armed conflict in any way.
|
| 19th Participation Details | Text |
Provide details, including date, location, and how you were involved in a war or armed conflict.
|
| Payment for Assistance Question | ||
| Payment for Assistance No | Checkbox |
Check this box if you did not pay the person/agent and/or did not give a gift for this assistance.
|
| Payment for Assistance Yes | Checkbox |
Check this box if you did pay the person/agent and/or did give a gift for this assistance.
|
| Place of Birth | ||
| Town/City | Text |
Enter the name of the town or city where you were born.
|
| Country | Text |
Enter the country where you were born.
|
| Province/Region/State | Text |
Enter the province, region or state of your place of birth, if applicable.
|
| Political Organisation Association Question | ||
| Political Organisation Association No | Checkbox |
Check this box if you have never been associated with or held membership of a political organisation.
|
| Political Organisation Association Yes | Checkbox |
Check this box if you have been associated with or held membership of a political organisation.
|
| Present Country of Citizenship | ||
| Present country of citizenship | Text |
Enter the full name of the country where you currently hold citizenship (for example, 'Australia').
|
| Registered Agent Status Question | ||
| No (Registered Agent Status) | Checkbox |
Check this box if the person is NOT an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA).
|
| Yes (Registered Agent Status) | Checkbox |
Check this box if the person IS an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA).
|
| Religion | ||
| Religion | Text |
Enter the name of your religion or faith (for example: Christianity, Islam, Hinduism, Buddhism, Jewish, No religion, etc.).
|
| Second Award Details | ||
| Second Award Date | Date |
Enter the date the second award was given.
|
| Second Award Name | Text |
Provide the full name of the second medal, accolade, or award received.
|
| Second Award Reason | Text |
Explain the reason for receiving the second award, such as for participation in a specific operation.
|
| Second Award Presenter | Text |
Enter the name of the person who presented you with the second award.
|
| Second Education History Record | ||
| Second Education From Month | Text |
Provide the month when your second education record started.
|
| Second Education From Year | Text |
Provide the year when your second education record started.
|
| Second Education To Month | Text |
Provide the month when your second education record ended.
|
| Second Education To Year | Text |
Provide the year when your second education record ended.
|
| Second Education Country | Text |
Provide the country where your second education institution is located.
|
| Second Education Institution Name | Text |
Provide the name of the institution for your second education record.
|
| Second Education Course Name | Text |
Provide the name of the course for your second education record.
|
| Second Education Graduated | Checkbox |
Check this box if you graduated from the second listed education history record.
|
| Second Education Not Completed | Checkbox |
Check this box if you did not complete the second listed education history record.
|
| Second Employment History Record | ||
| Second Employment History Start Date Day | Text |
Provide the day of the start date for the second employment history record.
|
| Second Employment History End Date Day | Text |
Provide the day of the end date for the second employment history record.
|
| Second Employment History Job Description | Text |
Provide a description of the job held during the second employment history record.
|
| Second Employment History Employer Name | Text |
Provide the name of the employer for the second employment history record.
|
| Second Employment History Employer Address | Text |
Provide the address of the employer for the second employment history record.
|
| Second Family Member Employment History | ||
| Second Family Member Given Name | Text |
Enter the given name of the second family member.
|
| Second Family Member Date of Birth Year | Text |
Enter the year of birth for the second family member.
|
| Second Family Member Position Name | Text |
Enter the name of the position held by the second family member.
|
| Second Family Member Job Description or Role | Text |
Enter the job description or role of the second family member.
|
| Second Family Member Employer Name | Text |
Enter the name of the employer for the second family member.
|
| Second Family Member Employer Address | Text |
Enter the address of the employer for the second family member.
|
| Second Family Member Years Served | Text |
Enter the number of years the second family member served.
|
| Second Family Member Highest Rank, Role, or Level Achieved | Text |
Enter the highest rank, role, or level achieved by the second family member.
|
| Second Parent Details (Parents Section Row 2) | ||
| Second parent — Family name | Text |
Enter the second parent's family name (surname).
|
| Second parent — Given name(s) | Text |
Enter the second parent's given name(s), including first and any middle names.
|
| Second parent — Country of birth | Text |
Enter the country where the second parent was born.
|
| Second parent — Province/region/state (of birth) | Text |
Enter the province, region or state associated with the second parent's place of birth.
|
| Second parent — Country of residence | Text |
Enter the country where the second parent currently resides.
|
| Second parent — Date of birth | Date |
Enter the second parent's date of birth.
|
| Second parent — Date of death (if deceased) | Date |
If the second parent is deceased, enter their date of death; otherwise leave this field blank.
|
| Second Place Lived Outside Australia | ||
| Second Place Date From Month | Text |
Enter the month when you started living in the second place outside Australia.
|
| Second Place Date From Year | Text |
Enter the year when you started living in the second place outside Australia.
|
| Second Place Date To Month | Text |
Enter the month when you stopped living in the second place outside Australia.
|
| Second Place Date To Year | Text |
Enter the year when you stopped living in the second place outside Australia.
|
| Second Place Region/City/Village | Text |
Provide the region, city, or village of the second place you lived outside Australia.
|
| Second Place Country | Text |
Enter the country of the second place you lived outside Australia.
|
| Second Place Reason for Move | Text |
Explain the circumstances that led to your move from the second place you lived outside Australia.
|
| Second Role/Membership Details | ||
| Second Role/Membership From Day | Text |
Enter the day the second role or membership began.
|
| Second Role/Membership To Day | Text |
Enter the day the second role or membership ended.
|
| Second Role/Membership Position Title | Text |
Provide the name of your position or title for the second role or membership.
|
| Second Role/Membership Group/Organization Name | Text |
Enter the name of the group or organization for the second role or membership.
|
| Second Role/Membership Location | Text |
Provide the address or location where the second role or membership took place.
|
| Second Role/Membership Duties Description | Text |
Describe your specific duties, role, or job for the second role or membership.
|
| Second Role/Membership Supervisor/Officer | Text |
Enter the name of your direct supervisor or commanding officer for the second role or membership.
|
| Second Role/Membership End Reason | Text |
Explain how your involvement or membership in this second role ended.
|
| Second Service History Entry | ||
| Second Service Start Date | Date |
Provide the starting date of this period of service.
|
| Second Service End Date | Date |
Provide the ending date of this period of service.
|
| Second Position/Title | Text |
Enter your position or title during this period of service.
|
| Second Rank | Text |
Enter your rank during this period of service.
|
| Second Deployment/Posting Location | Text |
Enter the location(s) where you were deployed or posted during this period of service.
|
| Second Group/Organisation Name | Text |
Enter the name of the group or organisation you were part of during this period of service.
|
| Second Supervisor/Officer Name and Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer during this period of service.
|
| Second Unit Details | Text |
Provide the name and number of your unit, including Battalion, Brigade, Division, and Corps for this period of service.
|
| Second Sibling Details (Siblings Section Row 2) | ||
| Second sibling — Family name | Text |
Enter the sibling's family name (surname) exactly as it appears on official documents.
|
| Second sibling — Given name(s) | Text |
Enter the sibling's given name(s) (first and any middle names) in full, in the order shown on official documents.
|
| Second sibling — Country of birth | Text |
Enter the full name of the country where the sibling was born.
|
| Second sibling — Province/region/state of birth | Text |
Enter the province, region or state within the country of birth, or leave blank if not applicable.
|
| Second sibling — Country of residence | Text |
Enter the full name of the country where the sibling currently resides or normally lives.
|
| Second sibling — Date of birth (Day) | Text |
Enter the day of the sibling's birth as a number (1–31).
|
| Second sibling — Date of birth (Month) | Text |
Enter the month of the sibling's birth as a number (1–12) or as the month name.
|
| Second Specific Operation | ||
| Second Operation Date From | Date |
Enter the start date of the second specific operation you took part in.
|
| Second Operation Date To | Date |
Enter the end date of the second specific operation you took part in.
|
| Second Operation Name | Text |
Enter the name of the second specific operation you took part in.
|
| Second Operation Unit Name and Number | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps, for the second specific operation.
|
| Second Operation Group/Organisation Name | Text |
Enter the name of the group or organisation (e.g., Army, Air Force) involved in the second specific operation.
|
| Second Operation Location(s) | Text |
Enter the location(s) where the second specific operation took place.
|
| Second Operation Position/Role/Duties | Text |
Enter your position, role, or duties during the second specific operation.
|
| Second Operation Supervisor/Commander Name and Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer during the second specific operation.
|
| Second Training History Entry | ||
| Second Training History Date From Day | Text |
Enter the day the second training history entry started.
|
| Second Training History Date From Month | Text |
Enter the month the second training history entry started.
|
| Second Training History Provider Name | Text |
Enter the name of the group or organization that provided the second training history entry.
|
| Second Training History Course Name | Text |
Enter the name of the course for the second training history entry.
|
| Second Training History Course Details | Text |
Enter the details of the course, including content and skills acquired, for the second training history entry.
|
| Second Training History Qualification Received | Text |
Enter any qualification received for the second training history entry, if applicable.
|
| Senior Religious or Cultural Position Question | ||
| Senior Religious or Cultural Position - No | Checkbox |
Check this box if you have never held a senior religious or cultural position in your community (excluding positions held in Australia).
|
| Senior Religious or Cultural Position - Yes | Checkbox |
Check this box if you have previously held a senior religious or cultural position in your community (excluding positions held in Australia).
|
| Service Discharge Details | ||
| Yes | Checkbox |
Check this box if you have been discharged from your service in the military, paramilitary, security, detention centre, prison, transit camp, intelligence, police, or secret police service.
|
| Service Discharge Date | Date |
Please provide the date when the service discharge occurred.
|
| Service Discharge Rank/Position | Text |
Please provide the rank or position held at the time of service discharge.
|
| Service History Follow-up Question | ||
| 27 No | Checkbox |
Check this box if you answered 'No' to all of Questions 24, 25, and 26.
|
| 27 Yes | Checkbox |
Check this box if you answered 'Yes' to at least one of Questions 24, 25, or 26.
|
| Service Status (Not Discharged) | ||
| No (Not Discharged) | Checkbox |
Check this box if you have never been discharged from your service in the military, paramilitary, security, detention centre, prison or transit camp, intelligence, police or secret police service.
|
| Still Serving/Employed | Checkbox |
Check this box if you are currently serving or employed by the organization mentioned in the question.
|
| Left Without Official Discharge | Checkbox |
Check this box if you left the organization without receiving an official discharge.
|
| Reason for Not Discharged Status | Text |
Provide details explaining why you left the organization without official discharge.
|
| Seventh Award Details | ||
| Seventh Award Date Day | Text |
Provide the day on which the seventh award was received.
|
| Seventh Award Name | Text |
Enter the name of the medal, accolade, or award received for the seventh entry.
|
| Seventh Award Reason | Text |
Explain the reason for receiving the seventh award, such as participation in a specific operation.
|
| Seventh Award Presenter Name | Text |
Provide the name of the person who presented the seventh award.
|
| Seventh Education History Record | ||
| Seventh Education From Month | Text |
Enter the month when the seventh education record started.
|
| Seventh Education From Year | Text |
Enter the year when the seventh education record started.
|
| Seventh Education To Month | Text |
Enter the month when the seventh education record ended.
|
| Seventh Education To Year | Text |
Enter the year when the seventh education record ended.
|
| Seventh Education Country | Text |
Enter the country where the seventh education record took place.
|
| Seventh Education Institution Name | Text |
Enter the name of the institution for the seventh education record.
|
| Seventh Education Course Name | Text |
Enter the name of the course for the seventh education record.
|
| Seventh Education History Graduated | Checkbox |
Check this box if you have graduated from the seventh education history record.
|
| Seventh Education History Not completed | Checkbox |
Check this box if you have not completed the seventh education history record.
|
| Seventh Employment History Record | ||
| Seventh Employment History Date From Day | Text |
Provide the day the seventh employment period began.
|
| Seventh Employment History Date To Day | Text |
Provide the day the seventh employment period ended.
|
| Seventh Employment History Job Description | Text |
Provide a description of the responsibilities and duties for the seventh employment period.
|
| Seventh Employment History Employer Name | Text |
Provide the name of the employer for the seventh employment period.
|
| Seventh Employment History Employer Address | Text |
Provide the full address of the employer for the seventh employment period.
|
| Seventh Family Member Employment History | ||
| Seventh Family Member Given Name | Text |
Enter the given name of the seventh family member.
|
| Seventh Family Member Birth Day | Text |
Enter the day of birth for the seventh family member.
|
| Seventh Family Member Position Name | Text |
Enter the position name held by the seventh family member.
|
| Seventh Family Member Job Description/Role | Text |
Enter the job description or role of the seventh family member.
|
| Seventh Family Member Employer Name | Text |
Enter the name of the employer for the seventh family member.
|
| Seventh Family Member Employer Address | Text |
Enter the address of the employer for the seventh family member.
|
| Seventh Family Member Years Served | Text |
Enter the number of years the seventh family member served in this position.
|
| Seventh Family Member Highest Rank/Role/Level Achieved | Text |
Enter the highest rank, role, or level achieved by the seventh family member.
|
| Seventh Place Lived Outside Australia | ||
| Seventh Place From Date Month | Text |
Enter the month you started living in the seventh place outside Australia.
|
| Seventh Place From Date Year | Text |
Enter the year you started living in the seventh place outside Australia.
|
| Seventh Place To Date Month | Text |
Enter the month you stopped living in the seventh place outside Australia.
|
| Seventh Place To Date Year | Text |
Enter the year you stopped living in the seventh place outside Australia.
|
| Seventh Place Region/City/Village | Text |
Enter the region, city, or village of the seventh place you lived outside Australia.
|
| Seventh Place Country | Text |
Enter the country of the seventh place you lived outside Australia.
|
| Seventh Place Reason for Move | Text |
Provide the reason for your move related to the seventh place you lived outside Australia.
|
| Seventh Role/Membership Details | ||
| Seventh Role/Membership Date From Day | Text |
Enter the day the seventh role or membership started.
|
| Seventh Role/Membership Date From Month | Text |
Enter the month the seventh role or membership started.
|
| Seventh Role/Membership Position/Title | Text |
Enter the name of your position or title for the seventh role or membership.
|
| Seventh Role/Membership Group/Organisation Name | Text |
Enter the name of the group or organisation for the seventh role or membership.
|
| Seventh Role/Membership Location Address | Text |
Enter the location or address of the seventh role or membership.
|
| Seventh Role/Membership Duties Description | Text |
Provide a specific description of your duties, role, or job for the seventh role or membership.
|
| Seventh Role/Membership Direct Supervisor | Text |
Enter the name of your direct supervisor or commanding officer for the seventh role or membership.
|
| Seventh Role/Membership How Involvement Ended | Text |
Describe how your involvement or membership in the seventh role ended.
|
| Seventh Sibling Details (Siblings Section Row 7) | ||
| Seventh sibling — Family name | Text |
Enter the seventh sibling's family (last) name exactly as it appears on official documents.
|
| Seventh sibling — Given name(s) | Text |
Enter the seventh sibling's given name(s) (first and middle names) in the order they appear on official records.
|
| Seventh sibling — Country of birth | Text |
Enter the country where the seventh sibling was born using the country's full name.
|
| Seventh sibling — Province/region/state | Text |
Enter the province, region, or state where the seventh sibling was born or is associated with, if applicable.
|
| Seventh sibling — Country of residence | Text |
Enter the country where the seventh sibling currently resides using the country's full name.
|
| Seventh sibling — Date of birth (Day) | Text |
Enter the day (numeric) of the seventh sibling's date of birth.
|
| Seventh sibling — Date of birth (Month) | Text |
Enter the month (numeric or name) of the seventh sibling's date of birth.
|
| Seventh Specific Operation | ||
| Seventh Operation Date From | Text |
Enter the start date of the seventh specific operation you took part in.
|
| Seventh Operation Date To | Text |
Enter the end date of the seventh specific operation you took part in.
|
| Seventh Operation Name | Text |
Provide the name of the seventh specific operation you took part in.
|
| Seventh Operation Unit Name and Number | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps for the seventh specific operation.
|
| Seventh Operation Group/Organization Name | Text |
Enter the name of the group or organization (e.g., Army, Air Force) involved in the seventh specific operation.
|
| Seventh Operation Location(s) | Text |
Specify the location(s) where the seventh specific operation took place.
|
| Seventh Operation Your Position/Duties | Text |
Describe your position or duties during the seventh specific operation.
|
| Seventh Operation Supervisor Name/Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for the seventh specific operation.
|
| Sex | ||
| Sex — Male | Checkbox |
Check this box if the applicant's sex is male.
|
| Sex — Female | Checkbox |
Check this box if the applicant's sex is female.
|
| Sex — Indeterminate / Intersex / Unspecified | Checkbox |
Check this box if the applicant's sex is indeterminate, intersex, or the applicant prefers not to specify.
|
| Sixth Award Details | ||
| Sixth Award Date Awarded | Text |
Provide the date the sixth medal, accolade, or award was given.
|
| Sixth Award Name | Text |
Enter the name of the sixth medal, accolade, or award received.
|
| Sixth Award Reason | Text |
Explain the reason for receiving the sixth medal, accolade, or award, for example, for participation in a specific operation.
|
| Sixth Award Presenter | Text |
State the name of the person who presented the sixth medal, accolade, or award.
|
| Sixth Education History Record | ||
| Sixth Education History From Month | Text |
Enter the month when the sixth education history record started.
|
| Sixth Education History From Year | Number |
Enter the year when the sixth education history record started.
|
| Sixth Education History To Month | Text |
Enter the month when the sixth education history record ended.
|
| Sixth Education History To Year | Number |
Enter the year when the sixth education history record ended.
|
| Sixth Education History Country | Text |
Enter the country where the educational institution for the sixth education history record is located.
|
| Sixth Education History Institution Name | Text |
Enter the name of the educational institution for the sixth education history record.
|
| Sixth Education History Course Name | Text |
Enter the name of the course studied for the sixth education history record.
|
| Sixth Education Graduated | Checkbox |
Check this box if you graduated from the sixth education history record listed.
|
| Sixth Education Not Completed | Checkbox |
Check this box if you did not complete the sixth education history record listed.
|
| Sixth Employment History Record | ||
| Sixth Employment From Day | Text |
Enter the day this sixth employment period began.
|
| Sixth Employment From Month | Text |
Enter the month this sixth employment period began.
|
| Sixth Employment Job Description | Text |
Provide a detailed description of your job duties for this sixth employment period.
|
| Sixth Employment Employer Name | Text |
Enter the full name of your employer for this sixth employment period.
|
| Sixth Employment Employer Address | Text |
Enter the full address of your employer for this sixth employment period.
|
| Sixth Family Member Employment History | ||
| Sixth Family Member Given Name | Text |
Enter the given name of the sixth family member.
|
| Sixth Family Member Date of Birth Day | Text |
Enter the day of birth for the sixth family member.
|
| Sixth Family Member Position Name | Text |
Enter the name of the position held by the sixth family member.
|
| Sixth Family Member Job Description/Role | Text |
Provide a description of the job or role performed by the sixth family member.
|
| Sixth Family Member Employer Name | Text |
Enter the name of the employer for the sixth family member.
|
| Sixth Family Member Employer Address | Text |
Enter the address of the employer for the sixth family member.
|
| Sixth Family Member Years Served | Text |
Enter the number of years the sixth family member served in this position.
|
| Sixth Family Member Highest Rank/Role/Level Achieved | Text |
Enter the highest rank, role, or level achieved by the sixth family member in this position.
|
| Sixth Place Lived Outside Australia | ||
| Sixth Place From Month | Text |
Enter the month the user started living in the sixth place outside Australia.
|
| Sixth Place From Year | Text |
Enter the year the user started living in the sixth place outside Australia.
|
| Sixth Place To Month | Text |
Enter the month the user stopped living in the sixth place outside Australia.
|
| Sixth Place To Year | Text |
Enter the year the user stopped living in the sixth place outside Australia.
|
| Sixth Place Region/City/Village | Text |
Enter the region, city, or village of the sixth place the user lived outside Australia.
|
| Sixth Place Country | Text |
Enter the country of the sixth place the user lived outside Australia.
|
| Sixth Place Reason for Move | Text |
Enter the reason for moving from the sixth place the user lived outside Australia.
|
| Sixth Role/Membership Details | ||
| Sixth Role Date From | Date |
Enter the start date of the sixth role or membership.
|
| Sixth Role Date To | Date |
Enter the end date of the sixth role or membership.
|
| Sixth Role Position/Title | Text |
Provide the name of your position or title for the sixth role or membership.
|
| Sixth Role Group/Organisation Name | Text |
Provide the name of the group or organisation for the sixth role or membership.
|
| Sixth Role Location (Address) | Text |
Enter the location or address where the sixth role or membership was held.
|
| Sixth Role Specific Duties/Job Description | Text |
Describe your specific duties, role, or job description for the sixth role or membership.
|
| Sixth Role Direct Supervisor/Commanding Officer | Text |
Provide the name of your direct supervisor or commanding officer for the sixth role or membership.
|
| Sixth Role Involvement End Reason | Text |
Explain how your involvement or membership in the sixth role ended.
|
| Sixth Service History Entry | ||
| Sixth Service History Start Date Day | Text |
Enter the day the sixth service history entry started.
|
| Sixth Service History Start Date Month | Text |
Enter the month the sixth service history entry started.
|
| Sixth Service History Position or Title | Text |
Enter your position or title for the sixth service history entry.
|
| Sixth Service History Rank | Text |
Enter your rank for the sixth service history entry.
|
| Sixth Service History Deployment Location | Text |
Enter the location(s) where you were deployed or posted for the sixth service history entry.
|
| Sixth Service History Group or Organisation | Text |
Enter the name of the group or organisation for the sixth service history entry.
|
| Sixth Service History Supervisor Name and Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for the sixth service history entry.
|
| Sixth Service History Unit Details | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps, for the sixth service history entry.
|
| Sixth Sibling Details (Siblings Section Row 6) | ||
| Sixth sibling - Family name | Text |
Enter the family (last) name of your sixth sibling.
|
| Sixth sibling - Given name(s) | Text |
Enter the given name(s) (first and middle names) of your sixth sibling.
|
| Sixth sibling - Country of birth | Text |
Enter the country where your sixth sibling was born.
|
| Sixth sibling - Province/region/state | Text |
Enter the province, region or state associated with your sixth sibling's place of birth.
|
| Sixth sibling - Country of residence | Text |
Enter the country where your sixth sibling currently resides.
|
| Sixth sibling - Year of birth | Number |
Enter the year of birth of your sixth sibling.
|
| Sixth sibling - Year of death (if deceased) | Number |
If your sixth sibling is deceased, enter the year of death; otherwise leave this blank.
|
| Sixth Specific Operation | ||
| Sixth Operation Date From | Date |
Enter the start date of the sixth specific operation you took part in.
|
| Sixth Operation Date To | Date |
Enter the end date of the sixth specific operation you took part in.
|
| Sixth Operation Name | Text |
Provide the name of the sixth specific operation you participated in.
|
| Sixth Operation Unit Name and Number | Text |
Provide the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps, for the sixth specific operation.
|
| Sixth Operation Group/Organisation Name | Text |
Enter the name of the group or organisation (e.g., Army, Air Force) involved in the sixth specific operation.
|
| Sixth Operation Location(s) | Text |
Specify the location or locations where the sixth specific operation took place.
|
| Sixth Operation Position/Role/Duties | Text |
Describe your position, role, or duties during the sixth specific operation.
|
| Sixth Operation Supervisor/Officer Name and Rank | Text |
Provide the name and rank of your direct supervisor or commanding officer for the sixth specific operation.
|
| Social/Kinship Structures | ||
| Social/kinship structure(s) | Text |
Enter the name(s) of the social or kinship group(s) you belong to (for example tribe, clan, chiefdom or equivalent).
|
| Spouse/Partner Details | ||
| Family name | Text |
Enter your spouse/partner's family (last) name exactly as it appears on official documents.
|
| Given name(s) | Text |
Enter your spouse/partner's given and middle names as shown on official documents.
|
| Country of birth | Text |
Enter the country where your spouse/partner was born (country name).
|
| Province/region/state | Text |
Enter the province, region or state of your spouse/partner's place of birth.
|
| Country of residence | Text |
Enter the country where your spouse/partner currently lives.
|
| Year of birth | Text |
Enter the year of birth for your spouse/partner.
|
| Year of death (if deceased) | Text |
If deceased, enter the year your spouse/partner died; leave blank if still living.
|
| Tenth Award Details | ||
| Tenth Award Date Day | Text |
Enter the day of the month the tenth award was given.
|
| Tenth Award Name | Text |
Enter the name of the tenth medal, accolade, or award received.
|
| Tenth Award Reason | Text |
Enter the reason for receiving the tenth award, such as for participation in a specific operation.
|
| Tenth Award Presenter | Text |
Enter the name of the person who presented the tenth award.
|
| Tenth Education History Record | ||
| Tenth Education History Date From Month | Text |
Enter the month of the start date for this tenth education history record.
|
| Tenth Education History Date From Year | Text |
Enter the year of the start date for this tenth education history record.
|
| Tenth Education History Date To Month | Text |
Enter the month of the end date for this tenth education history record.
|
| Tenth Education History Date To Year | Text |
Enter the year of the end date for this tenth education history record.
|
| Tenth Education History Country | Text |
Enter the country where this tenth education history record took place.
|
| Tenth Education History Institution Name | Text |
Enter the name of the institution for this tenth education history record.
|
| Tenth Education History Course Name | Text |
Enter the name of the course for this tenth education history record.
|
| Tenth Graduated | Checkbox |
Check this box if you graduated from the educational institution in the tenth education history record.
|
| Tenth Not completed | Checkbox |
Check this box if you did not complete the course or program at the educational institution in the tenth education history record.
|
| Tenth Employment History Record | ||
| Tenth Employment Start Day | Text |
Enter the day for the start date of this tenth employment history record.
|
| Tenth Employment Start Month | Text |
Enter the month for the start date of this tenth employment history record.
|
| Tenth Employment Start Year | Text |
Enter the year for the start date of this tenth employment history record.
|
| Tenth Employment Job Description | Text |
Provide a description of the job held for this tenth employment history record.
|
| Tenth Employment Employer Name | Text |
Enter the name of the employer for this tenth employment history record.
|
| Tenth Family Member Employment History | ||
| Tenth Family Member Given Name | Text |
Provide the given name of the tenth family member.
|
| Tenth Family Member Birth Day | Text |
Provide the day of birth for the tenth family member.
|
| Tenth Family Member Birth Month | Text |
Provide the month of birth for the tenth family member.
|
| Tenth Family Member Birth Year | Text |
Provide the year of birth for the tenth family member.
|
| Tenth Family Member Position Name | Text |
Provide the name of the position held by the tenth family member.
|
| Tenth Family Member Job Description or Role | Text |
Provide a description of the job or role held by the tenth family member.
|
| Tenth Family Member Employer Name | Text |
Provide the name of the employer for the tenth family member.
|
| Tenth Family Member Employer Address | Text |
Provide the address of the employer for the tenth family member.
|
| Tenth Place Lived Outside Australia | ||
| Tenth Place Lived From Month | Text |
Enter the month you started living in the tenth place outside Australia.
|
| Tenth Place Lived From Year | Text |
Enter the year you started living in the tenth place outside Australia.
|
| Tenth Place Lived To Month | Text |
Enter the month you stopped living in the tenth place outside Australia.
|
| Tenth Place Lived To Year | Text |
Enter the year you stopped living in the tenth place outside Australia.
|
| Tenth Place Lived Region/City/Village | Text |
Enter the region, city, or village of the tenth place you lived outside Australia.
|
| Tenth Place Lived Country | Text |
Enter the country of the tenth place you lived outside Australia.
|
| Tenth Place Lived Reason For Move | Text |
Explain the circumstances that led to your move to the tenth place outside Australia.
|
| Tenth Role/Membership Details | ||
| Tenth Role From Date Day | Text |
Enter the day of the start date for the tenth role or membership.
|
| Tenth Role From Date Month | Text |
Enter the month of the start date for the tenth role or membership.
|
| Tenth Role From Date Year | Number |
Enter the year of the start date for the tenth role or membership.
|
| Tenth Role To Date Day | Text |
Enter the day of the end date for the tenth role or membership.
|
| Tenth Role To Date Month | Text |
Enter the month of the end date for the tenth role or membership.
|
| Tenth Role To Date Year | Number |
Enter the year of the end date for the tenth role or membership.
|
| Tenth Role Position or Title | Text |
Enter your position or title for the tenth role or membership.
|
| Tenth Role Group or Organisation Name | Text |
Enter the name of the group or organisation for the tenth role or membership.
|
| Tenth Sibling Details (Siblings Section Row 10) | ||
| Tenth sibling - Family name | Text |
Enter the tenth sibling's family name (surname/last name) exactly as it appears on official documents.
|
| Tenth sibling - Given name(s) | Text |
Enter the tenth sibling's given name(s) and any middle names in full, in the order shown on official documents.
|
| Tenth sibling - Country of birth | Text |
Enter the name of the country where the tenth sibling was born (e.g., Canada).
|
| Tenth sibling - Province/region/state | Text |
Enter the province, region or state of the tenth sibling's place of birth (leave blank if not applicable).
|
| Tenth sibling - Country of residence | Text |
Enter the country where the tenth sibling currently lives or last lived.
|
| Tenth sibling - Date of birth (Day) | Text |
Enter the day portion of the tenth sibling's date of birth (numeric day).
|
| Tenth sibling - Date of birth (Month) | Text |
Enter the month portion of the tenth sibling's date of birth (numeric month or month name).
|
| Third Award Details | ||
| Third Award Day | Text |
Enter the day the third award was received.
|
| Third Award Name | Text |
Enter the name of the third medal, accolade, or award received.
|
| Third Award Reason | Text |
Enter the reason for receiving the third award.
|
| Third Award Presenter | Text |
Enter the name of the person who presented the third award.
|
| Third Education History Record | ||
| Third Education History Record Date From Month | Text |
Enter the starting month for this third education history record.
|
| Third Education History Record Date From Year | Text |
Enter the starting year for this third education history record.
|
| Third Education History Record Date To Month | Text |
Enter the ending month for this third education history record.
|
| Third Education History Record Date To Year | Text |
Enter the ending year for this third education history record.
|
| Third Education History Record Country | Text |
Enter the country where this third education history institution is located.
|
| Third Education History Record Institution Name | Text |
Enter the name of the institution for this third education history record.
|
| Third Education History Record Course Name | Text |
Enter the name of the course for this third education history record.
|
| Third Education History Graduated | Checkbox |
Check this box if you graduated from the third education history record listed.
|
| Third Education History Not Completed | Checkbox |
Check this box if you did not complete the third education history record listed.
|
| Third Employment History Record | ||
| Third Employment From Day | Text |
Enter the day the third employment record began.
|
| Third Employment To Day | Text |
Enter the day the third employment record ended.
|
| Third Employment Job Description | Text |
Provide a description of the job for the third employment record.
|
| Third Employment Employer Name | Text |
Enter the name of the employer for the third employment record.
|
| Third Employment Employer Address | Text |
Enter the address of the employer for the third employment record.
|
| Third Family Member Employment History | ||
| Third Family Member Given Name | Text |
Enter the given name of the third family member.
|
| Third Family Member Date of Birth | Date |
Enter the date of birth for the third family member.
|
| Third Family Member Position Name | Text |
Enter the position name held by the third family member.
|
| Third Family Member Job Description or Role | Text |
Enter the job description or role of the third family member.
|
| Third Family Member Name of Employer | Text |
Enter the name of the employer for the third family member.
|
| Third Family Member Employer Address | Text |
Enter the address of the employer for the third family member.
|
| Third Family Member Years Served | Number |
Enter the number of years the third family member served.
|
| Third Family Member Highest Rank Role or Level Achieved | Text |
Enter the highest rank, role, or level achieved by the third family member.
|
| Third Parent Details (Parents Section Row 3) | ||
| Third parent's family name | Text |
Enter the third parent's family (last) name exactly as it appears on official documents.
|
| Third parent's given name(s) | Text |
Enter the third parent's given and middle name(s) in the order shown on their official records.
|
| Third parent's country of birth | Text |
Enter the name of the country where the third parent was born.
|
| Third parent's province/region/state (of birth) | Text |
Enter the province, region, or state associated with the third parent's place of birth.
|
| Third parent's country of residence | Text |
Enter the country where the third parent currently resides.
|
| Third parent's date of birth | Date |
Enter the third parent's date of birth.
|
| Third parent's date of death (if deceased) | Date |
If the third parent is deceased, enter their date of death; otherwise leave this field blank.
|
| Third Place Lived Outside Australia | ||
| Third Place From Month | Text |
Enter the month when you started living in this third place outside Australia.
|
| Third Place From Year | Text |
Enter the year when you started living in this third place outside Australia.
|
| Third Place To Month | Text |
Enter the month when you stopped living in this third place outside Australia.
|
| Third Place To Year | Text |
Enter the year when you stopped living in this third place outside Australia.
|
| Third Place Region/City/Village | Text |
Enter the region, city, or village of the third place you lived outside Australia.
|
| Third Place Country | Text |
Enter the country of the third place you lived outside Australia.
|
| Third Place Reason for Move | Text |
Provide the reason for your move to or from this third place outside Australia.
|
| Third Role/Membership Details | ||
| Third Role Start Date | Date |
Provide the start date for your third role or membership.
|
| Third Role End Date | Date |
Provide the end date for your third role or membership.
|
| Third Role Position/Title | Text |
Enter the name of your position or title for your third role or membership.
|
| Third Role Group/Organisation Name | Text |
Enter the name of the group or organisation for your third role or membership.
|
| Third Role Location Address | Text |
Enter the location or address associated with your third role or membership.
|
| Third Role Duties/Job Description | Text |
Describe your specific duties, role, or job for your third role or membership.
|
| Third Role Direct Supervisor/Officer | Text |
Enter the name of your direct supervisor or commanding officer for your third role or membership.
|
| Third Role Involvement End Reason | Text |
Explain how your involvement or membership in this third role ended.
|
| Third Service History Entry | ||
| Third Entry Date From Day | Text |
Enter the day of the start date for your third service history entry.
|
| Third Entry Date To Day | Text |
Enter the day of the end date for your third service history entry.
|
| Third Entry Position Title | Text |
Enter your position or title during your third service history entry.
|
| Third Entry Rank | Text |
Enter your rank during your third service history entry.
|
| Third Entry Deployment Location | Text |
Enter the location(s) where you were deployed or posted for your third service history entry.
|
| Third Entry Group Organisation | Text |
Enter the name of the group or organisation for your third service history entry.
|
| Third Entry Supervisor Rank | Text |
Enter the name and rank of your direct supervisor or commanding officer for your third service history entry.
|
| Third Entry Unit Name Number | Text |
Enter the unit name and number, including your Unit, Battalion, Brigade, Division, and Corps, for your third service history entry.
|
| Third Sibling Details (Siblings Section Row 3) | ||
| Third sibling — Family name | Text |
Enter the third sibling’s family name or surname as it appears on official records.
|
| Third sibling — Given name(s) | Text |
Enter the third sibling’s given name(s) (all first and middle names) in full.
|
| Third sibling — Country of birth | Text |
Enter the name of the country where the third sibling was born.
|
| Third sibling — Province/region/state | Text |
Enter the province, region or state associated with the third sibling’s place of birth (if applicable).
|
| Third sibling — Country of residence | Text |
Enter the country where the third sibling currently resides or most recently resided.
|
| Third sibling — Date of birth | Date |
Enter the third sibling’s date of birth.
|
| Third sibling — Date of death (if deceased) | Date |
Enter the third sibling’s date of death if they are deceased; leave blank if still living.
|
| Third Specific Operation | ||
| Third Operation From Day | Text |
Enter the day the third specific operation started.
|
| Third Operation From Month | Text |
Enter the month the third specific operation started.
|
| Third Operation From Year | Text |
Enter the year the third specific operation started.
|
| Third Operation To Day | Text |
Enter the day the third specific operation ended.
|
| Third Operation To Month | Text |
Enter the month the third specific operation ended.
|
| Third Operation To Year | Text |
Enter the year the third specific operation ended.
|
| Third Operation Name | Text |
Provide the name of the third specific operation.
|
| Third Operation Unit Details | Text |
Provide the unit name and number for the third specific operation, including your Unit, Battalion, Brigade, Division, and Corps.
|
| Third Training History Entry | ||
| Third Training From Day | Text |
Enter the day the third training history entry began.
|
| Third Training To Day | Text |
Enter the day the third training history entry ended.
|
| Third Training Organisation Name | Text |
Enter the name of the group or organisation that provided the third training history entry.
|
| Third Training Course Name | Text |
Enter the name of the course for the third training history entry.
|
| Third Training Course Details | Text |
Enter the details of the course, including content and skills acquired, for the third training history entry.
|
| Third Training Qualification Received | Text |
Enter any qualification received for the third training history entry, if applicable.
|
| Thirteenth Employment History Record | ||
| Thirteenth Record From Day | Text |
Enter the day the thirteenth employment record began.
|
| Thirteenth Record To Day | Text |
Enter the day the thirteenth employment record ended.
|
| Thirteenth Record Job Description | Text |
Provide a description of the job for the thirteenth employment record.
|
| Thirteenth Record Name of Employer | Text |
Enter the name of the employer for the thirteenth employment record.
|
| Thirteenth Record Address of Employer | Text |
Enter the address of the employer for the thirteenth employment record.
|
| Thirteenth Family Member Employment History | ||
| Thirteenth Family Member Given Name | Text |
Enter the given name of the thirteenth family member.
|
| Thirteenth Family Member Date of Birth Day | Text |
Enter the day of birth for the thirteenth family member.
|
| Thirteenth Family Member Date of Birth Month | Text |
Enter the month of birth for the thirteenth family member.
|
| Thirteenth Family Member Date of Birth Year | Text |
Enter the year of birth for the thirteenth family member.
|
| Thirteenth Family Member Position Name | Text |
Enter the name of the position held by the thirteenth family member.
|
| Thirteenth Family Member Job Description or Role | Text |
Enter the job description or role of the thirteenth family member.
|
| Thirteenth Family Member Employer Name | Text |
Enter the name of the employer for the thirteenth family member.
|
| Thirteenth Family Member Employer Address | Text |
Enter the address of the employer for the thirteenth family member.
|
| Twelfth Award Details | ||
| Twelfth Award Day | Text |
Enter the day the twelfth award was received.
|
| Twelfth Award Name | Text |
Enter the name of the twelfth medal, accolade, or award received.
|
| Twelfth Award Reason | Text |
Enter the reason for receiving the twelfth award, such as participation in a specific operation.
|
| Twelfth Award Presenter | Text |
Enter the name of the person who presented the twelfth award.
|
| Twelfth Employment History Record | ||
| Twelfth Employment History Record Date From Day | Text |
Provide the day this employment record started.
|
| Twelfth Employment History Record Date From Month | Text |
Provide the month this employment record started.
|
| Twelfth Employment History Record Job Description | Text |
Enter a detailed description of the job held for this employment record.
|
| Twelfth Employment History Record Name of Employer | Text |
Provide the name of the employer for this employment record.
|
| Twelfth Employment History Record Address of Employer | Text |
Provide the full address of the employer for this employment record.
|
| Twelfth Family Member Employment History | ||
| Twelfth Family Member Given Name | Text |
Enter the given name of the twelfth family member.
|
| Twelfth Family Member Birth Day | Text |
Enter the day of birth for the twelfth family member.
|
| Twelfth Family Member Position Name | Text |
Enter the name of the position held by the twelfth family member.
|
| Twelfth Family Member Job Description or Role | Text |
Enter the job description or role of the twelfth family member.
|
| Twelfth Family Member Employer Name | Text |
Enter the name of the employer for the twelfth family member.
|
| Twelfth Family Member Employer Address | Text |
Enter the address of the employer for the twelfth family member.
|
| Twelfth Family Member Years Served | Text |
Enter the number of years the twelfth family member served in the position.
|
| Twelfth Family Member Highest Rank or Level Achieved | Text |
Enter the highest rank, role, or level achieved by the twelfth family member.
|
| Twelfth Place Lived Outside Australia | ||
| Twelfth Place From Month | Text |
Enter the month you started living in the twelfth place outside Australia.
|
| Twelfth Place From Year | Text |
Enter the year you started living in the twelfth place outside Australia.
|
| Twelfth Place To Month | Text |
Enter the month you stopped living in the twelfth place outside Australia.
|
| Twelfth Place To Year | Text |
Enter the year you stopped living in the twelfth place outside Australia.
|
| Twelfth Place Region/City/Village | Text |
Enter the region, city, or village of the twelfth place you lived outside Australia.
|
| Twelfth Place Country | Text |
Enter the country of the twelfth place you lived outside Australia.
|
| Twelfth Place Reason for Move | Text |
Explain the reason for moving from the twelfth place you lived outside Australia.
|
| Witness of War Crimes or Crime Against Humanity | ||
| Witness of War Crimes or Crime Against Humanity No | Checkbox |
Check this box if you have never been a witness of war crimes or crime against humanity.
|
| Witness of War Crimes or Crime Against Humanity Yes | Checkbox |
Check this box if you have been a witness of war crimes or crime against humanity.
|
| Witness Details | Text |
Provide details, including knowledge you may have of perpetrators, relevant groups involved, and when and where the crimes took place.
|