Form 842, Application for an Offshore Humanitarian visa (Refugee and Humanitarian (Class XB) visa) Instructions
This form contains 1503 fields organized into 336 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Acquittal on Grounds of Insanity | ||
| Acquittal on Grounds of Insanity No | Checkbox |
Check this box if the person has NOT been acquitted of any offence on the grounds of unsoundness of mind or insanity.
|
| Acquittal on Grounds of Insanity Yes | Checkbox |
Check this box if the person HAS been acquitted of any offence on the grounds of unsoundness of mind or insanity.
|
| Adoption Papers or Statement Attachment | ||
| Q11 Adoption Papers or Statement Attached | Checkbox |
Check this box if you have attached certified copies of adoption papers or a written statement explaining the circumstances of adoption.
|
| Agent Location | ||
| Agent Location No | Checkbox |
Check this box if the agent is not located in Australia.
|
| Agent Location Yes | Checkbox |
Check this box if the agent is located in Australia.
|
| Agent Registration Status | ||
| No | 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 | Checkbox |
Check this box if the person is an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA).
|
| Applicant Signature Date | ||
| Applicant Signature Date | Date |
Enter the date the applicant signed this form.
|
| Applicant Signature Date | Date |
Provide the date the applicant signed the form.
|
| Assistance Received Confirmation | ||
| No | Checkbox |
Check this box if you did not receive assistance in completing this form.
|
| Yes | Checkbox |
Check this box if you received assistance in completing this form.
|
| Assisting Person/Organisation Details | ||
| ap.help title_mr | CheckBox | |
| Title: Mrs | Checkbox |
Check this box if the assisting person's title is Mrs.
|
| Title: Miss | Checkbox |
Check this box if the assisting person's title is Miss.
|
| Title: Ms | Checkbox |
Check this box if the assisting person's title is Ms.
|
| Assisting Person's Other Title | Text |
Enter the title of the assisting person or organisation if it is not one of the provided options.
|
| Assisting Person's Family Name | Text |
Enter the family name of the assisting person.
|
| Assisting Person's Given Names | Text |
Enter the given names of the assisting person.
|
| Assisting Organisation Name | Text |
Enter the name of the assisting organisation.
|
| Assisting Person/Organisation Address Line 1 | Text |
Enter the first line of the assisting person or organisation's address.
|
| Assisting Person/Organisation Address Line 2 | Text |
Enter the second line of the assisting person or organisation's address.
|
| Assisting Person/Organisation Address Line 3 | Text |
Enter the third line of the assisting person or organisation's address.
|
| Assisting Person/Organisation Postcode | Number |
Enter the postcode for the assisting person or organisation's address.
|
| Assisting Person/Organisation Office Hours Country Code | Number |
Enter the country code for the assisting person or organisation's office hours telephone number.
|
| Assisting Person/Organisation Office Hours Area Code | Number |
Enter the area code for the assisting person or organisation's office hours telephone number.
|
| Assisting Person/Organisation Office Hours Number | Number |
Enter the main telephone number for the assisting person or organisation during office hours.
|
| Assisting Person/Organisation Mobile Number | Number |
Enter the mobile or cell phone number for the assisting person or organisation.
|
| Association with Criminal Conduct | ||
| No - Associated with Criminal Conduct | Checkbox |
Check this box if you have NOT been associated with a person, group, or organisation that has been or is involved in criminal conduct.
|
| Yes - Associated with Criminal Conduct | Checkbox |
Check this box if you HAVE been associated with a person, group, or organisation that has been or is involved in criminal conduct.
|
| Association with Violent Organization | ||
| Association with Violent Organization - No | Checkbox |
Check this box if you have not been associated with an organization engaged in violence or acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia.
|
| Association with Violent Organization - Yes | Checkbox |
Check this box if you have been associated with an organization engaged in violence or acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia.
|
| Australian Entry Proposal Documentation | ||
| Q18 Proposed by Person/Organisation (Form 681) | Checkbox |
Check this box if your entry to Australia is being proposed by a person or organisation in Australia and you have attached a fully completed Form 681 from your proposer.
|
| Q18 Proposed by Approved Proposing Organisation (Form 1417) | Checkbox |
Check this box if your entry to Australia is being proposed by an Approved Proposing Organisation under the Community Support Program and you have attached a fully completed Form 1417 from your Approved Proposing Organisation.
|
| Awaiting Legal Action | ||
| Awaiting Legal Action - No | Checkbox |
Check this box if neither you nor any other person included in this application has ever been charged with an offence that is currently awaiting legal action.
|
| Awaiting Legal Action - Yes | Checkbox |
Check this box if you or any other person included in this application has ever been charged with an offence that is currently awaiting legal action.
|
| Character Declaration Details | ||
| Character Declaration Details | Text |
Provide detailed information for any 'Yes' answers to Question 42, including the date of the charge, outcome, penalty, and any relevant court document references.
|
| Child Custody Papers Attachment | ||
| Q10 Child Custody Papers Attachment | Checkbox |
Check this box if you have attached certified copies of child custody papers.
|
| Children from Previous Marriage/Relationship Status | ||
| Children from Previous Marriage/Relationship Status - No | Checkbox |
Check this box if you or any other person included in this application do not have children from a previous marriage/relationship, including customary/traditional marriage.
|
| Children from Previous Marriage/Relationship Status - Yes | Checkbox |
Check this box if you or any other person included in this application have children from a previous marriage/relationship, including customary/traditional marriage.
|
| Communication Recipient Options | ||
| Myself | Checkbox |
Check this box if all communications about this application should be sent directly to you.
|
| Proposer only | Checkbox |
Check this box if all communications about this application should be sent only to the proposer, as provided in form 681, or if you are applying in the Community Support Program and have completed form 1417.
|
| Myself and proposer | Checkbox |
Check this box if all communications about this application should be sent to both yourself and the proposer.
|
| Authorised recipient | Checkbox |
Check this box if all communications about this application should be sent to an authorised recipient, and ensure you complete form 956A Appointment or withdrawal of an authorised recipient.
|
| Migration agent | Checkbox |
Check this box if all communications about this application should be sent to your migration agent, and ensure your migration agent completes form 956 Advice by a registered migration agent/exempt person of providing immigration assistance.
|
| Exempt person | Checkbox |
Check this box if all communications about this application should be sent to an exempt person, and ensure your exempt person completes form 956 Advice by a registered migration agent/exempt person of providing immigration assistance.
|
| Consequences of Returning to Country | ||
| Consequences of Returning to Country | Text |
Provide full details of what you believe may happen to you or the people included in your application if you return to or continue living in that country, including the reasons why.
|
| Conviction History | ||
| Convicted of Offence - No | Checkbox |
Check this box if you have not been convicted of an offence in any country, including any conviction which is now removed from official records.
|
| Convicted of Offence - Yes | Checkbox |
Check this box if you have been convicted of an offence in any country, including any conviction which is now removed from official records.
|
| Country Protection Inquiry | ||
| No | Checkbox |
Check this box if you do not think the authorities of that country can and will protect you if you continue living in or return to that country.
|
| Yes | Checkbox |
Check this box if you think the authorities of that country can and will protect you if you continue living in or return to that country.
|
| Country Protection Explanation | Text |
Provide a detailed explanation why you believe the authorities of that country cannot or will not protect you.
|
| Current Address Details | ||
| Current Address Line 1 | Text |
Provide the first line of the current residential address.
|
| Current Address Line 2 | Text |
Provide the second line of the current residential address.
|
| Current Address Line 3 | Text |
Provide the third line of the current residential address.
|
| Current Address Town | Text |
Provide the town or city for the current residential address.
|
| Current Address Country | Text |
Provide the country for the current residential address.
|
| Date Started Current Address | Date |
Provide the date the person started living at the current residential address.
|
| People at Current Address Line 1 | Text |
List the given names of a person included in this application who lives at the current address; write 'ALL' if all persons live here.
|
| People at Current Address Line 2 | Text |
List the given names of a person included in this application who lives at the current address; write 'ALL' if all persons live here.
|
| People at Current Address Line 3 | Text |
List the given names of a person included in this application who lives at the current address; write 'ALL' if all persons live here.
|
| People at Current Address Line 4 | Text |
List the given names of a person included in this application who lives at the current address; write 'ALL' if all persons live here.
|
| Departure from Feared Country | ||
| No | Checkbox |
Check this box if you have not left the country you fear living in.
|
| Yes | Checkbox |
Check this box if you have left the country you fear living in.
|
| Date of Departure Day | Text |
Provide the day of the month you departed from the feared country.
|
| Legally | Checkbox |
Check this box if you left the country you fear legally.
|
| Legally Departed Details | Text |
Provide details of your exit permit if you left the feared country legally.
|
| Illegally | Checkbox |
Check this box if you left the country you fear illegally.
|
| Illegal Departure Description | Text |
Describe how you arranged to leave the feared country illegally.
|
| Dependants Not Included Status | ||
| Dependants Not Included Status - No | Checkbox |
Check this box if you do not have a husband, wife, de facto partner, or any dependants who normally live with you but are not included in this application.
|
| Dependants Not Included Status - Yes | Checkbox |
Check this box if you have a husband, wife, de facto partner, or any dependants who normally live with you but are not included in this application.
|
| Details of Links to Australia | ||
| Link Type: Education | Checkbox |
Check this box if any person included in this application has a past or present link to Australia through education.
|
| Link Type: Employment | Checkbox |
Check this box if any person included in this application has a past or present link to Australia through employment.
|
| Link Type: Business | Checkbox |
Check this box if any person included in this application has a past or present link to Australia through business activities.
|
| Link Type: Friend | Checkbox |
Check this box if any person included in this application has a past or present link to Australia through friendships.
|
| Link Type: Other | Checkbox |
Check this box if any person included in this application has a past or present link to Australia through any other means not specified above.
|
| Links to Australia Details | Text |
Provide specific details about any past or present links to Australia, corresponding to the types of links indicated above.
|
| Discharge Papers Attachment | ||
| Q35 Certified Copies of Discharge Papers | Checkbox |
Check this box if you have attached certified copies of any discharge papers.
|
| Eighth Brother or Sister Details | ||
| Eighth Sibling Name | Text |
Enter the full name of the eighth brother or sister.
|
| Eighth Sibling Sex | Text |
Indicate the sex of the eighth brother or sister (M for Male, F for Female, X for unspecified).
|
| Eighth Sibling Birth Day | Text |
Enter the day of birth for the eighth brother or sister.
|
| Eighth Sibling Birth Month | Combobox |
Enter the month of birth for the eighth brother or sister.
D
MT
N
MR
F
M
E
S
W
|
| Eighth Sibling Birth Year | Text |
Enter the year of birth for the eighth brother or sister.
|
| Eighth Sibling Relationship Status | Combobox |
Enter the relationship status of the eighth brother or sister, using the provided codes on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Eighth Sibling Place and Country of Birth | Text |
Provide the place and country of birth for the eighth brother or sister.
|
| Eighth Sibling Relationship to Main Applicant | Combobox |
Enter the relationship of the eighth brother or sister to the main applicant, using the provided codes on the right.
I
V
A
R
O
TR
C
S
PR
|
| Eighth Other Applicant Details | ||
| Eighth Other Applicant Given Name 1 | Text |
Enter the first part of the eighth other applicant's given name.
|
| Eighth Other Applicant Given Name 2 | Text |
Enter the second part of the eighth other applicant's given name.
|
| Eighth Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan to which the eighth other applicant belongs.
|
| Eighth Other Applicant Religion | Text |
Enter the religion of the eighth other applicant, if applicable.
|
| Eighth Other Applicant Political Party/Group Membership | Text |
Enter any political party or group to which the eighth other applicant belongs, if applicable.
|
| Eighth Other Applicant Education | ||
| m8.edu more | Text | |
| Eighth Other Applicant Given Names | Text |
Enter the given names of the eighth other applicant.
|
| Eighth Other Applicant Primary School From Month | Text |
Enter the month when the eighth other applicant started primary school.
|
| Eighth Other Applicant Primary School To Month | Text |
Enter the month when the eighth other applicant finished primary school.
|
| Eighth Other Applicant Secondary School From Month | Text |
Enter the month when the eighth other applicant started secondary school.
|
| Eighth Other Applicant Secondary School To Month | Text |
Enter the month when the eighth other applicant finished secondary school.
|
| Eighth Other Applicant Post-secondary Education From Month | Text |
Enter the month when the eighth other applicant started post-secondary education.
|
| Eighth Other Applicant Post-secondary Education To Month | Text |
Enter the month when the eighth other applicant finished post-secondary education.
|
| Eighth Other Applicant Highest Educational Qualification | Text |
Enter the highest educational qualification obtained by the eighth other applicant, such as a school certificate, electrician certificate, BA, or PhD.
|
| Eighth Other Applicant Language | ||
| m8.lang more | Text | |
| Eighth Other Applicant Main Language Spoken | Text |
Enter the main language spoken by the eighth other applicant.
|
| Eighth Other Applicant Other Languages Spoken | Text |
Enter any other languages spoken by the eighth other applicant.
|
| Eighth Other Applicant English Proficiency Code | Text |
Enter the code indicating how well the eighth other applicant speaks English.
|
| Eighth Other Applicant English Proficiency Additional Code | Combobox |
Enter any additional code related to how well the eighth other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Eighth Sibling Details | ||
| Eighth Sibling Name | Text |
Enter the full name of the eighth sibling.
|
| Eighth Sibling Sex | Text |
Enter the sex of the eighth sibling (M for Male, F for Female, or X for unspecified).
|
| Eighth Sibling Birth Month and Year | Text |
Enter the month and year of birth for the eighth sibling.
|
| Eighth Sibling Relationship Status | Combobox |
Enter the relationship status code for the eighth sibling.
D
MT
N
MR
F
M
E
S
W
|
| Eighth Sibling Place and Country of Birth | Text |
Enter the place and country of birth for the eighth sibling.
|
| Eighth Sibling Relationship to Partner | Combobox |
Enter the code describing the eighth sibling's relationship to the main applicant's partner.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Eighth Sibling Current Country of Residence | Text |
Enter the country where the eighth sibling is currently living.
|
| Eighth Sibling Residence Status | Combobox |
Enter the code indicating the eighth sibling's status in their country of residence.
I
V
A
R
O
TR
C
S
PR
|
| Email Addresses | ||
| Primary Email Address | Text |
Enter the primary email address where you can be contacted.
|
| Secondary Email Address 1 | Text |
Enter the first secondary email address where you can be contacted.
|
| Secondary Email Address 2 | Text |
Enter the second secondary email address where you can be contacted.
|
| Email Communication Agreement | ||
| No Email Communication | Checkbox |
Check this box if you do not agree to the Department communicating with you by email.
|
| Yes Email Communication | Checkbox |
Check this box if you agree to the Department communicating with you by email and will provide contact details.
|
| Family or Domestic Violence Offence History | ||
| No, charged or convicted of family/domestic violence offence | Checkbox |
Check this box if you, or any other person included in this application, have NOT been charged or convicted of a family or domestic violence offence or any similar related offence.
|
| Yes, charged or convicted of family/domestic violence offence | Checkbox |
Check this box if you, or any other person included in this application, HAVE been charged or convicted of a family or domestic violence offence or any similar related offence.
|
| Fifth Accompanying Person Signature Date | ||
| Fifth Accompanying Person Signature Year | Date |
Enter the year the fifth accompanying person signed the declaration.
|
| Fifth Brother or Sister Details | ||
| Fifth Brother or Sister Name | Text |
Provide the full name of the fifth brother or sister.
|
| Fifth Brother or Sister Sex | Text |
Indicate the sex of the fifth brother or sister as M for Male, F for Female, or X for unspecified.
|
| Fifth Brother or Sister Day of Birth | Text |
Enter the day of birth for the fifth brother or sister.
|
| Fifth Brother or Sister Month of Birth | Combobox |
Enter the month of birth for the fifth brother or sister.
D
MT
N
MR
F
M
E
S
W
|
| Fifth Brother or Sister Year of Birth | Text |
Enter the year of birth for the fifth brother or sister.
|
| Fifth Brother or Sister Relationship Status | Combobox |
Provide the relationship status of the fifth brother or sister using the codes provided on the right side of the form, such as 'N' for Never married, 'M' for Married legally, or 'W' for Widowed.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fifth Brother or Sister Place and Country of Birth | Text |
State the place and country where the fifth brother or sister was born.
|
| Fifth Brother or Sister Relationship to Applicant | Combobox |
Indicate the specific relationship of the fifth brother or sister to the main applicant using the codes provided on the right side of the form, such as 'SB' for Sibling - Biological, 'SA' for Sibling - Adoptive, or 'SS' for Sibling - Step.
I
V
A
R
O
TR
C
S
PR
|
| Fifth Camp/Centre Details | ||
| Fifth Camp/Centre Name | Text |
Please enter the name of the fifth camp or centre.
|
| Fifth Camp/Centre Location | Text |
Please enter the location of the fifth camp or centre.
|
| Fifth Camp/Centre Administrator | Text |
Please enter the name of the person or organization who ran the fifth camp or centre.
|
| Fifth From Day | Text |
Please enter the day the person started living in the fifth camp or centre.
|
| Fifth To Day | Text |
Please enter the day the person stopped living in the fifth camp or centre.
|
| Fifth People Included | Text |
Please enter the names of people included in this application who lived in the fifth camp or centre, or write 'ALL' if applicable.
|
| Fifth Dependent Applicant Signature | ||
| Fifth Dependent Applicant Name | Text |
Provide the full name of the fifth dependent applicant.
|
| Fifth Employment Record for Main Applicant | ||
| Fifth Employment From Date | Date |
Enter the start date of the fifth employment period for the main applicant.
|
| Fifth Employment To Date | Date |
Enter the end date of the fifth employment period for the main applicant.
|
| Fifth Employer Name | Text |
Provide the name of the employer for the fifth employment record for the main applicant.
|
| Fifth Employer Location | Text |
Enter the location of the employer for the fifth employment record for the main applicant.
|
| Fifth Business Type | Text |
Specify the type of business of the employer for the fifth employment record for the main applicant.
|
| Fifth Occupation and Duties | Text |
Describe the occupation and main duties performed during the fifth employment period for the main applicant.
|
| Fifth Employment Record for Second Applicant | ||
| m1.emp fr 5 | Text | |
| m1.emp to 5 | Text | |
| m1.emp name 5 | Text | |
| m1.emp loc 5 | Text | |
| m1.emp bs 5 | Text | |
| m1.occup 5 | Text | |
| Fifth Mandated Applicant Details | ||
| ap.unhcr man name 5 | Text | |
| ap.unhcr man no 5 | Text | |
| ap.unhcr man cntry 5 | Text | |
| Fifth Non-Dependent Child Details | ||
| Fifth Non-Dependent Child Name | Text |
Enter the full name of the fifth non-dependent child.
|
| Fifth Non-Dependent Child Sex | Text |
Indicate the sex of the fifth non-dependent child, using M for male, F for female, or X for other/unspecified.
|
| Fifth Non-Dependent Child Date of Birth Day | Text |
Enter the day of birth for the fifth non-dependent child.
|
| Fifth Non-Dependent Child Date of Birth Month | Combobox |
Enter the month of birth for the fifth non-dependent child.
D
MT
N
MR
F
M
E
S
W
|
| Fifth Non-Dependent Child Date of Birth Year | Text |
Enter the year of birth for the fifth non-dependent child.
|
| Fifth Non-Dependent Child Relationship Status | Combobox |
Enter the code that describes the relationship status of the fifth non-dependent child, as per the codes provided on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fifth Non-Dependent Child Place and Country of Birth | Text |
Enter the place and country where the fifth non-dependent child was born.
|
| Fifth Non-Dependent Child Relationship to Main Applicant | Combobox |
Enter the code that describes the relationship of the fifth non-dependent child to the main applicant, as per the codes provided on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Fifth Non-Dependent Child Name | Text |
Enter the full name of the fifth non-dependent child.
|
| Fifth Non-Dependent Child Sex | Text |
Enter the sex of the fifth non-dependent child (M, F, or X).
|
| Fifth Non-Dependent Child Birth Day | Text |
Enter the day of birth for the fifth non-dependent child.
|
| Fifth Non-Dependent Child Birth Month | Combobox |
Enter the month of birth for the fifth non-dependent child.
D
MT
N
MR
F
M
E
S
W
|
| Fifth Non-Dependent Child Birth Year | Text |
Enter the year of birth for the fifth non-dependent child.
|
| Fifth Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status of the fifth non-dependent child using the provided codes.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fifth Non-Dependent Child Place and Country of Birth | Text |
Enter the place and country where the fifth non-dependent child was born.
|
| Fifth Non-Dependent Child Relationship to Main Applicant's Partner | Combobox |
Enter the relationship of the fifth non-dependent child to the main applicant's partner using the provided codes.
I
V
A
R
O
TR
C
S
PR
|
| Fifth Other Applicant Details | ||
| Fifth Other Applicant Given Names | Text |
Enter the given names for the fifth other applicant.
|
| Fifth Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan for the fifth other applicant.
|
| Fifth Other Applicant Religion | Text |
Enter the religion, if any, for the fifth other applicant.
|
| Fifth Other Applicant Political Party/Group Membership | Text |
Enter the membership of any political party or group, if any, for the fifth other applicant.
|
| Fifth Other Applicant Education | ||
| Fifth Other Applicant Name | Text |
Enter the given name(s) of the fifth other applicant.
|
| Fifth Other Applicant Primary School From Year | Number |
Enter the year the fifth other applicant started primary school.
|
| Fifth Other Applicant Primary School To Year | Number |
Enter the year the fifth other applicant finished primary school.
|
| Fifth Other Applicant Secondary School From Year | Number |
Enter the year the fifth other applicant started secondary school.
|
| Fifth Other Applicant Secondary School To Year | Number |
Enter the year the fifth other applicant finished secondary school.
|
| Fifth Other Applicant Post-Secondary Education From Year | Number |
Enter the year the fifth other applicant started post-secondary education.
|
| Fifth Other Applicant Post-Secondary Education To Year | Number |
Enter the year the fifth other applicant finished post-secondary education.
|
| Fifth Other Applicant Highest Qualification | Text |
Enter the highest educational qualification obtained by the fifth other applicant.
|
| Fifth Other Applicant Language | ||
| Fifth Other Applicant's Given Names | Text |
Provide the given names for the fifth other applicant.
|
| Fifth Other Applicant's Main Language Spoken | Text |
Enter the main language spoken by the fifth other applicant.
|
| Fifth Other Applicant's Other Languages Spoken | Text |
List any other languages spoken by the fifth other applicant.
|
| Fifth Other Applicant's English Proficiency | Combobox |
Enter the code indicating how well the fifth other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Fifth Person Over 18 Signature Date | ||
| Fifth Person Signature Day | Date |
Enter the day of the signature for the fifth person aged 18 or over included in this application.
|
| Fifth Previous Address | ||
| Fifth Previous Address Line 1 | Text |
Please provide the first line of the fifth previous address.
|
| Fifth Previous Address Line 2 | Text |
Please provide the second line of the fifth previous address.
|
| Fifth Previous Address Line 3 | Text |
Please provide the third line of the fifth previous address.
|
| Fifth Previous Address Town | Text |
Please provide the town for the fifth previous address.
|
| Fifth Previous Address Country | Text |
Please provide the country for the fifth previous address.
|
| Fifth Previous Address From Month | Text |
Please provide the starting month of residence at the fifth previous address.
|
| Fifth Previous Address To Month | Text |
Please provide the ending month of residence at the fifth previous address.
|
| Fifth Previous Address From Year | Number |
Please provide the starting year of residence at the fifth previous address.
|
| Fifth Previous Address To Year | Number |
Please provide the ending year of residence at the fifth previous address.
|
| Fifth Previous Address Co-residents Line 1 | Text |
Please list the names of people included in this application who lived at this fifth previous address (if all, write 'ALL').
|
| Fifth Previous Address Co-residents Line 2 | Text |
Please list additional names of people included in this application who lived at this fifth previous address (if all, write 'ALL').
|
| Fifth Previous Application Details | ||
| Fifth Previous Application Applicant Name | Text |
Enter the family and given names of the applicant for this fifth previous application, or write 'ALL' if all persons included in this application applied.
|
| Fifth Previous Application Date | Date |
Provide the date of this fifth previous application.
|
| Fifth Previous Application Country | Text |
Enter the country to which this fifth previous application was made.
|
| Fifth Previous Application Type | Text |
Specify the type of this fifth previous application, such as refugee resettlement, migration, or asylum.
|
| Fifth Application Approved: No | Checkbox |
Check this box if the fifth previous application was not approved.
|
| Fifth Application Approved: Yes | Checkbox |
Check this box if the fifth previous application was approved.
|
| Fifth Application Approved: Not Decided | Checkbox |
Check this box if the decision for the fifth previous application has not yet been made.
|
| Fifth Previous Visa Application Record | ||
| Fifth Previous Visa Family and Given Name | Text |
Enter the family and given name of the person who made the fifth previous visa application, or 'All' if all persons included in this current application made the application.
|
| Fifth Previous Visa Date of Application | Date |
Provide the date when the fifth previous visa application was made.
|
| Fifth Previous Visa Application Lodgement Location | Text |
Enter the location where the fifth previous visa application was lodged.
|
| Fifth Previous Visa File Number | Text |
Provide the file number for the fifth previous visa application, if known.
|
| Fifth Previous Visa Application Approved - No | Checkbox |
Check this box if the fifth previous visa application was not approved.
|
| Fifth Previous Visa Application Approved - Yes | Checkbox |
Check this box if the fifth previous visa application was approved.
|
| Fifth Previous Visa Application Approved - Not Decided | Checkbox |
Check this box if the fifth previous visa application's approval status has not yet been decided.
|
| Fifth Registered Applicant Details | ||
| Fifth Registered Applicant Name | Text |
Enter the full name of the fifth registered applicant.
|
| Fifth Registered Applicant Registration Number | Text |
Provide the refugee registration number for the fifth registered applicant.
|
| Fifth Registered Applicant Country of Registration | Text |
Enter the country where the fifth registered applicant's registration was issued.
|
| Fifth Relative's Details | ||
| Fifth Relative's Name | Text |
Provide the full name of the fifth relative residing in Australia.
|
| Fifth Relative's Date of Birth Day | Text |
Enter the day of birth for the fifth relative.
|
| Fifth Relative's Date of Birth Month | Combobox |
Enter the month of birth for the fifth relative.
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| Fifth Relative's Residence Status in Australia | Text |
Provide the residence status in Australia for the fifth relative, using the specified codes.
|
| Fifth Relative's Address in Australia | Text |
Provide the full residential address in Australia for the fifth relative.
|
| Fifth Relative's Related Person Given Names | Text |
Enter the given names of the person in this application to whom the fifth relative is related.
|
| Fifth Relative's Visa Application Record | ||
| Fifth Relative's Family and Given Name | Text |
Enter the family name and given name of the fifth relative whose visa application record is being provided.
|
| Fifth Relative's Application Day | Text |
Provide the day of application for the fifth relative's visa application.
|
| Fifth Relative's Application Lodgement Location | Text |
State the location where the fifth relative's visa application was lodged.
|
| Fifth Relative's Application File Number | Text |
Enter the file number, if known, for the fifth relative's visa application.
|
| Fifth Relative's Type of Visa Application | Text |
Specify the type of visa application, if known, for the fifth relative.
|
| Fifth Sibling Details | ||
| Fifth Sibling Name | Text |
Enter the full name of the fifth sibling.
|
| Fifth Sibling Sex | Text |
Enter the sex of the fifth sibling (M for Male, F for Female, or X for unspecified).
|
| Fifth Sibling Birth Day | Text |
Enter the day of birth for the fifth sibling.
|
| Fifth Sibling Birth Month | Combobox |
Enter the month of birth for the fifth sibling.
D
MT
N
MR
F
M
E
S
W
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| Fifth Sibling Birth Year | Text |
Enter the year of birth for the fifth sibling.
|
| Fifth Sibling Relationship Status | Combobox |
Enter the relationship status code for the fifth sibling, using the provided codes on the right (e.g., N for Never married, M for Married legally).
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fifth Sibling Place and Country of Birth | Text |
Enter the place and country of birth for the fifth sibling.
|
| Fifth Sibling Relationship to Applicant's Partner | Combobox |
Enter the code describing the fifth sibling's relationship to the main applicant's partner, using the provided codes on the right (e.g., SB for Sibling - Biological).
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| Fifth Travel Record | ||
| Fifth Travel Record Country | Text |
Please enter the country for the fifth travel record.
|
| Fifth Travel Record From Day | Text |
Please enter the day of departure from the country for the fifth travel record.
|
| Fifth Travel Record To Day | Text |
Please enter the day of arrival to the country for the fifth travel record.
|
| First Accompanying Person Signature Date | ||
| First Accompanying Person Signature Day | Text |
Enter the day of the signature for the first accompanying person.
|
| First Brother or Sister Details | ||
| First Brother or Sister Name | Text |
Provide the full name of the first brother or sister.
|
| First Brother or Sister Sex | Text |
Enter the sex of the first brother or sister (M, F, or X).
|
| First Brother or Sister Date of Birth | Date |
Provide the date of birth for the first brother or sister.
|
| First Brother or Sister Relationship Status | Combobox |
Enter the relationship status code for the first brother or sister.
D
MT
N
MR
F
M
E
S
W
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| First Brother or Sister Place and Country of Birth | Text |
Enter the place and country of birth for the first brother or sister.
|
| First Brother or Sister Relationship to Main Applicant | Combobox |
Enter the code representing the relationship of the first brother or sister to the main applicant.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Brother or Sister Country of Residence | Text |
Enter the country where the first brother or sister is currently living.
|
| First Brother or Sister Status in Country of Residence | Combobox |
Enter the code for the first brother or sister's status in their country of residence.
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| First Camp/Centre Details | ||
| First Camp/Centre Name | Text |
Enter the name of the first refugee camp, collective accommodation centre, or detention centre.
|
| First Camp/Centre Location | Text |
Enter the location of the first refugee camp, collective accommodation centre, or detention centre.
|
| First Camp/Centre Operator | Text |
Enter the name of the entity or individual who ran the first refugee camp, collective accommodation centre, or detention centre.
|
| First Camp/Centre Start Date | Date |
Enter the start date when the person lived in the first refugee camp, collective accommodation centre, or detention centre.
|
| First Camp/Centre End Date | Date |
Enter the end date when the person lived in the first refugee camp, collective accommodation centre, or detention centre.
|
| First Camp/Centre Residents | Text |
Enter the given names of the people included in this application who lived in the first refugee camp, collective accommodation centre, or detention centre, or write 'ALL' if applicable.
|
| First Child's Details | ||
| First Child Family Name | Text |
Enter the family name of the first child.
|
| First Child Given Names | Text |
Enter the given names of the first child.
|
| First Child Date of Birth | Date |
Enter the date of birth of the first child.
|
| First Child Relationship to You | Text |
Enter the relationship of the first child to the applicant.
|
| First Child Biological Father Full Name | Text |
Enter the full name of the first child's biological father.
|
| First Child Biological Mother Full Name | Text |
Enter the full name of the first child's biological mother.
|
| First Child Biological Parents Whereabouts | Text |
Provide details on the whereabouts of the first child's biological parents, especially if they are deceased or unknown.
|
| First Child Adopted No | Checkbox |
Check this box if the first child has not been adopted (formally, customarily or traditionally) by the main applicant and/or partner.
|
| First Child Adopted Yes | Checkbox |
Check this box if the first child has been adopted (formally, customarily or traditionally) by the main applicant and/or partner.
|
| First Child Custody Commencement Date | Date |
Enter the date when custody of the first child commenced.
|
| First Dependant Details | ||
| First Dependant Family Name | Text |
Enter the family name of the first dependant.
|
| First Dependant Given Names | Text |
Enter the given names of the first dependant.
|
| First Dependant Date of Birth | Date |
Provide the date of birth for the first dependant.
|
| First Dependant Relationship to You | Text |
State the relationship of the first dependant to you.
|
| First Dependant Reason Not Applying | Text |
Explain why the first dependant is not applying with you.
|
| First Dependent Applicant Signature | ||
| First Dependent Applicant Name | Text |
Enter the full name of the first dependent applicant.
|
| First Employment Record for Fourth Applicant | ||
| m3.emp fr 1 | Text | |
| m3.emp to 1 | Text | |
| m3.emp name 1 | Text | |
| m3.emp loc 1 | Text | |
| m3.emp bs 1 | Text | |
| m3.occup 1 | Text | |
| First Employment Record for Main Applicant | ||
| First Employment Start Year | Text |
Provide the start year for the main applicant's first employment.
|
| First Employment End Year | Text |
Provide the end year for the main applicant's first employment.
|
| First Employer Name | Text |
Enter the full name of the main applicant's first employer.
|
| First Employer Location | Text |
Enter the location of the main applicant's first employer.
|
| First Employer Business Type | Text |
Enter the type of business or industry of the main applicant's first employer.
|
| First Employment Occupation and Main Duties | Text |
Describe the main applicant's occupation and primary duties during their first employment period.
|
| First Employment Record for Second Applicant | ||
| Second Applicant First Employment Start Day | Text |
Enter the day the second applicant's first employment record began.
|
| Second Applicant First Employment End Day | Text |
Enter the day the second applicant's first employment record ended.
|
| Second Applicant First Employment Start Month | Text |
Enter the month the second applicant's first employment record began.
|
| Second Applicant First Employment Start Year | Text |
Enter the year the second applicant's first employment record began.
|
| Second Applicant First Employer Name | Text |
Enter the full name of the employer for the second applicant's first employment record.
|
| Second Applicant First Employer Location | Text |
Enter the location of the employer for the second applicant's first employment record.
|
| First Employment Record for Third Applicant | ||
| m2.emp fr 1 | Text | |
| m2.emp to 1 | Text | |
| m2.emp name 1 | Text | |
| m2.emp loc 1 | Text | |
| m2.emp bs 1 | Text | |
| m2.occup 1 | Text | |
| First Mandated Applicant Details | ||
| First Mandated Applicant Name | Text |
Enter the full name of the first mandated applicant.
|
| First Mandated Refugee Mandate Number(s) | Text |
Provide the refugee mandate number(s) for the first mandated applicant.
|
| First Mandated Country of Mandate | Text |
State the country where the first mandated applicant received their mandate.
|
| First Non-Dependent Child Details | ||
| First Non-Dependent Child Name | Text |
Enter the full name of the first non-dependent child.
|
| First Non-Dependent Child Sex | Text |
Enter the sex of the first non-dependent child, using M for male, F for female, or X for unspecified.
|
| First Non-Dependent Child Day of Birth | Text |
Enter the day of birth for the first non-dependent child.
|
| First Non-Dependent Child Month of Birth | Combobox |
Enter the month of birth for the first non-dependent child.
D
MT
N
MR
F
M
E
S
W
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| First Non-Dependent Child Year of Birth | Text |
Enter the year of birth for the first non-dependent child.
|
| First Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status code for the first non-dependent child, referring to the 'Relationship status' codes provided on the page.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Non-Dependent Child Place and Country of Birth | Text |
Enter the place and country where the first non-dependent child was born.
|
| First Non-Dependent Child Relationship to Main Applicant | Combobox |
Enter the relationship code of the first non-dependent child to the main applicant, referring to the 'Relationship to main applicant' codes provided on the page.
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| First Non-Dependent Child's Name | Text |
Enter the full name of the first non-dependent child.
|
| First Non-Dependent Child's Sex | Text |
Enter the sex of the first non-dependent child (M for Male, F for Female, or X for unspecified).
|
| First Non-Dependent Child's Date of Birth Day | Text |
Enter the day of birth for the first non-dependent child.
|
| First Non-Dependent Child's Relationship Status | Combobox |
Enter the relationship status of the first non-dependent child using the provided codes from the right panel.
D
MT
N
MR
F
M
E
S
W
|
| First Non-Dependent Child's Place and Country of Birth | Text |
Enter the place and country of birth for the first non-dependent child.
|
| First Non-Dependent Child's Relationship to Main Applicant's Partner | Combobox |
Enter the relationship of the first non-dependent child to the main applicant's partner using the provided codes from the right panel.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Non-Dependent Child's Current Country of Residence | Text |
Enter the country where the first non-dependent child is currently living.
|
| First Non-Dependent Child's Status in Country of Residence | Combobox |
Enter the status of the first non-dependent child in their country of residence using the provided codes from the right panel.
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| First Other Applicant Details | ||
| First Other Applicant Given Names | Text |
Provide the given names of the first other applicant.
|
| First Other Applicant Ethnic Group or Clan | Text |
Provide the ethnic group or clan to which the first other applicant belongs.
|
| First Other Applicant Religion | Text |
Provide the religion of the first other applicant, if any.
|
| First Other Applicant Political Party/Group Membership | Text |
Provide the political party or group to which the first other applicant belongs, if any.
|
| First Other Applicant Education | ||
| First Other Applicant Given Names | Text |
Enter the given names of the first other applicant.
|
| First Other Applicant Primary School From Day | Text |
Enter the day the first other applicant started primary school.
|
| First Other Applicant Primary School To Day | Text |
Enter the day the first other applicant finished primary school.
|
| First Other Applicant Secondary School From Day | Text |
Enter the day the first other applicant started secondary school.
|
| First Other Applicant Secondary School To Day | Text |
Enter the day the first other applicant finished secondary school.
|
| First Other Applicant Post-Secondary Education From Day | Text |
Enter the day the first other applicant started post-secondary education.
|
| First Other Applicant Post-Secondary Education To Day | Text |
Enter the day the first other applicant finished post-secondary education.
|
| First Other Applicant Highest Qualification | Text |
Enter the highest educational qualification obtained by the first other applicant, such as a school certificate, electrician certificate, BA, or PhD.
|
| First Other Applicant Language | ||
| First Other Applicant Given Names | Text |
Please enter the given names of the first other applicant.
|
| First Other Applicant Main Language Spoken | Text |
Please enter the main language spoken by the first other applicant.
|
| First Other Applicant Other Languages Spoken | Text |
Please enter any other languages spoken by the first other applicant.
|
| First Other Applicant English Proficiency Code | Combobox |
Please enter the code indicating how well the first other applicant speaks English.
Not well
Well
Not at all
Very well
|
| First Other Applicant's Travel Document Details | ||
| First Other Applicant's Given Names | Text |
Enter the given names of the first other applicant.
|
| First Other Applicant's No Travel Document | Checkbox |
Check this box if the first other applicant does not have a travel or identity document and you need to attach a statement explaining what happened to your documents.
|
| First Other Applicant's Yes Travel Document | Checkbox |
Check this box if the first other applicant has a travel or identity document and you need to give details.
|
| First Other Applicant's Document Type | Combobox |
Enter the type of travel or identity document held by the first other applicant.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| First Other Applicant's Passport/Document Number | Text |
Enter the passport number or other document number for the first other applicant's travel or identity document.
|
| First Other Applicant's Country of Issue | Text |
Enter the country where the first other applicant's travel or identity document was issued.
|
| First Other Applicant's Date of Issue | Date |
Enter the date the first other applicant's travel or identity document was issued.
|
| First Other Applicant's Date of Expiry | Date |
Enter the date the first other applicant's travel or identity document expires.
|
| First Other Applicant's Issuing Authority/Place | Text |
Enter the issuing authority or place of issue exactly as it appears on the first other applicant's passport or other document.
|
| First Parent Details | ||
| First Parent Name | Text |
Provide the full name of the first parent.
|
| First Parent Sex | Text |
Enter the sex of the first parent, using M for Male, F for Female, or X for unspecified.
|
| First Parent Date of Birth | Date |
Provide the date of birth for the first parent.
|
| First Parent Relationship Status | Combobox |
Enter the relationship status of the first parent, using the provided codes on the right side of the form.
D
MT
N
MR
F
M
E
S
W
|
| First Parent Place and Country of Birth | Text |
Provide the place and country where the first parent was born.
|
| First Parent Relationship to Applicant | Combobox |
Enter the relationship of the first parent to the main applicant, using the provided codes.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Parent Current Country of Residence | Text |
Provide the country where the first parent is currently living.
|
| First Parent Status in Country of Residence | Combobox |
Enter the status of the first parent in their country of residence, using the provided codes.
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|
| First Partner's Parent Details | ||
| First Parent's Name | Text |
Enter the full name of the first parent of your partner.
|
| First Parent's Sex | Text |
Enter the sex of the first parent of your partner (M for Male, F for Female, or X for unspecified).
|
| First Parent's Date of Birth | Date |
Enter the date of birth of the first parent of your partner.
|
| First Parent's Relationship Status | Combobox |
Enter the relationship status of the first parent of your partner using the provided codes on the right.
D
MT
N
MR
F
M
E
S
W
|
| First Parent's Place and Country of Birth | Text |
Enter the place and country where the first parent of your partner was born.
|
| First Parent's Relationship to Partner | Combobox |
Enter the nature of the first parent's relationship to your partner using the provided codes on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Parent's Current Country of Residence | Text |
Enter the country where the first parent of your partner is currently living, or 'DECEASED'/'UNKNOWN' if applicable.
|
| First Parent's Residence Status | Combobox |
Enter the status of the first parent of your partner in their country of residence using the provided codes on the right.
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|
| First Person Military Service Details | ||
| First Person Given Name | Text |
Please enter the given name of the first person who served in a military or paramilitary organization.
|
| First Person Country Served | Text |
Please enter the country where the first person served in a military or paramilitary organization.
|
| First Person Military/Paramilitary Organization Name | Text |
Please enter the name of the military or paramilitary organization where the first person served.
|
| First Person Rank in Organization | Text |
Please enter the rank of the first person within the military or paramilitary organization.
|
| First Person Membership From Date | Date |
Please enter the start date of the first person's membership in the military or paramilitary organization.
|
| First Person Membership To Date | Date |
Please enter the end date of the first person's membership in the military or paramilitary organization.
|
| First Person Reason for Leaving Organization | Text |
Please explain why the first person left this military or paramilitary organization.
|
| First Person Over 18 Signature Date | ||
| First Person Over 18 Signature Day | Number |
Enter the day of the signature date for the first person over 18.
|
| First Person's Biological Relationship Details | ||
| First Person's Biological Relationship: No | Checkbox |
Check this box if the first person is not biologically related to the main applicant.
|
| ap.biolog dtl 1 | Text | |
| First Person's Biological Relationship: Yes | Checkbox |
Check this box if the first person is biologically related to the main applicant.
|
| First Person's Biological Relationship Description | Text |
Describe the precise biological relationship between the first person and the main applicant.
|
| First Person's Citizenship | ||
| First Person's Citizenship | Text |
Provide the first person's country of citizenship.
|
| First Person's Date of Birth | ||
| First Person's Day of Birth | Date |
Enter the day of the first person's birth.
|
| First Person's Name | ||
| First Person's Family Name | Text |
Enter the family name of the first person included in the application.
|
| First Person's Given Names | Text |
Enter the given names of the first person included in the application.
|
| First Person's Place of Birth | ||
| m.birth town 1 | Text | |
| m.birth cntry 1 | Text | |
| First Person's Previous Relationship Details | ||
| First Person's Family Name | Text |
Enter the family name of the first person whose previous relationship details are being provided.
|
| First Person's Given Names | Text |
Enter the given names of the first person whose previous relationship details are being provided.
|
| First Person's Previous Partner's Full Name | Text |
Enter the full name of the first person's previous partner.
|
| First Person's Relationship End Reason | Text |
Describe how the first person's previous relationship ended.
|
| First Person's Previous Relationship Children Names | Text |
Provide the names of all children from the first person's previous relationship.
|
| First Person's Relationship Dates | ||
| First Person's Relationship From Year | Text |
Enter the year when the first person's relationship started.
|
| First Person's Relationship To Year | Text |
Enter the year when the first person's relationship ended.
|
| First Person's Relationship Status | ||
| m.rel status mar 1 | CheckBox | |
| First Person's Married By Tradition/Custom | Checkbox |
Check this box if the first person is married according to tradition or custom.
|
| First Person's Married Religiously | Checkbox |
Check this box if the first person is married religiously.
|
| First Person's Engaged | Checkbox |
Check this box if the first person is engaged to be married.
|
| First Person's De Facto | Checkbox |
Check this box if the first person is in a de facto relationship.
|
| First Person's Separated | Checkbox |
Check this box if the first person is separated from their spouse or partner.
|
| First Person's Divorced | Checkbox |
Check this box if the first person is divorced.
|
| First Person's Widowed | Checkbox |
Check this box if the first person is widowed.
|
| First Person's Never Married or Been in a De Facto Relationship | Checkbox |
Check this box if the first person has never been married or never been in a de facto relationship.
|
| First Person's Relationship to Main Applicant | ||
| First Person's Relationship to Main Applicant | Text |
Enter the relationship of the first person to the main applicant.
|
| First Person's Sex | ||
| First Person's Male | Checkbox |
Check this box if the first person's sex is male.
|
| First Person's Female | Checkbox |
Check this box if the first person's sex is female.
|
| First Person's Indeterminate / Intersex / Unspecified | Checkbox |
Check this box if the first person's sex is indeterminate, intersex, or unspecified.
|
| First Previous Address | ||
| First Previous Address Line 1 | Text |
Enter the first line of the first previous address.
|
| First Previous Address Line 2 | Text |
Enter the second line of the first previous address.
|
| First Previous Address Line 3 | Text |
Enter the third line of the first previous address.
|
| First Previous Address Town | Text |
Enter the town of the first previous address.
|
| First Previous Address Country | Text |
Enter the country of the first previous address.
|
| First Previous Address Period From Month | Text |
Enter the month when you started living at the first previous address.
|
| First Previous Address Period To Month | Text |
Enter the month when you stopped living at the first previous address.
|
| First Previous Address Resident 1 Name | Text |
Enter the name of the first person who lived at the first previous address.
|
| First Previous Address Resident 2 Name | Text |
Enter the name of the second person who lived at the first previous address.
|
| First Previous Address Resident 3 Name | Text |
Enter the name of the third person who lived at the first previous address.
|
| First Previous Address Resident 4 Name | Text |
Enter the name of the fourth person who lived at the first previous address.
|
| First Previous Application Details | ||
| First Previous Application Applicant Name | Text |
Enter the family and given names of the person who applied, or 'ALL' if all persons included in this application applied.
|
| First Previous Application Date | Date |
Provide the full date when the first previous application was submitted.
|
| First Previous Application Country | Text |
Enter the country to which the first previous application was made.
|
| First Previous Application Type | Text |
Specify the type of the first previous application, such as refugee resettlement, migration, or asylum.
|
| First Application Approved No | Checkbox |
Check this box if the first previous application was not approved.
|
| First Application Approved Yes | Checkbox |
Check this box if the first previous application was approved.
|
| First Application Approved Not Decided | Checkbox |
Check this box if the first previous application has not yet been decided.
|
| First Previous Visa Application Record | ||
| First Previous Visa Application Name | Text |
Enter the family and given name of the person who previously applied for an Australian visa, or 'All' if all persons included in this current application previously applied.
|
| First Previous Visa Application Date | Date |
Provide the date when the first previous visa application was submitted.
|
| First Previous Visa Application Lodged Location | Text |
Specify the location or office where the first previous visa application was lodged.
|
| First Previous Visa Application File Number | Text |
Enter the file number for the first previous visa application, if it is known.
|
| First Application Approved No | Checkbox |
Check this box if the first listed previous visa application was not approved.
|
| First Application Approved Yes | Checkbox |
Check this box if the first listed previous visa application was approved.
|
| First Application Not Decided | Checkbox |
Check this box if the approval status for the first listed previous visa application was not decided.
|
| First Registered Applicant Details | ||
| First Registered Applicant Name | Text |
Enter the full name of the first registered applicant.
|
| First Registered Applicant Number | Text |
Enter the refugee registration number(s) for the first registered applicant.
|
| First Registered Applicant Country of Registration | Text |
Enter the country where the first applicant is registered.
|
| First Relative's Details | ||
| First Relative's Name | Text |
Provide the full name of the first relative residing in Australia.
|
| First Relative's Birth Year | Text |
Enter the birth year of the first relative residing in Australia.
|
| First Relative's Residence Status in Australia | Combobox |
Provide the residence status code in Australia for the first relative.
I
V
U
O
TR
C
S
PR
|
| First Relative's Address in Australia | Text |
Enter the full residential address of the first relative in Australia.
|
| Applicant's Given Names (Related to First Relative) | Text |
Provide the given names of the applicant who is related to this first relative.
|
| First Relative's Relationship to Applicant | Text |
Specify the relationship of the first relative to the applicant.
|
| First Relative's Visa Application Record | ||
| First Relative's Name | Text |
Enter the family and given name of the first relative.
|
| First Relative's Application Date | Date |
Provide the full date of the first relative's visa application.
|
| First Relative's Application Lodgement | Text |
Enter the location where the first relative's visa application was lodged.
|
| First Relative's File Number | Text |
Enter the file number for the first relative's visa application, if known.
|
| First Relative's Visa Type | Text |
Enter the type of visa application for the first relative, if known.
|
| First Separated Person Details | ||
| First Separated Person Family Name | Text |
Enter the family name of the first separated person.
|
| First Separated Person Given Names | Text |
Enter the given names of the first separated person.
|
| First Separated Person Date of Birth | Date |
Enter the date of birth of the first separated person.
|
| First Separated Person Relationship to You | Text |
Enter the relationship of the first separated person to you.
|
| First Separated Person Last Contact Details | Text |
Provide details about when, where, and how you were last in contact with the first separated person and how you were separated.
|
| First Separated Person's Residential Address | ||
| First Separated Person's Residential Address Line 1 | Text |
Enter the first line of the first separated person's full residential address.
|
| First Separated Person's Residential Address Line 2 | Text |
Enter the second line of the first separated person's full residential address, such as suburb, town, or state.
|
| First Separated Person's Residential Postal Code | Text |
Enter the postal code for the first separated person's residential address.
|
| First Sibling Details | ||
| First Sibling Name | Text |
Enter the full name of the first sibling.
|
| First Sibling Sex | Text |
Enter the sex of the first sibling (M, F, or X).
|
| First Sibling Day of Birth | Text |
Enter the day of birth for the first sibling.
|
| First Sibling Month of Birth | Combobox |
Enter the month of birth for the first sibling.
D
MT
N
MR
F
M
E
S
W
|
| First Sibling Year of Birth | Text |
Enter the year of birth for the first sibling.
|
| First Sibling Relationship Status | Combobox |
Enter the relationship status code for the first sibling from the provided list.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| First Sibling Place and Country of Birth | Text |
Enter the place and country of birth for the first sibling.
|
| First Sibling Relationship to Partner | Combobox |
Enter the code indicating the first sibling's relationship to the main applicant's partner from the provided list.
I
V
A
R
O
TR
C
S
PR
|
| First Travel Record | ||
| First Travel Record Country | Text |
Provide the name of the first country you traveled through or stayed in before arriving in your current country of residence.
|
| First Travel Record From Date | Date |
Indicate the start date of your first travel or stay in the country mentioned.
|
| First Travel Record To Date | Date |
Indicate the end date of your first travel or stay in the country mentioned.
|
| Found Unfit to Plead by Court | ||
| No, Found Unfit to Plead | Checkbox |
Check this box if you have not been found by a court to be unfit to plead.
|
| Yes, Found Unfit to Plead | Checkbox |
Check this box if you have been found by a court to be unfit to plead.
|
| Fourth Accompanying Person Signature Date | ||
| Fourth Accompanying Person Signature Day | Text |
Enter the day the fourth accompanying person signed.
|
| Fourth Applicant Name | ||
| Fourth Applicant Name | Text |
Please provide the full name of the fourth applicant.
|
| Fourth Brother or Sister Details | ||
| Fourth Brother or Sister Name | Text |
Enter the full name of the fourth brother or sister.
|
| Fourth Brother or Sister Sex | Text |
Enter the sex of the fourth brother or sister, using M for male, F for female, or X if not specified.
|
| Fourth Brother or Sister Date of Birth Day | Text |
Enter the day of birth for the fourth brother or sister.
|
| Fourth Brother or Sister Relationship Status | Combobox |
Enter the relationship status code for the fourth brother or sister, using the 'Relationship status' codes provided on the right side of the form.
D
MT
N
MR
F
M
E
S
W
|
| Fourth Brother or Sister Place and Country of Birth | Text |
Enter the place and country of birth for the fourth brother or sister.
|
| Fourth Brother or Sister Relationship to Main Applicant | Combobox |
Enter the code indicating the relationship of the fourth brother or sister to the main applicant, using the 'Relationship to main applicant' codes provided on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fourth Brother or Sister Country of Residence | Text |
Enter the country where the fourth brother or sister is currently living; if deceased or whereabouts unknown, write 'DECEASED' or 'UNKNOWN'.
|
| Fourth Brother or Sister Status in Country of Residence | Combobox |
Enter the relationship status code for the fourth brother or sister in their country of residence, using the 'Relationship status' codes provided on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Fourth Camp/Centre Details | ||
| Fourth Camp/Centre Name | Text |
Enter the name of the fourth camp or centre where the person lived.
|
| Fourth Camp/Centre Location | Text |
Provide the location of the fourth camp or centre.
|
| Fourth Camp/Centre Administrator | Text |
State who was responsible for running the fourth camp or centre.
|
| Fourth Camp/Centre From Year | Text |
Enter the year the person started living in the fourth camp or centre.
|
| Fourth Camp/Centre To Year | Text |
Enter the year the person stopped living in the fourth camp or centre.
|
| Fourth Camp/Centre Inhabitants Names | Text |
List the given names of all people included in this application who lived in the fourth camp or centre. Write 'ALL' if everyone lived there.
|
| Fourth Dependent Applicant Signature | ||
| Fourth Dependent Applicant Name | Text |
Enter the full name of the fourth dependent applicant.
|
| Fourth Employment Record for Main Applicant | ||
| Fourth Employment From Year | Text |
Enter the year when the fourth employment record for the main applicant started.
|
| Fourth Employment To Year | Text |
Enter the year when the fourth employment record for the main applicant ended.
|
| Fourth Employment Employer Name | Text |
Enter the name of the employer for the fourth employment record of the main applicant.
|
| Fourth Employment Employer Location | Text |
Enter the location of the employer for the fourth employment record of the main applicant.
|
| Fourth Employment Type of Business | Text |
Enter the type of business for the fourth employment record of the main applicant.
|
| Fourth Employment Occupation and Main Duties | Text |
Enter the occupation and main duties for the fourth employment record of the main applicant.
|
| Fourth Employment Record for Second Applicant | ||
| Second Applicant Fourth Employment From Day | Text |
Enter the starting day of the second applicant's fourth employment record.
|
| Second Applicant Fourth Employment To Day | Text |
Enter the ending day of the second applicant's fourth employment record.
|
| Second Applicant Fourth Employer Name | Text |
Provide the name of the employer for the second applicant's fourth employment record.
|
| Second Applicant Fourth Employer Location | Text |
Enter the location of the employer for the second applicant's fourth employment record.
|
| Second Applicant Fourth Type of Business | Text |
Specify the type of business for the second applicant's fourth employment record.
|
| Second Applicant Fourth Occupation and Main Duties | Text |
Describe the occupation and main duties performed during the second applicant's fourth employment record.
|
| Fourth Mandated Applicant Details | ||
| Fourth Mandated Applicant Name | Text |
Provide the name of the fourth applicant mandated or registered by UNHCR.
|
| Fourth Mandated Applicant Refugee Mandate Number | Text |
Enter the refugee mandate number(s) for the fourth applicant mandated or registered by UNHCR.
|
| Fourth Mandated Applicant Country of Mandate | Text |
Specify the country where the fourth applicant's mandate was issued.
|
| Fourth Non-Dependent Child Details | ||
| Fourth Non-Dependent Child Name | Text |
Provide the full name of the fourth non-dependent child.
|
| Fourth Non-Dependent Child Sex | Text |
Indicate the sex of the fourth non-dependent child as Male (M), Female (F), or Unspecified (X).
|
| Fourth Non-Dependent Child Date of Birth Day | Text |
Enter the day of birth for the fourth non-dependent child.
|
| Fourth Non-Dependent Child Date of Birth Month | Combobox |
Enter the month of birth for the fourth non-dependent child.
D
MT
N
MR
F
M
E
S
W
|
| Fourth Non-Dependent Child Date of Birth Year | Number |
Enter the year of birth for the fourth non-dependent child.
|
| Fourth Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status of the fourth non-dependent child using the provided codes on the right (e.g., N for Never married or been in a de facto relationship).
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fourth Non-Dependent Child Place and Country of Birth | Text |
Provide the place and country where the fourth non-dependent child was born.
|
| Fourth Non-Dependent Child Relationship to Main Applicant | Combobox |
Enter the relationship of the fourth non-dependent child to the main applicant using the provided codes on the right (e.g., CB for Child - Biological).
I
V
A
R
O
TR
C
S
PR
|
| Fourth Non-Dependent Child Name | Text |
Enter the full name of the fourth non-dependent child.
|
| Fourth Non-Dependent Child Sex | Text |
Enter the sex of the fourth non-dependent child, using M for male, F for female, or X for unspecified.
|
| Fourth Non-Dependent Child Date of Birth | Date |
Enter the full date of birth for the fourth non-dependent child.
|
| Fourth Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status of the fourth non-dependent child, using the provided codes on the right side of the form.
D
MT
N
MR
F
M
E
S
W
|
| Fourth Non-Dependent Child Place and Country of Birth | Text |
Enter the city or town and country where the fourth non-dependent child was born.
|
| Fourth Non-Dependent Child Relationship to Partner | Combobox |
Enter the relationship of the fourth non-dependent child to the main applicant's partner, using the provided codes on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fourth Non-Dependent Child Current Country of Residence | Text |
Enter the country where the fourth non-dependent child is currently living.
|
| Fourth Non-Dependent Child Residence Status | Combobox |
Enter the status of the fourth non-dependent child in their country of residence, using the provided codes on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Fourth Other Applicant Details | ||
| Fourth Other Applicant Given Names | Text |
Please provide the given names for the fourth other applicant.
|
| Fourth Other Applicant Ethnic Group or Clan | Text |
Please provide the ethnic group or clan for the fourth other applicant.
|
| Fourth Other Applicant Religion | Text |
Please provide the religion of the fourth other applicant, if applicable.
|
| Fourth Other Applicant Political Party/Group Membership | Text |
Please provide the political party or group the fourth other applicant is a member of, if applicable.
|
| Fourth Other Applicant Education | ||
| Fourth Other Applicant Given Names | Text |
Please enter the given names of the fourth other applicant.
|
| Fourth Other Applicant Primary School From Day | Text |
Please enter the day of the start date for the fourth other applicant's primary school education.
|
| Fourth Other Applicant Primary School To Day | Text |
Please enter the day of the end date for the fourth other applicant's primary school education.
|
| Fourth Other Applicant Secondary School From Day | Text |
Please enter the day of the start date for the fourth other applicant's secondary school education.
|
| Fourth Other Applicant Secondary School To Day | Text |
Please enter the day of the end date for the fourth other applicant's secondary school education.
|
| Fourth Other Applicant Post-Secondary Education From Day | Text |
Please enter the day of the start date for the fourth other applicant's post-secondary education.
|
| Fourth Other Applicant Post-Secondary Education To Day | Text |
Please enter the day of the end date for the fourth other applicant's post-secondary education.
|
| Fourth Other Applicant Highest Qualification | Text |
Please enter the highest educational qualification obtained by the fourth other applicant, such as a school certificate, electrician certificate, BA, or PhD.
|
| Fourth Other Applicant Language | ||
| Fourth Other Applicant Given Names | Text |
Enter the given names for the fourth other applicant.
|
| Fourth Other Applicant Main Language | Text |
Enter the main language spoken by the fourth other applicant.
|
| Fourth Other Applicant Other Languages | Text |
Enter any other languages spoken by the fourth other applicant.
|
| Fourth Other Applicant English Proficiency Code | Combobox |
Enter the code indicating how well the fourth other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Fourth Other Applicant's Travel Document Details | ||
| Fourth Other Applicant Given Names | Text |
Enter the fourth other applicant's given names as they appear on their travel or identity document.
|
| Fourth Other Applicant No Document | Checkbox |
Check this box if the fourth other applicant does not have a travel or identity document.
|
| Fourth Other Applicant Yes Document | Checkbox |
Check this box if the fourth other applicant has a travel or identity document.
|
| Fourth Other Applicant Document Type | Combobox |
Enter the type of travel or identity document held by the fourth other applicant, using the provided codes.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| Fourth Other Applicant Passport/Document Number | Text |
Enter the passport number or other document number for the fourth other applicant's travel or identity document.
|
| Fourth Other Applicant Country of Issue | Text |
Enter the country that issued the fourth other applicant's travel or identity document.
|
| Fourth Other Applicant Date of Issue | Date |
Enter the date when the fourth other applicant's travel or identity document was issued.
|
| Fourth Other Applicant Date of Expiry | Date |
Enter the date when the fourth other applicant's travel or identity document will expire.
|
| Fourth Other Applicant Issuing Authority/Place of Issue | Text |
Enter the issuing authority or place of issue for the fourth other applicant's travel or identity document as shown on the document.
|
| Fourth Person Over 18 Signature Date | ||
| Fourth Person Over 18 Signature Day | Text |
Enter the day of the fourth person over 18's signature.
|
| Fourth Previous Address | ||
| Fourth Previous Address Line 1 | Text |
Enter the first line of the fourth previous address.
|
| Fourth Previous Address Line 2 | Text |
Enter the second line of the fourth previous address.
|
| Fourth Previous Address Line 3 | Text |
Enter the third line of the fourth previous address.
|
| Fourth Previous Address Town | Text |
Enter the town for the fourth previous address.
|
| Fourth Previous Address Country | Text |
Enter the country for the fourth previous address.
|
| Fourth Previous Address From Month | Text |
Enter the month when you started living at the fourth previous address.
|
| Fourth Previous Address To Month | Text |
Enter the month when you stopped living at the fourth previous address.
|
| Fourth Previous Address People Name 1 | Text |
Enter the first given name of a person included in this application who lived at the fourth previous address.
|
| Fourth Previous Address People Name 2 | Text |
Enter the second given name of a person included in this application who lived at the fourth previous address.
|
| Fourth Previous Address People Name 3 | Text |
Enter the third given name of a person included in this application who lived at the fourth previous address.
|
| Fourth Previous Address People Name 4 | Text |
Enter the fourth given name of a person included in this application who lived at the fourth previous address.
|
| Fourth Previous Application Details | ||
| Fourth Previous Application Family and Given Names | Text |
Enter the family and given names of the person(s) for the fourth previous application, or 'ALL' if it applies to all persons included in this current application.
|
| Fourth Previous Application Date | Date |
Enter the date when the fourth previous application was made.
|
| Fourth Previous Application Country | Text |
Enter the country to which the fourth previous application was made.
|
| Fourth Previous Application Type | Text |
Enter the type of the fourth previous application, such as refugee resettlement, migration, or asylum.
|
| Fourth Application Approved No | Checkbox |
Check this box if the fourth previous application was not approved.
|
| Fourth Application Approved Yes | Checkbox |
Check this box if the fourth previous application was approved.
|
| Fourth Application Approved Not Decided | Checkbox |
Check this box if the approval status of the fourth previous application has not yet been decided.
|
| Fourth Previous Visa Application Record | ||
| Fourth Application Name | Text |
Enter the family and given name of the person for the fourth previous visa application. If all persons in this application are included, write 'All'.
|
| Fourth Application Year | Text |
Enter the year when the fourth previous visa application was submitted.
|
| Fourth Application Lodgement Location | Text |
Provide the location where the fourth previous visa application was lodged.
|
| Fourth Application File Number | Text |
Enter the file number for the fourth previous visa application, if known.
|
| Fourth Application Approved No | Checkbox |
Check this box if the fourth previous visa application was not approved.
|
| Fourth Application Approved Yes | Checkbox |
Check this box if the fourth previous visa application was approved.
|
| Fourth Application Approved Not Decided | Checkbox |
Check this box if the decision for the fourth previous visa application has not yet been made.
|
| Fourth Registered Applicant Details | ||
| Fourth Registered Applicant Name | Text |
Please enter the full name of the fourth registered applicant.
|
| Fourth Registered Applicant Registration Number | Text |
Please enter the refugee registration number(s) for the fourth registered applicant.
|
| Fourth Registered Applicant Country of Registration | Text |
Please enter the country where the fourth registered applicant's registration occurred.
|
| Fourth Relative's Details | ||
| Fourth Relative's Name | Text |
Please enter the full name of the fourth relative residing in Australia.
|
| Fourth Relative's Date of Birth Day | Text |
Please enter the day of the fourth relative's date of birth.
|
| Fourth Relative's Date of Birth Month | Combobox |
Please enter the month of the fourth relative's date of birth.
I
V
U
O
TR
C
S
PR
|
| Fourth Relative's Residence Status in Australia | Text |
Please enter the residence status in Australia for the fourth relative, using the codes provided in the form.
|
| Fourth Relative's Address | Text |
Please enter the residential address of the fourth relative in Australia.
|
| Fourth Relative's Related Person Given Names | Text |
Please enter the given names of the person in this application to whom the fourth relative is related.
|
| Fourth Relative's Visa Application Record | ||
| Fourth Relative's Family and Given Name | Text |
Provide the family name and given name of the fourth relative.
|
| Fourth Relative's Visa Application Date | Date |
Enter the date when the fourth relative's visa application was submitted.
|
| Fourth Relative's Application Lodgement Location | Text |
Specify the location where the fourth relative's visa application was lodged.
|
| Fourth Relative's Application File Number | Text |
Enter the file number for the fourth relative's visa application, if known.
|
| Fourth Relative's Type of Visa Application | Text |
State the type of visa application submitted by the fourth relative, if known.
|
| Fourth Sibling Details | ||
| Fourth Sibling Name | Text |
Provide the full name of the fourth sibling of the applicant's partner.
|
| Fourth Sibling Sex | Text |
Enter the sex of the fourth sibling of the applicant's partner as M for Male, F for Female, or X for unspecified.
|
| Fourth Sibling Birth Day | Text |
Enter the day of birth for the fourth sibling of the applicant's partner.
|
| Fourth Sibling Birth Month | Combobox |
Enter the month of birth for the fourth sibling of the applicant's partner.
D
MT
N
MR
F
M
E
S
W
|
| Fourth Sibling Birth Year | Text |
Enter the year of birth for the fourth sibling of the applicant's partner.
|
| Fourth Sibling Relationship Status | Combobox |
Enter the code corresponding to the relationship status of the fourth sibling of the applicant's partner, referring to the codes provided on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Fourth Sibling Place and Country of Birth | Text |
Provide the city/town and country where the fourth sibling of the applicant's partner was born.
|
| Fourth Sibling Relationship to Applicant's Partner | Combobox |
Enter the code representing the type of relationship the fourth sibling has to the applicant's partner, using the codes provided on the right.
I
V
A
R
O
TR
C
S
PR
|
| Fourth Travel Record | ||
| Fourth Country | Text |
Enter the country for this fourth travel record.
|
| Fourth From Year | Text |
Enter the starting year of travel for this fourth travel record.
|
| Fourth To Year | Text |
Enter the ending year of travel for this fourth travel record.
|
| General | ||
| ap.addr str 1 | Text | |
| ap.addr str 2 | Text | |
| m.sep postal 1 str 1 | Text | |
| m.sep postal 2 str 1 | Text | |
| m.sep postal 1 str 3 | Text | |
| m.sep postal 2 str 3 | Text | |
| Person 1 Name | Text |
Please enter the full name of Person 1.
|
| Person 2 Name | Text |
Please provide the full name of Person 2.
|
| Guilt of Sexually Based Offence Involving a Child | ||
| Guilt of Sexually Based Offence Involving a Child - No | Checkbox |
Check this box if you or any other person included in this application has not been found guilty of a sexually based offence involving a child (including where no conviction was recorded).
|
| Guilt of Sexually Based Offence Involving a Child - Yes | Checkbox |
Check this box if you or any other person included in this application has been found guilty of a sexually based offence involving a child (including where no conviction was recorded).
|
| Health Examination Details | ||
| Health Examination No | Checkbox |
Check this box if you, or any other person included in this application, have NOT undergone a health examination for an Australian visa in the last 12 months.
|
| Health Examination Yes | Checkbox |
Check this box if you, or any other person included in this application, HAVE undergone a health examination for an Australian visa in the last 12 months.
|
| Health Examination Details (HAP ID) | Text |
Provide specific details about the health examination undergone for an Australian visa, including the Health Assessment Panel (HAP) ID if available.
|
| Identity Documents Attachment | ||
| Evidence of Identity Documents Attached | Checkbox |
Check this box if you have attached evidence of the identity of each person included in this application, such as certified copies of birth certificates, marriage certificates, passports, or national identity cards.
|
| Immediate Family Member Details | ||
| Family Name | Text |
Please provide the family name of the immediate family member.
|
| Given Names | Text |
Please provide the given names of the immediate family member.
|
| File Number (if known) | Text |
Please provide the file number of the immediate family member, if known.
|
| Related Person's Name | Text |
Please provide the name of the person in this application to whom the immediate family member is related.
|
| Relationship | Text |
Please provide the relationship of the immediate family member to the person in this application.
|
| Last Lived Together Location | Text |
Please provide the location where the immediate family member and the applicant last lived together.
|
| Last Lived Together Date | Date |
Please provide the date when the immediate family member and the applicant last lived together.
|
| Separation Reason | Text |
Please explain how the immediate family member and the applicant became separated.
|
| Immediate Family Member Inclusion Status | ||
| Immediate Family Member Included - No | Checkbox |
Check this box if no people included in this application are immediate family members of a person in Australia who, in the last 5 years, was granted a Refugee/Humanitarian visa outside Australia, or a Protection or Resolution of Status (Class CD) visa inside Australia.
|
| Immediate Family Member Included - Yes | Checkbox |
Check this box if any people included in this application are immediate family members of a person in Australia who, in the last 5 years, was granted a Refugee/Humanitarian visa outside Australia, or a Protection or Resolution of Status (Class CD) visa inside Australia.
|
| Indictment for Serious International Crimes | ||
| Indictment for Serious International Crimes (No) | Checkbox |
Check this box if you have not been charged with or indicted for genocide, war crimes, crimes against humanity, torture, slavery, or any other crime that is otherwise of a serious international concern.
|
| Indictment for Serious International Crimes (Yes) | Checkbox |
Check this box if you have been charged with or indicted for genocide, war crimes, crimes against humanity, torture, slavery, or any other crime that is otherwise of a serious international concern.
|
| International Organisation Registration Evidence | ||
| International Organisation Registration Evidence | Checkbox |
Check this box if you have attached evidence of your registration with any international organisation dealing with refugees, such as UNHCR.
|
| Interpreter Details | ||
| No Interpreter | Checkbox |
Check this box if you will not need an interpreter for your interview.
|
| Yes Interpreter | Checkbox |
Check this box if you will need an interpreter for your interview.
|
| Interpreter Language | Text |
Provide the language(s) for which an interpreter is needed.
|
| Involvement in National Security Risk Activities | ||
| No | Checkbox |
Check this box if you have NOT been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country.
|
| Yes | Checkbox |
Check this box if you HAVE been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country.
|
| Involvement in People Smuggling or Trafficking | ||
| No Involvement in People Smuggling or Trafficking | Checkbox |
Check this box if you have not been involved in people smuggling or people trafficking offences.
|
| Yes Involvement in People Smuggling or Trafficking | Checkbox |
Check this box if you have been involved in people smuggling or people trafficking offences.
|
| Lived in Refugee Camp Question | ||
| Lived in Refugee Camp - No | Checkbox |
Check this box if no person included in this application has ever lived in a refugee camp, collective accommodation centre for refugees, or detention centre.
|
| Lived in Refugee Camp - Yes | Checkbox |
Check this box if any person included in this application has ever lived in a refugee camp, collective accommodation centre for refugees, or detention centre.
|
| Main Applicant Details | ||
| Main Applicant Family Name | Text |
Please enter the main applicant's family name.
|
| Main Applicant Given Names | Text |
Please enter the main applicant's given names.
|
| Main Applicant Male | Checkbox |
Check this box if the main applicant is male.
|
| Main Applicant Female | Checkbox |
Check this box if the main applicant is female.
|
| Main Applicant Indeterminate / Intersex / Unspecified | Checkbox |
Check this box if the main applicant's sex is indeterminate, intersex, or unspecified.
|
| Main Applicant Date of Birth Day | Text |
Please enter the day of the main applicant's birth.
|
| Main Applicant Place of Birth Town/City | Text |
Please enter the town or city where the main applicant was born.
|
| Main Applicant Place of Birth Country | Text |
Please enter the country where the main applicant was born.
|
| Main Applicant Citizenship | Text |
Please enter the main applicant's country of citizenship.
|
| Main Applicant Current Country of Residence | Text |
Please enter the main applicant's current country of residence. If stateless, provide your previous country of citizenship.
|
| Main Applicant Arrival Month | Text |
Please enter the month the main applicant arrived in their current country of residence.
|
| Main Applicant Arrival Day | Text |
Please enter the day the main applicant arrived in their current country of residence.
|
| Main Applicant Status in Country | Combobox |
Please enter the main applicant's status in their current country of residence, referring to the provided codes.
Refugee
Other
Temporary resident
Visitor
Illegal
Permanent resident
Citizen
Asylum/protection applicant
Student
|
| Main Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan of the main applicant.
|
| Main Applicant Religion | Text |
Enter the religion of the main applicant, if applicable.
|
| Main Applicant Political Party/Group Membership | Text |
Enter the political party or group membership of the main applicant, if applicable.
|
| Main Applicant Education | ||
| Main Applicant Primary School From Day | Text |
Enter the day the main applicant started primary school.
|
| Main Applicant Primary School To Day | Text |
Enter the day the main applicant finished primary school.
|
| Main Applicant Secondary School From Day | Text |
Enter the day the main applicant started secondary school.
|
| Main Applicant Secondary School To Day | Text |
Enter the day the main applicant finished secondary school.
|
| Main Applicant Post-Secondary Education From Day | Text |
Enter the day the main applicant started post-secondary education.
|
| Main Applicant Post-Secondary Education To Day | Text |
Enter the day the main applicant finished post-secondary education.
|
| Main Applicant Highest Qualification | Text |
Enter the highest educational qualification obtained by the main applicant.
|
| Main Applicant Language | ||
| Main Applicant Main Language Spoken | Text |
Provide the main language spoken by the main applicant.
|
| Main Applicant Other Languages Spoken | Text |
Provide any other languages spoken by the main applicant.
|
| Main Applicant English Proficiency Code | Combobox |
Enter the code that indicates how well the main applicant speaks English.
Not well
Well
Not at all
Very well
|
| Main Applicant's Travel Document Details | ||
| Main Applicant No Travel Document | Checkbox |
Check this box if the main applicant does not have a travel or identity document and you will attach a statement explaining what happened to their documents.
|
| Main Applicant Yes Travel Document | Checkbox |
Check this box if the main applicant has a travel or identity document and you will provide its details.
|
| Main Applicant's Document Type | Combobox |
Enter the type of the main applicant's travel or identity document, using the codes provided below.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| Main Applicant's Passport or Document Number | Text |
Provide the passport number or other document number for the main applicant.
|
| Main Applicant's Country of Issue | Text |
Enter the country where the main applicant's travel or identity document was issued.
|
| Main Applicant's Date of Issue | Date |
Enter the date when the main applicant's travel or identity document was issued.
|
| Main Applicant's Date of Expiry | Date |
Enter the date when the main applicant's travel or identity document will expire.
|
| Main Applicant's Issuing Authority/Place | Text |
Provide the name of the issuing authority or the place where the main applicant's travel or identity document was issued, exactly as it appears on the document.
|
| Military or Weapons Training | ||
| Military or Weapons Training - No | Checkbox |
Check this box if you or any other person included in this application has not undergone any military/paramilitary training, been trained in weapons/explosives, or in the manufacture of chemical/biological products.
|
| Military or Weapons Training - Yes | Checkbox |
Check this box if you or any other person included in this application has undergone any military/paramilitary training, been trained in weapons/explosives, or in the manufacture of chemical/biological products.
|
| Military Service Inquiry | ||
| Military Service No | Checkbox |
Check this box if no person included in this application has served in a military or paramilitary organization.
|
| Military Service Yes | Checkbox |
Check this box if any person included in this application has served in a military or paramilitary organization.
|
| Mobile/Cell Number | ||
| Mobile/Cell Number | Text |
Please provide your mobile or cell phone number.
|
| Mother's Maiden Name | ||
| Mother's Maiden Name | Text |
Please provide your mother's maiden name.
|
| Multiple Partner Information | ||
| No | Checkbox |
Check this box if you do not currently have more than one partner (other than any partner included in this visa application).
|
| Yes | Checkbox |
Check this box if you currently have more than one partner (other than any partner included in this visa application) and will provide details.
|
| Multiple Partner Details | Text |
Provide detailed information about any additional partners not included in this visa application.
|
| Name of Feared Country | ||
| Feared Country Name | Text |
Enter the name of the country you fear living in or returning to.
|
| Ninth Brother or Sister Details | ||
| Ninth Brother/Sister's Name | Text |
Enter the full name of the ninth brother or sister.
|
| Ninth Brother/Sister's Sex | Text |
Enter the sex of the ninth brother or sister, using M for male, F for female, or X for unspecified.
|
| Ninth Brother/Sister's Date of Birth | Date |
Enter the date of birth for the ninth brother or sister.
|
| Ninth Brother/Sister's Relationship Status | Combobox |
Enter the current relationship status of the ninth brother or sister using the provided codes on the right.
D
MT
N
MR
F
M
E
S
W
|
| Ninth Brother/Sister's Place and Country of Birth | Text |
Enter the place and country where the ninth brother or sister was born.
|
| Ninth Brother/Sister's Relationship to Applicant | Combobox |
Enter the relationship of the ninth brother or sister to the main applicant using the provided codes on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Ninth Brother/Sister's Current Country of Residence | Text |
Enter the country where the ninth brother or sister is currently living, or 'DECEASED' or 'UNKNOWN' if applicable.
|
| Ninth Brother/Sister's Status in Country of Residence | Combobox |
Enter the immigration status of the ninth brother or sister in their country of residence using the provided codes on the right.
I
V
A
R
O
TR
C
S
PR
|
| Ninth Other Applicant Details | ||
| Ninth Other Applicant Given Names | Text |
Enter the given names of the ninth other applicant.
|
| Ninth Other Applicant Additional Given Names | Text |
Enter any additional given names for the ninth other applicant.
|
| Ninth Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan to which the ninth other applicant belongs.
|
| Ninth Other Applicant Religion | Text |
Enter the religion of the ninth other applicant, if applicable.
|
| Ninth Other Applicant Political Party/Group Membership | Text |
Enter any political party or group membership for the ninth other applicant, if applicable.
|
| Ninth Other Applicant Education | ||
| Ninth Other Applicant Highest Educational Qualification Obtained | Number |
Provide the highest educational qualification obtained by the ninth other applicant.
|
| Ninth Other Applicant Language | ||
| m9.lang more | Text | |
| Ninth Sibling Details | ||
| Ninth Sibling's Name | Text |
Enter the full name of your partner's ninth sibling.
|
| Ninth Sibling's Sex | Text |
Enter the sex of your partner's ninth sibling, using M for Male, F for Female, or X for unspecified.
|
| Ninth Sibling's Date of Birth - Day | Text |
Enter the day of birth for your partner's ninth sibling.
|
| Ninth Sibling's Date of Birth - Month | Combobox |
Enter the month of birth for your partner's ninth sibling.
D
MT
N
MR
F
M
E
S
W
|
| Ninth Sibling's Date of Birth - Year | Text |
Enter the year of birth for your partner's ninth sibling.
|
| Ninth Sibling's Relationship Status | Combobox |
Enter the relationship status code for your partner's ninth sibling, referring to the 'Relationship status' codes on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Ninth Sibling's Place and Country of Birth | Text |
Enter the place and country where your partner's ninth sibling was born.
|
| Ninth Sibling's Relationship to Main Applicant's Partner | Combobox |
Enter the relationship code of your partner's ninth sibling to the main applicant's partner, referring to the 'Relationship to main applicant's partner' codes on the right.
I
V
A
R
O
TR
C
S
PR
|
| Non-biological Children Declaration | ||
| Non-biological Children Declaration No | Checkbox |
Check this box if there are no children included in this application who are not the biological children of either you (the main applicant) or your partner.
|
| Non-biological Children Declaration Yes | Checkbox |
Check this box if there are children included in this application who are not the biological children of either you (the main applicant) or your partner.
|
| Number of People in Application | ||
| Number of People Included in Application | Text |
Enter the total number of people included in this application.
|
| Other Relationship Information | ||
| Other Relationship No | Checkbox |
Check this box if you are not currently in any other form of a relationship (e.g., boyfriend/girlfriend) after having indicated 'never married', 'been in a de facto relationship', or 'engaged to be married'.
|
| Other Relationship Yes | Checkbox |
Check this box if you are currently in another form of a relationship (e.g., boyfriend/girlfriend) after having indicated 'never married', 'been in a de facto relationship', or 'engaged to be married'.
|
| Other Relationship Details | Text |
Provide details regarding any other relationships or multiple partners not already specified.
|
| Outstanding Debts to Australian Government | ||
| Outstanding Debts to Australian Government No | Checkbox |
Check this box if you do not have any outstanding debts to the Australian Government or any public authority in Australia.
|
| Outstanding Debts to Australian Government Yes | Checkbox |
Check this box if you have any outstanding debts to the Australian Government or any public authority in Australia.
|
| Partner Signature Date | ||
| Partner Signature Date Day | Date |
Enter the day the partner signed or marked the declaration.
|
| Partner Signature Day | Text |
Enter the day the partner signed the form.
|
| Partner's Mother's Maiden Name | ||
| Partner's Mother's Maiden Name | Text |
Enter your partner's mother's maiden name.
|
| Passport Photographs Attachment | ||
| Passport Photographs Attached | Checkbox |
Check this box if you have attached two (2) recent passport-size photographs for each person included in your application, with the full name of the person written on the back of each photograph.
|
| Past or Present Links to Australia Declaration | ||
| ap.aus link_no | CheckBox | |
| Yes, Past or Present Links | Checkbox |
Check this box if any people included in the application have past or present links to Australia and further details will be provided.
|
| Payment for Assistance Confirmation | ||
| No, did not pay for assistance | Checkbox |
Check this box if you did not pay the person or agent, or give a gift for the assistance received.
|
| Yes, paid for assistance | Checkbox |
Check this box if you paid the person or agent, or gave a gift for the assistance received.
|
| Person 3 Biological Relationship Details | ||
| Person 3 No Biological Relationship | Checkbox |
Check this box if Person 3 is not biologically related to the main applicant.
|
| Person 3 Non-Biological Relationship Explanation | Text |
Explain how Person 3 is related to the main applicant if their relationship is not biological.
|
| Person 3 Yes Biological Relationship | Checkbox |
Check this box if Person 3 is biologically related to the main applicant.
|
| Person 3 Precise Biological Relationship | Text |
Describe the precise biological relationship of Person 3 to the main applicant.
|
| Person 3 Citizenship | ||
| Person 3 Citizenship | Text |
Provide the country of citizenship for Person 3, or if stateless, their previous country of citizenship.
|
| Person 3 Date of Birth | ||
| Person 3 Date of Birth Day | Text |
Enter the day of birth for Person 3.
|
| Person 3 Name | ||
| Person 3 Family Name | Text |
Please provide the family name for Person 3.
|
| Person 3 Given Names | Text |
Please provide the given names for Person 3.
|
| Person 3 Place of Birth | ||
| m.birth town 3 | Text | |
| m.birth cntry 3 | Text | |
| Person 3 Relationship Status | ||
| Person 3 Married Legally | Checkbox |
Check this box if Person 3 is legally married.
|
| Person 3 Married by Tradition/Custom | Checkbox |
Check this box if Person 3 is married by tradition or custom.
|
| Person 3 Married Religiously | Checkbox |
Check this box if Person 3 is married religiously.
|
| Person 3 Engaged | Checkbox |
Check this box if Person 3 is engaged.
|
| Person 3 De Facto | Checkbox |
Check this box if Person 3 is in a de facto relationship.
|
| Person 3 Separated | Checkbox |
Check this box if Person 3 is separated.
|
| Person 3 Divorced | Checkbox |
Check this box if Person 3 is divorced.
|
| Person 3 Widowed | Checkbox |
Check this box if Person 3 is widowed.
|
| Person 3 Never Married or Been in a De Facto Relationship | Checkbox |
Check this box if Person 3 has never been married or in a de facto relationship.
|
| Person 3 Relationship to Main Applicant | ||
| Person 3 Relationship to Main Applicant | Text |
Provide the relationship of Person 3 to the main applicant.
|
| Person 3 Sex | ||
| Person 3 Male | Checkbox |
Check this box if Person 3 is male.
|
| Person 3 Female | Checkbox |
Check this box if Person 3 is female.
|
| Person 3 Indeterminate / Intersex / Unspecified | Checkbox |
Check this box if Person 3's sex is indeterminate, intersex, or unspecified.
|
| Person 4 Biological Relationship Details | ||
| Person 4 Not Biologically Related | Checkbox |
Check this box if Person 4 is not biologically related to the main applicant.
|
| Person 4 Non-Biological Relationship Explanation | Text |
Please explain how Person 4 is related to the main applicant if they are not biologically related.
|
| Person 4 Biologically Related | Checkbox |
Check this box if Person 4 is biologically related to the main applicant.
|
| Person 4 Precise Biological Relationship | Text |
Please describe the precise biological relationship of Person 4 to the main applicant.
|
| Person 4 Citizenship | ||
| Person 4 Citizenship | Text |
Enter the citizenship for Person 4. If stateless, please provide your previous country of citizenship.
|
| Person 4 Date of Birth | ||
| Person 4 Day of Birth | Number |
Enter the day of birth for Person 4.
|
| Person 4 Name | ||
| Person 4 Family Name | Text |
Please enter the family name for Person 4.
|
| Person 4 Given Names | Text |
Please enter the given names for Person 4.
|
| Person 4 Place of Birth | ||
| Person 4 Place of Birth Town/City | Text |
Enter the town or city where Person 4 was born.
|
| Person 4 Place of Birth Country | Text |
Enter the country where Person 4 was born.
|
| Person 4 Relationship Status | ||
| m.rel status mar 4 | CheckBox | |
| Person 4 Married by tradition/custom | Checkbox |
Check this box if Person 4 is married according to tradition or custom.
|
| Person 4 Married religiously | Checkbox |
Check this box if Person 4 is married religiously.
|
| Person 4 Engaged | Checkbox |
Check this box if Person 4 is engaged to be married.
|
| Person 4 De facto | Checkbox |
Check this box if Person 4 is in a de facto relationship.
|
| Person 4 Separated | Checkbox |
Check this box if Person 4 is separated from their spouse.
|
| Person 4 Divorced | Checkbox |
Check this box if Person 4 is divorced.
|
| Person 4 Widowed | Checkbox |
Check this box if Person 4 is widowed.
|
| Person 4 Never married or been in a de facto relationship | Checkbox |
Check this box if Person 4 has never been married or been in a de facto relationship.
|
| Person 4 Relationship to Main Applicant | ||
| Person 4 Relationship to Main Applicant | Text |
Enter the relationship of Person 4 to the main applicant.
|
| Person 4 Sex | ||
| Person 4 Male | Checkbox |
Check this box if Person 4 is male.
|
| Person 4 Female | Checkbox |
Check this box if Person 4 is female.
|
| Person 4 Indeterminate/Intersex/Unspecified | Checkbox |
Check this box if Person 4's sex is indeterminate, intersex, or unspecified.
|
| Person 5 Biological Relationship Details | ||
| Person 5 Not Biologically Related | Checkbox |
Check this box if Person 5 is not biologically related to the main applicant.
|
| Person 5 Non-Biological Relationship Explanation | Text |
Provide a detailed explanation of how this person is related to the main applicant if they are not biologically related.
|
| Person 5 Is Biologically Related | Checkbox |
Check this box if Person 5 is biologically related to the main applicant.
|
| Person 5 Precise Biological Relationship | Text |
Provide a precise description of this person's biological relationship to the main applicant.
|
| Person 5 Citizenship | ||
| Person 5 Citizenship | Text |
Enter the current citizenship of Person 5; if stateless, enter their previous country of citizenship.
|
| Person 5 Date of Birth | ||
| Person 5 Day of Birth | Text |
Enter the day of birth for Person 5.
|
| Person 5 Name | ||
| Person 5 Family Name | Text |
Enter the family name for Person 5.
|
| Person 5 Given Names | Text |
Enter the given names for Person 5.
|
| Person 5 Place of Birth | ||
| m.birth town 5 | Text | |
| m.birth cntry 5 | Text | |
| Person 5 Relationship Status | ||
| Person 5 Married Legally | Checkbox |
Check this box if Person 5 is legally married.
|
| Person 5 Married by Tradition or Custom | Checkbox |
Check this box if Person 5 is married by tradition or custom.
|
| Person 5 Married Religiously | Checkbox |
Check this box if Person 5 is married religiously.
|
| Person 5 Engaged | Checkbox |
Check this box if Person 5 is engaged.
|
| Person 5 De Facto | Checkbox |
Check this box if Person 5 is in a de facto relationship.
|
| Person 5 Separated | Checkbox |
Check this box if Person 5 is separated.
|
| Person 5 Divorced | Checkbox |
Check this box if Person 5 is divorced.
|
| Person 5 Widowed | Checkbox |
Check this box if Person 5 is widowed.
|
| Person 5 Never Married or Been in a De Facto Relationship | Checkbox |
Check this box if Person 5 has never been married or in a de facto relationship.
|
| Person 5 Relationship to Main Applicant | ||
| Person 5 Relationship to Main Applicant | Text |
Please provide the relationship of Person 5 to the main applicant.
|
| Person 5 Sex | ||
| Person 5 Male | Checkbox |
Check this box if Person 5 is male.
|
| Person 5 Female | Checkbox |
Check this box if Person 5 is female.
|
| Person 5 Indeterminate/Intersex/Unspecified | Checkbox |
Check this box if Person 5's sex is indeterminate, intersex, or unspecified.
|
| Person 6 Biological Relationship Details | ||
| Person 6 - No, not biologically related | Checkbox |
Check this box if Person 6 is not biologically related to the main applicant.
|
| Person 6 Non-Biological Relationship Explanation | Text |
Provide a detailed explanation of Person 6's relationship to the main applicant, assuming the relationship is not biological.
|
| Person 6 - Yes, biologically related | Checkbox |
Check this box if Person 6 is biologically related to the main applicant.
|
| Person 6 Precise Biological Relationship Description | Text |
Describe the precise biological relationship of Person 6 to the main applicant.
|
| Person 6 Citizenship | ||
| Person 6 Citizenship | Text |
Enter the country of citizenship for Person 6. If Person 6 is stateless, enter their previous country of citizenship.
|
| Person 6 Date of Birth | ||
| Person 6 Date of Birth Day | Text |
Enter the day of Person 6's date of birth.
|
| Person 6 Name | ||
| Person 6 Family Name | Text |
Enter the family name of Person 6.
|
| Person 6 Given Names | Text |
Enter the given names of Person 6.
|
| Person 6 Place of Birth | ||
| Person 6 Place of Birth Town/City | Text |
Please enter the town or city where Person 6 was born.
|
| Person 6 Place of Birth Country | Text |
Please enter the country where Person 6 was born.
|
| Person 6 Relationship Status | ||
| Person 6 Married legally | Checkbox |
Check this box if Person 6 is legally married.
|
| Person 6 Married by tradition/custom | Checkbox |
Check this box if Person 6 is married according to tradition or custom.
|
| Person 6 Married religiously | Checkbox |
Check this box if Person 6 is married religiously.
|
| Person 6 Engaged | Checkbox |
Check this box if Person 6 is engaged.
|
| Person 6 De facto | Checkbox |
Check this box if Person 6 is in a de facto relationship.
|
| Person 6 Separated | Checkbox |
Check this box if Person 6 is separated.
|
| Person 6 Divorced | Checkbox |
Check this box if Person 6 is divorced.
|
| Person 6 Widowed | Checkbox |
Check this box if Person 6 is widowed.
|
| Person 6 Never married or been in a de facto relationship | Checkbox |
Check this box if Person 6 has never been married or has never been in a de facto relationship.
|
| Person 6 Relationship to Main Applicant | ||
| Person 6 Relationship to Main Applicant | Text |
Enter the relationship of Person 6 to the main applicant.
|
| Person 6 Sex | ||
| Person 6 Sex Male | Checkbox |
Check this box if Person 6 is male.
|
| Person 6 Sex Female | Checkbox |
Check this box if Person 6 is female.
|
| Person 6 Sex Indeterminate / Intersex / Unspecified | Checkbox |
Check this box if Person 6's sex is indeterminate, intersex, or unspecified.
|
| Person 76 First Employment Details | ||
| Person 76 First Employment From Day | Text |
Enter the day of the start date for the first employment.
|
| Person 76 First Employment To Day | Text |
Enter the day of the end date for the first employment.
|
| Person 76 First Employment From Month | Text |
Enter the month of the start date for the first employment.
|
| Person 76 First Employment From Year | Text |
Enter the year of the start date for the first employment.
|
| Person 76 First Employment Employer Name | Text |
Enter the name of the employer for the first employment.
|
| Person 76 First Employment Employer Location | Text |
Enter the location of the employer for the first employment.
|
| Person 76 Name | ||
| Person 76 Name | Text |
Please enter the full name of Person 76.
|
| Person 76 Second Employment Details | ||
| Person 76 Second Employment From Day | Text |
Enter the starting day of employment for Person 76's second employment.
|
| Person 76 Second Employment To Day | Text |
Enter the ending day of employment for Person 76's second employment.
|
| Person 76 Second Employment Month | Text |
Enter the month of employment for Person 76's second employment period.
|
| Person 76 Second Employment Year | Text |
Enter the year of employment for Person 76's second employment period.
|
| Person 76 Second Employment Employer Name | Text |
Enter the name of the employer for Person 76's second employment period.
|
| Person 76 Second Employment Employer Location | Text |
Enter the location of the employer for Person 76's second employment period.
|
| Person 76 Third Employment Details | ||
| Third Employment Start Day | Text |
Enter the day the person's third employment started.
|
| Third Employment End Day | Text |
Enter the day the person's third employment ended.
|
| Third Employment Start Month | Text |
Enter the month the person's third employment started.
|
| Third Employment Start Year | Text |
Enter the year the person's third employment started.
|
| Third Employment Employer Name | Text |
Enter the name of the employer for the person's third employment.
|
| Third Employment Employer Location | Text |
Enter the location of the employer for the person's third employment.
|
| Person 96 First Employment Details | ||
| Person 96 First Employment Start Day | Text |
Provide the day of the month when Person 96's first employment began.
|
| Person 96 First Employment End Day | Text |
Provide the day of the month when Person 96's first employment concluded.
|
| Person 96 First Employment Start Month | Text |
Provide the month when Person 96's first employment began.
|
| Person 96 First Employment Start Year | Text |
Provide the year when Person 96's first employment began.
|
| Person 96 First Employer Name | Text |
Provide the full name of the employer for Person 96's first employment.
|
| Person 96 First Employer Location | Text |
Provide the location of the employer for Person 96's first employment.
|
| Person 96 Name | ||
| Person 96 Name | Text |
Enter the full name of Person 96.
|
| Person 96 Second Employment Details | ||
| Second Employment Start Day | Text |
Please enter the day of the month when the second employment period began.
|
| Second Employment Start Month | Text |
Please enter the month when the second employment period began.
|
| Second Employment Employer Name | Text |
Please enter the full name of the employer for the second employment period.
|
| Second Employment Employer Location | Text |
Please enter the location of the employer for the second employment period.
|
| Second Employment Business Type | Text |
Please enter the type of business conducted by the employer for the second employment period.
|
| Second Employment Occupation and Duties | Text |
Please describe your occupation and main duties performed during the second employment period.
|
| Person 96 Third Employment Details | ||
| Third Employment From Day | Text |
Enter the day the third employment started.
|
| Third Employment To Day | Text |
Enter the day the third employment ended.
|
| Third Employment From Month | Text |
Enter the month the third employment started.
|
| Third Employment To Month | Text |
Enter the month the third employment ended.
|
| Third Employment From Year | Text |
Enter the year the third employment started.
|
| Third Employment To Year | Text |
Enter the year the third employment ended.
|
| Person A5 First Employment Details | ||
| Person A5 First Employment From Day | Text |
Enter the day the first employment for Person A5 started.
|
| Person A5 First Employment To Day | Text |
Enter the day the first employment for Person A5 ended.
|
| Person A5 First Employer Name | Text |
Enter the name of the employer for the first employment period of Person A5.
|
| Person A5 First Employer Location | Text |
Enter the location of the employer for the first employment period of Person A5.
|
| Person A5 First Business Type | Text |
Enter the type of business for the employer during the first employment period of Person A5.
|
| Person A5 First Occupation and Duties | Text |
Enter the occupation and main duties performed during the first employment period for Person A5.
|
| Person A5 Fourth Employment Details | ||
| Person A5 Fourth Employment From Day | Text |
Enter the day of the month when the Person A5's fourth employment period started.
|
| Person A5 Fourth Employment To Day | Text |
Enter the day of the month when the Person A5's fourth employment period ended.
|
| Person A5 Fourth Employer Name | Text |
Enter the name of the employer for Person A5's fourth employment period.
|
| Person A5 Fourth Employer Location | Text |
Enter the location of the employer for Person A5's fourth employment period.
|
| Person A5 Fourth Type of Business | Text |
Enter the type of business of the employer for Person A5's fourth employment period.
|
| Person A5 Fourth Occupation and Main Duties | Text |
Enter the occupation and main duties performed during Person A5's fourth employment period.
|
| Person A5 Name | ||
| Person A5 Name | Text |
Please enter the full name of Person A5.
|
| Person A5 Second Employment Details | ||
| A5 Second Employment From Day | Text |
Please provide the day the second employment started.
|
| A5 Second Employment To Day | Text |
Please provide the day the second employment ended.
|
| A5 Second Employment Employer Name | Text |
Please provide the name of the employer for the second employment.
|
| A5 Second Employment Employer Location | Text |
Please provide the location of the employer for the second employment.
|
| A5 Second Employment Business Type | Text |
Please provide the type of business for the second employment.
|
| A5 Second Employment Occupation and Duties | Text |
Please provide your occupation and main duties for the second employment.
|
| Person A5 Third Employment Details | ||
| Person A5 Third Employment From Year | Text |
Provide the starting year of the Person A5's third employment.
|
| Person A5 Third Employment To Year | Text |
Provide the ending year of the Person A5's third employment.
|
| Person A5 Third Employer Name | Text |
Provide the name of the Person A5's third employer.
|
| Person A5 Third Employer Location | Text |
Provide the location of the Person A5's third employer.
|
| Person A5 Third Business Type | Text |
Provide the type of business of the Person A5's third employer.
|
| Person A5 Third Occupation and Duties | Text |
Provide the occupation and main duties performed by Person A5 during their third employment.
|
| Person A6 Details | ||
| A6 Given Names | Text |
Please enter the given names for Person A6.
|
| A6 No Travel/Identity Document | Checkbox |
Check this box if Person A6 does not have a travel or identity document, and you will attach a statement explaining what happened to their documents.
|
| A6 Yes Travel/Identity Document | Checkbox |
Check this box if Person A6 has a travel or identity document, and you will provide its details.
|
| A6 Document Type | Combobox |
Please enter the type of travel or identity document for Person A6.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| A6 Passport Number | Text |
Please enter the passport number or other document number for Person A6.
|
| A6 Country of Issue | Text |
Please enter the country where Person A6's document was issued.
|
| A6 Date of Issue | Date |
Please enter the date when Person A6's document was issued.
|
| A6 Date of Expiry | Date |
Please enter the date when Person A6's document expires.
|
| A6 Issuing Authority/Place | Text |
Please enter the issuing authority or place of issue for Person A6's document as shown on the document.
|
| Person A6 First Employment Details | ||
| A6 First Employment Start Day | Text |
Enter the day the first employment for Person A6 started.
|
| A6 First Employment End Day | Text |
Enter the day the first employment for Person A6 ended.
|
| A6 First Employment Employer Name | Text |
Enter the name of the employer for Person A6's first employment.
|
| A6 First Employment Employer Location | Text |
Enter the location of the employer for Person A6's first employment.
|
| A6 First Employment Business Type | Text |
Enter the type of business for Person A6's first employment.
|
| A6 First Employment Occupation and Duties | Text |
Enter the occupation and main duties for Person A6's first employment.
|
| Person A6 Fourth Employment Details | ||
| Person A6 Fourth Employment Start Day | Text |
Please provide the day of the start date for this fourth employment period.
|
| Person A6 Fourth Employment End Day | Text |
Please provide the day of the end date for this fourth employment period.
|
| Person A6 Fourth Employment Start Month | Text |
Please provide the month of the start date for this fourth employment period.
|
| Person A6 Fourth Employment Start Year | Text |
Please provide the year of the start date for this fourth employment period.
|
| Person A6 Fourth Employment Employer Name | Text |
Please provide the name of the employer for this fourth employment period.
|
| Person A6 Fourth Employment Employer Location | Text |
Please provide the location of the employer for this fourth employment period.
|
| Person A6 Name | ||
| A6 Name | Text |
Enter the full name of Person A6.
|
| Person A6 Second Employment Details | ||
| A6 Second Employment From Day | Text |
Enter the day of the start date for the A6 second employment.
|
| A6 Second Employment To Day | Text |
Enter the day of the end date for the A6 second employment.
|
| A6 Second Employment Employer Name | Text |
Enter the name of the employer for the A6 second employment.
|
| A6 Second Employment Employer Location | Text |
Enter the location of the employer for the A6 second employment.
|
| A6 Second Employment Business Type | Text |
Enter the type of business for the A6 second employment.
|
| A6 Second Employment Occupation and Duties | Text |
Enter the occupation and main duties for the A6 second employment.
|
| Person A6 Third Employment Details | ||
| Person A6 Third Employment Start Day | Text |
Provide the day when the third employment started.
|
| Person A6 Third Employment End Day | Text |
Provide the day when the third employment ended.
|
| Person A6 Third Employment Employer Name | Text |
Provide the name of the employer for the third employment.
|
| Person A6 Third Employment Employer Location | Text |
Provide the location of the employer for the third employment.
|
| Person A6 Third Employment Business Type | Text |
Provide the type of business for the third employment.
|
| Person A6 Third Employment Occupation and Duties | Text |
Provide the occupation and main duties performed during the third employment.
|
| Person A7 Details | ||
| Person A7 Given Names | Text |
Enter the given names for Person A7.
|
| A7 No Travel Document - Attach Statement | Checkbox |
Check this box if Person A7 does not have a travel or identity document and you are attaching a statement explaining what happened to their documents.
|
| A7 Yes Travel Document - Give Details | Checkbox |
Check this box if Person A7 has a travel or identity document and you will provide its details.
|
| Person A7 Document Type | Combobox |
Enter the type of travel or identity document for Person A7, using the provided codes.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| Person A7 Passport Number | Text |
Enter the passport number or other travel/identity document number for Person A7.
|
| Person A7 Country of Issue | Text |
Enter the country where the travel or identity document for Person A7 was issued.
|
| Person A7 Date of Issue | Date |
Enter the date when the travel or identity document for Person A7 was issued.
|
| Person A7 Date of Expiry | Date |
Enter the date when the travel or identity document for Person A7 will expire.
|
| Person A7 Issuing Authority | Text |
Enter the issuing authority or place of issue for the travel or identity document for Person A7, as it appears on the document.
|
| Person A7 First Employment Details | ||
| A7 First Employment From Day | Text |
Enter the day when the first employment started.
|
| A7 First Employment To Day | Text |
Enter the day when the first employment ended.
|
| A7 First Employment From Month | Text |
Enter the month when the first employment started.
|
| A7 First Employment To Month | Text |
Enter the month when the first employment ended.
|
| A7 First Employment From Year | Number |
Enter the year when the first employment started.
|
| A7 First Employment To Year | Number |
Enter the year when the first employment ended.
|
| Person A7 Fourth Employment Details | ||
| A7 Fourth Employment From Day | Text |
Provide the day the fourth employment for Person A7 started.
|
| A7 Fourth Employment To Day | Text |
Provide the day the fourth employment for Person A7 ended.
|
| A7 Fourth Employment From Month | Text |
Provide the month the fourth employment for Person A7 started.
|
| A7 Fourth Employment To Month | Text |
Provide the month the fourth employment for Person A7 ended.
|
| A7 Fourth Employment From Year | Text |
Provide the year the fourth employment for Person A7 started.
|
| A7 Fourth Employment To Year | Text |
Provide the year the fourth employment for Person A7 ended.
|
| Person A7 Name | ||
| Person A7 Name | Text |
Enter the full name of Person A7.
|
| Person A7 Second Employment Details | ||
| A7 Second Employment From Day | Text |
Enter the day the second employment for Person A7 started.
|
| A7 Second Employment To Day | Text |
Enter the day the second employment for Person A7 ended.
|
| A7 Second Employment Employer Name | Text |
Provide the name of the employer for the second employment of Person A7.
|
| A7 Second Employment Employer Location | Text |
Provide the location of the employer for the second employment of Person A7.
|
| A7 Second Employment Business Type | Text |
Specify the type of business for the second employment of Person A7.
|
| A7 Second Employment Occupation and Duties | Text |
Describe the occupation and main duties for the second employment of Person A7.
|
| Person A7 Third Employment Details | ||
| A7 Third Employment From Month | Text |
Enter the starting month of the A7 third employment period.
|
| A7 Third Employment From Year | Text |
Enter the starting year of the A7 third employment period.
|
| A7 Third Employer Name | Text |
Enter the name of the employer for the A7 third employment period.
|
| A7 Third Employer Location | Text |
Enter the location of the employer for the A7 third employment period.
|
| A7 Third Employer Business Type | Text |
Enter the type of business for the A7 third employment period.
|
| A7 Third Employer Occupation and Duties | Text |
Enter the occupation and main duties for the A7 third employment period.
|
| Physical Separation Status | ||
| No | Checkbox |
Check this box if no person included in this application is physically separated from you.
|
| Yes | Checkbox |
Check this box if any person included in this application is physically separated from you.
|
| Postal Address | ||
| Postal Address Street | Text |
Provide the street number, street name, and any unit or apartment number for your postal address. If it's the same as your residential address, write 'AS ABOVE'.
|
| Postal Address City/Suburb | Text |
Provide the city or suburb of your postal address.
|
| Postal Address Postal Code | Text |
Provide the postal code for your postal address.
|
| Previous Application to Other Countries | ||
| No | Checkbox |
Check this box if no person included in this application has applied to migrate to another country, or applied for refugee resettlement or asylum in any country.
|
| Yes | Checkbox |
Check this box if any person included in this application has applied to migrate to another country, or applied for refugee resettlement or asylum in any country, and provide details below.
|
| Previous Marriage/Divorce/Death Certificates Attachment | ||
| Q9 Previous Marriage/Divorce/Death Certificates Attached | Checkbox |
Check this box if you have attached certified copies of previous marriage or divorce papers, or death certificates, as applicable.
|
| Previous Marriage/Relationship History | ||
| No | Checkbox |
Check this box if neither you nor any other person included in this visa application has previously been legally married, in a de facto relationship, or in a customary/traditional/religious marriage that is not legally recognised.
|
| Yes | Checkbox |
Check this box if you or any other person included in this visa application has previously been legally married, in a de facto relationship, or in a customary/traditional/religious marriage that is not legally recognised.
|
| Previous Visa Application Inquiry | ||
| No | Checkbox |
Check this box if no person included in this application has ever applied for an Australian visa (permanent or temporary) before.
|
| Yes | Checkbox |
Check this box if any person included in this application has ever applied for an Australian visa (permanent or temporary) before.
|
| Prior Travel Inquiry | ||
| Prior Travel Inquiry No | Checkbox |
Check this box if you did not travel through or stay in any other countries before arriving in your current country of residence.
|
| Prior Travel Inquiry Yes | Checkbox |
Check this box if you did travel through or stay in other countries before arriving in your current country of residence.
|
| Proposed Entry Inquiry | ||
| No | Checkbox |
Check this box if no person included in this application is being proposed for entry to Australia.
|
| Yes | Checkbox |
Check this box if any person included in this application is being proposed for entry to Australia.
|
| Proposer's Personal Details | ||
| Proposer's Family Name | Text |
Enter the family name of the proposer or approved proposing organisation.
|
| Proposer's Given Names | Text |
Enter the given names of the proposer or approved proposing organisation.
|
| Proposer's Telephone Number | ||
| Proposer's Telephone Number Area Code | Text |
Enter the area code for the proposer's telephone number.
|
| Proposer's Telephone Number Main Part | Text |
Enter the main part of the proposer's telephone number.
|
| Proposing Organisation Details | ||
| Proposing Organisation Name | Text |
Enter the full name of the proposing organisation.
|
| Proposing Organisation Contact Person | Text |
Enter the name of the contact person for the proposing organisation.
|
| Reason for Fearing Return | ||
| Detailed Reason for Fear of Return | Text |
Provide a detailed explanation of why you fear living in or returning to the specified country, focusing on personal experiences rather than general country conditions.
|
| Relationship History Details | ||
| Date Relationship Happened | Date |
Enter the date this relationship happened.
|
| Place Relationship Happened | Text |
Enter the place where this relationship happened.
|
| Previous Name (if applicable) | Text |
Enter your previous name if applicable.
|
| Relationship of Proposer | ||
| Relationship of Proposer to You | Text |
Enter the relationship of the proposer to you.
|
| Relationship Status | ||
| ap.rel status mar | CheckBox | |
| ap.rel status mar tra | CheckBox | |
| ap.rel status mar rel | CheckBox | |
| ap.rel status eng | CheckBox | |
| ap.rel status def | CheckBox | |
| ap.rel status sep | CheckBox | |
| ap.rel status div | CheckBox | |
| ap.rel status wid | CheckBox | |
| ap.rel status never | CheckBox | |
| Relatives Residing in Australia Declaration | ||
| No Relatives Residing in Australia | Checkbox |
Check this box if no people included in this application have any other relatives residing in Australia.
|
| Yes Relatives Residing in Australia | Checkbox |
Check this box if any people included in this application have other relatives residing in Australia and you need to provide details.
|
| Relatives with Current Visa Applications Inquiry | ||
| Relatives Inquiry No | Checkbox |
Check this box if you or your partner do not have any relatives (not included in this visa application) who have current Australian visa applications under consideration.
|
| Relatives Inquiry Yes | Checkbox |
Check this box if you or your partner have relatives (not included in this visa application) who have current Australian visa applications under consideration.
|
| Removal, Deportation, or Exclusion History | ||
| No, Removed, Deported, or Excluded | Checkbox |
Check this box if you or any other person included in this application has NOT been removed, deported, or excluded from any country (including Australia).
|
| Yes, Removed, Deported, or Excluded | Checkbox |
Check this box if you or any other person included in this application HAS been removed, deported, or excluded from any country (including Australia).
|
| Residential Address | ||
| Residential Address Line 1 | Text |
Enter the first line of your residential address.
|
| Residential Address Line 2 | Text |
Enter the second line of your residential address.
|
| Residential Address Line 3 | Text |
Enter the third line of your residential address, typically the suburb, city, or state.
|
| Residential Postal Code | Text |
Enter the postal code for your residential address.
|
| Second Accompanying Person Signature Date | ||
| Second Accompanying Person Signature Date | Date |
Enter the date the second accompanying person signed the declaration.
|
| Second Applicant Name | ||
| Second Applicant Name | Text |
Provide the full name of the second applicant.
|
| Second Brother or Sister Details | ||
| Second Brother or Sister Name | Text |
Provide the full name of the second brother or sister.
|
| Second Brother or Sister Sex | Text |
Indicate the sex of the second brother or sister, using M for male, F for female, or X if not specified.
|
| Second Brother or Sister Birth Day | Text |
Enter the day of birth for the second brother or sister.
|
| Second Brother or Sister Birth Month | Combobox |
Enter the month of birth for the second brother or sister.
D
MT
N
MR
F
M
E
S
W
|
| Second Brother or Sister Birth Year | Text |
Enter the year of birth for the second brother or sister.
|
| Second Brother or Sister Relationship Status | Combobox |
Provide the relationship status of the second brother or sister, using the codes provided on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Second Brother or Sister Place and Country of Birth | Text |
Enter the place and country of birth for the second brother or sister.
|
| Second Brother or Sister Relationship to Main Applicant | Combobox |
State the relationship of the second brother or sister to the main applicant, using the codes provided on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Second Camp/Centre Details | ||
| Second Camp/Centre Name | Text |
Enter the name of the second camp or centre.
|
| Second Camp/Centre Location | Text |
Enter the location of the second camp or centre.
|
| Second Camp/Centre Administrator | Text |
Enter the name of the person or organization who ran the second camp or centre.
|
| Second Camp/Centre From Day | Text |
Enter the day the person started living in the second camp or centre.
|
| Second Camp/Centre To Day | Text |
Enter the day the person stopped living in the second camp or centre.
|
| Second Camp/Centre Residents | Text |
Enter the given names of people included in this application who lived in the second camp or centre, or write 'ALL' if all of them lived there.
|
| Second Child's Details | ||
| Second Child's Family Name | Text |
Enter the family name of the second child.
|
| Second Child's Given Names | Text |
Enter the given names of the second child.
|
| Second Child's Date of Birth | Date |
Enter the date of birth of the second child.
|
| Second Child's Relationship to Applicant | Text |
State the second child's relationship to the main applicant or partner.
|
| Second Child's Biological Father's Full Name | Text |
Enter the full name of the second child's biological father.
|
| Second Child's Biological Mother's Full Name | Text |
Enter the full name of the second child's biological mother.
|
| Second Child's Biological Parents Whereabouts | Text |
Provide details on the whereabouts of the second child's biological parents, especially if they are deceased or unknown.
|
| Second Child Adopted: No | Checkbox |
Check this box if the second child has not been adopted (formally, customarily or traditionally) by the main applicant and/or partner.
|
| Second Child Adopted: Yes | Checkbox |
Check this box if the second child has been adopted (formally, customarily or traditionally) by the main applicant and/or partner.
|
| Second Child's Custody Commencement Date | Date |
Enter the date when custody of the second child commenced.
|
| Second Dependant Details | ||
| Second Dependant Family Name | Text |
Enter the family name of the second dependant.
|
| Second Dependant Given Names | Text |
Enter the given names of the second dependant.
|
| Second Dependant Birth Year | Text |
Enter the birth year of the second dependant.
|
| Second Dependant Relationship | Text |
Enter the second dependant's relationship to you.
|
| Second Dependant Reason Not Applying | Text |
Provide details and explain why the second dependant is not applying with you.
|
| Second Dependent Applicant Signature | ||
| Second Dependent Applicant Name | Text |
Enter the full name of the second dependent applicant.
|
| Second Employment Record for Fourth Applicant | ||
| Fourth Applicant Second Employment From Day | Text |
Provide the starting day of the fourth applicant's second employment period.
|
| Fourth Applicant Second Employment To Day | Text |
Provide the ending day of the fourth applicant's second employment period.
|
| Fourth Applicant Second Employment Employer Name | Text |
Enter the name of the employer for the fourth applicant's second employment period.
|
| Fourth Applicant Second Employment Employer Location | Text |
Enter the location of the employer for the fourth applicant's second employment period.
|
| Fourth Applicant Second Employment Business Type | Text |
Enter the type of business for the fourth applicant's second employment period.
|
| Fourth Applicant Second Employment Occupation and Duties | Text |
Describe the occupation and main duties performed by the fourth applicant during their second employment period.
|
| Second Employment Record for Main Applicant | ||
| Second Employment From Day | Text |
Enter the starting day of the second employment period for the main applicant.
|
| Second Employment To Day | Text |
Enter the ending day of the second employment period for the main applicant.
|
| Second Employment Employer Name | Text |
Enter the name of the employer for the second employment period of the main applicant.
|
| Second Employment Employer Location | Text |
Enter the location of the employer for the second employment period of the main applicant.
|
| Second Employment Business Type | Text |
Enter the type of business of the employer for the second employment period of the main applicant.
|
| Second Employment Occupation and Duties | Text |
Enter the occupation and main duties performed for the second employment period of the main applicant.
|
| Second Employment Record for Second Applicant | ||
| Second Employment From Day | Text |
Enter the day of the month when the second employment period for the second applicant started.
|
| Second Employment To Day | Text |
Enter the day of the month when the second employment period for the second applicant ended.
|
| Second Employment Employer Name | Text |
Enter the name of the employer for the second employment period of the second applicant.
|
| Second Employment Employer Location | Text |
Enter the location of the employer for the second employment period of the second applicant.
|
| Second Employment Type of Business | Text |
Enter the type of business carried out by the employer for the second employment period of the second applicant.
|
| Second Employment Occupation and Duties | Text |
Enter the occupation and main duties performed during the second employment period for the second applicant.
|
| Second Employment Record for Third Applicant | ||
| Third Applicant's Second Employment From Day | Text |
Enter the day the third applicant's second employment period started.
|
| Third Applicant's Second Employment To Day | Text |
Enter the day the third applicant's second employment period ended.
|
| Third Applicant's Second Employment Employer Name | Text |
Enter the name of the employer for the third applicant's second employment period.
|
| Third Applicant's Second Employment Employer Location | Text |
Enter the location of the employer for the third applicant's second employment period.
|
| Third Applicant's Second Employment Business Type | Text |
Enter the type of business for the third applicant's second employment period.
|
| Third Applicant's Second Employment Occupation and Main Duties | Text |
Enter the occupation and main duties for the third applicant during their second employment period.
|
| Second Mandated Applicant Details | ||
| Second Mandated Applicant Name | Text |
Provide the full name of the second mandated applicant.
|
| Second Mandated Applicant Refugee Mandate Number(s) | Text |
Enter the refugee mandate number(s) for the second mandated applicant.
|
| Second Mandated Applicant Country of Mandate | Text |
Provide the country where the second mandated applicant's mandate was issued.
|
| Second Non-Dependent Child Details | ||
| Second Non-Dependent Child's Name | Text |
Enter the full name of the second non-dependent child.
|
| Second Non-Dependent Child's Sex | Text |
Enter the sex of the second non-dependent child (M for male, F for female, or X if not specified).
|
| Second Non-Dependent Child's Date of Birth Day | Text |
Enter the day of birth for the second non-dependent child.
|
| Second Non-Dependent Child's Date of Birth Month | Combobox |
Enter the month of birth for the second non-dependent child.
D
MT
N
MR
F
M
E
S
W
|
| Second Non-Dependent Child's Date of Birth Year | Text |
Enter the year of birth for the second non-dependent child.
|
| Second Non-Dependent Child's Relationship Status Code | Combobox |
Enter the code representing the relationship status of the second non-dependent child, using the provided codes on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Second Non-Dependent Child's Place and Country of Birth | Text |
Enter the place and country where the second non-dependent child was born.
|
| Second Non-Dependent Child's Relationship to Main Applicant Code | Combobox |
Enter the code representing the second non-dependent child's relationship to the main applicant, using the provided codes on the right.
I
V
A
R
O
TR
C
S
PR
|
| Second Non-Dependent Child Name | Text |
Please enter the full name of the second non-dependent child.
|
| Second Non-Dependent Child Sex | Text |
Please enter the sex of the second non-dependent child, using 'M' for male, 'F' for female, or 'X' for other.
|
| Second Non-Dependent Child Date of Birth Day | Text |
Please enter the day of birth for the second non-dependent child.
|
| Second Non-Dependent Child Date of Birth Month | Combobox |
Please enter the month of birth for the second non-dependent child.
D
MT
N
MR
F
M
E
S
W
|
| Second Non-Dependent Child Date of Birth Year | Text |
Please enter the four-digit year of birth for the second non-dependent child.
|
| Second Non-Dependent Child Relationship Status | Combobox |
Please enter the code corresponding to the relationship status of the second non-dependent child, as listed on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Second Non-Dependent Child Place and Country of Birth | Text |
Please enter the place and country where the second non-dependent child was born.
|
| Second Non-Dependent Child Relationship to Partner | Combobox |
Please enter the code indicating the relationship of the second non-dependent child to the main applicant's partner, as listed on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Second Other Applicant Details | ||
| Second Other Applicant Given Names | Text |
Please provide the given names of the second other applicant.
|
| Second Other Applicant Ethnic Group or Clan | Text |
Please provide the ethnic group or clan of the second other applicant.
|
| Second Other Applicant Religion (if any) | Text |
Please provide the religion of the second other applicant, if applicable.
|
| Second Other Applicant Political Party/Group Membership (if any) | Text |
Please provide the political party or group membership of the second other applicant, if applicable.
|
| Second Other Applicant Education | ||
| Second Other Applicant Given Names | Text |
Provide the given names of the second other applicant.
|
| Second Other Applicant Primary School From Day | Text |
Enter the day the second other applicant started primary school.
|
| Second Other Applicant Primary School To Day | Text |
Enter the day the second other applicant finished primary school.
|
| Second Other Applicant Secondary School From Day | Text |
Enter the day the second other applicant started secondary school.
|
| Second Other Applicant Secondary School To Day | Text |
Enter the day the second other applicant finished secondary school.
|
| Second Other Applicant Post-Secondary Education From Day | Text |
Enter the day the second other applicant started post-secondary education.
|
| Second Other Applicant Post-Secondary Education To Day | Text |
Enter the day the second other applicant finished post-secondary education.
|
| Second Other Applicant Highest Educational Qualification | Text |
Enter the highest educational qualification obtained by the second other applicant.
|
| Second Other Applicant Language | ||
| Second Other Applicant Given Names | Text |
Enter the given names of the second other applicant.
|
| Second Other Applicant Main Language | Text |
Enter the main language spoken by the second other applicant.
|
| Second Other Applicant Other Languages | Text |
Enter any other languages spoken by the second other applicant.
|
| Second Other Applicant English Proficiency Code | Combobox |
Enter the code indicating how well the second other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Second Other Applicant's Travel Document Details | ||
| Second Other Applicant's Given Names | Text |
Enter the given names of the second other applicant as they appear on their travel or identity document.
|
| Second Other Applicant No Travel Document | Checkbox |
Check this box if the second other applicant does not have a travel or identity document and you will attach a statement explaining what happened to their documents.
|
| Second Other Applicant Yes Travel Document | Checkbox |
Check this box if the second other applicant has a travel or identity document and you will provide their details.
|
| Second Other Applicant's Type of Document | Combobox |
Enter the type of travel or identity document held by the second other applicant, using the provided codes if applicable.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| Second Other Applicant's Passport/Document Number | Text |
Enter the passport number or other document number for the second other applicant's travel or identity document.
|
| Second Other Applicant's Country of Issue | Text |
Enter the country where the second other applicant's travel or identity document was issued.
|
| Second Other Applicant's Date of Issue | Date |
Provide the date when the second other applicant's travel or identity document was issued.
|
| Second Other Applicant's Date of Expiry | Date |
Provide the date when the second other applicant's travel or identity document will expire.
|
| Second Other Applicant's Issuing Authority/Place of Issue | Text |
Enter the issuing authority or place of issue for the second other applicant's travel or identity document, as shown on the document.
|
| Second Parent Details | ||
| Second Parent Name | Text |
Enter the full name of the second parent.
|
| Second Parent Sex | Text |
Enter the sex of the second parent (M for Male, F for Female, X for Unspecified).
|
| Second Parent Day of Birth | Text |
Enter the day of birth for the second parent.
|
| Second Parent Month of Birth | Combobox |
Enter the month of birth for the second parent.
D
MT
N
MR
F
M
E
S
W
|
| Second Parent Year of Birth | Text |
Enter the year of birth for the second parent.
|
| Second Parent Relationship Status | Combobox |
Enter the relationship status of the second parent using the provided codes.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Second Parent Place and Country of Birth | Text |
Enter the place and country of birth for the second parent.
|
| Second Parent Country of Residence | Combobox |
Enter the country where the second parent is currently living.
I
V
A
R
O
TR
C
S
PR
|
| Second Partner's Parent Details | ||
| Second Parent's Name | Text |
Enter the full name of the second parent of the main applicant's partner.
|
| Second Parent's Sex | Text |
Enter the sex of the second parent, using M for Male, F for Female, or X if not specified.
|
| Second Parent's Date of Birth | Date |
Enter the date of birth for the second parent of the main applicant's partner.
|
| Second Parent's Relationship Status | Combobox |
Enter the relationship status of the second parent, choosing from the provided codes on the right (e.g., N for Never married, M for Married legally, etc.).
D
MT
N
MR
F
M
E
S
W
|
| Second Parent's Place and Country of Birth | Text |
Enter the place and country where the second parent of the main applicant's partner was born.
|
| Second Parent's Relationship to Partner | Combobox |
Enter the relationship of the second parent to the main applicant's partner, using the provided codes on the right (e.g., PB for Parent - Biological).
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Second Parent's Current Country of Residence | Text |
Enter the country where the second parent of the main applicant's partner is currently living. If deceased or whereabouts unknown, write 'DECEASED' or 'UNKNOWN'.
|
| Second Parent's Residence Status | Combobox |
Enter the second parent's status in their country of residence, using the codes provided on the right side of the form.
I
V
A
R
O
TR
C
S
PR
|
| Second Person Military Service Details | ||
| Second Person's Given Name | Text |
Enter the given name of the second person who served in a military or paramilitary organization.
|
| Second Person Country Served | Text |
Enter the country where the second person served in a military or paramilitary organization.
|
| Second Person Organization Name | Text |
Enter the name of the military or paramilitary organization the second person served in.
|
| Second Person Rank in Organization | Text |
Enter the rank held by the second person within this military or paramilitary organization.
|
| Second Person Membership From Date | Date |
Enter the start date of the second person's membership in the military or paramilitary organization.
|
| Second Person Membership To Date | Date |
Enter the end date of the second person's membership in the military or paramilitary organization.
|
| Second Person Reason for Leaving Organization | Text |
Explain the reason why the second person left the military or paramilitary organization.
|
| Second Person Over 18 Signature Date | ||
| Second Person Over 18 Signature Date | Date |
Enter the date the second person over 18 signed the document.
|
| Second Person's Biological Relationship Details | ||
| No | Checkbox |
Check this box if the second person is not biologically related to the main applicant.
|
| Second Person's Non-Biological Relationship Explanation | Text |
Provide a detailed explanation of how the second person is related to the main applicant if they are not biologically related.
|
| Yes | Checkbox |
Check this box if the second person is biologically related to the main applicant.
|
| Second Person's Precise Biological Relationship | Text |
Describe the precise biological relationship between the second person and the main applicant.
|
| Second Person's Citizenship | ||
| Second Person's Citizenship | Text |
Provide the citizenship of the second person; if stateless, write their previous country of citizenship.
|
| Second Person's Date of Birth | ||
| Second Person's Date of Birth Day | Text |
Enter the day of the second person's date of birth.
|
| Second Person's Name | ||
| Second Person's Family Name | Text |
Enter the second person's family name.
|
| Second Person's Given Names | Text |
Enter the second person's given names.
|
| Second Person's Place of Birth | ||
| Second Person's Birth Town/City | Text |
Provide the town or city where the second person was born.
|
| Second Person's Birth Country | Text |
Provide the country where the second person was born.
|
| Second Person's Previous Relationship Details | ||
| Second Person's Previous Family Name | Text |
Enter the family name of the second person involved in this previous relationship.
|
| Second Person's Previous Given Names | Text |
Enter the given names of the second person involved in this previous relationship.
|
| Second Person's Previous Partner's Full Name | Text |
Enter the full name of the previous partner in this relationship.
|
| Second Person's Previous Relationship End Reason | Text |
Describe how this previous relationship ended.
|
| Second Person's Previous Relationship Children's Names | Text |
Enter the names of all children from this previous relationship.
|
| Second Person's Relationship Dates | ||
| Second Person's Relationship From Day | Text |
Enter the day the second person's relationship started.
|
| Second Person's Relationship To Day | Text |
Enter the day the second person's relationship ended.
|
| Second Person's Relationship Status | ||
| m.rel status mar 2 | CheckBox | |
| Second Person's Married by tradition/custom | Checkbox |
Check this box if the second person is married according to tradition or custom.
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| Second Person's Married religiously | Checkbox |
Check this box if the second person is married religiously.
|
| Second Person's Engaged | Checkbox |
Check this box if the second person is engaged to be married.
|
| Second Person's De facto | Checkbox |
Check this box if the second person is in a de facto relationship.
|
| Second Person's Separated | Checkbox |
Check this box if the second person is separated from their spouse or partner.
|
| Second Person's Divorced | Checkbox |
Check this box if the second person is divorced.
|
| Second Person's Widowed | Checkbox |
Check this box if the second person is widowed.
|
| Second Person's Never married or in de facto relationship | Checkbox |
Check this box if the second person has never been married or in a de facto relationship.
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| Second Person's Relationship to Main Applicant | ||
| Second Person's Relationship to Main Applicant | Text |
Provide the second person's relationship to the main applicant.
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| Second Person's Sex | ||
| m.sex 2_male | CheckBox | |
| m.sex 2_female | CheckBox | |
| m.sex 2_other | CheckBox | |
| Second Previous Address | ||
| Second Previous Address Line 1 | Text |
Enter the first line of the second previous address.
|
| Second Previous Address Line 2 | Text |
Enter the second line of the second previous address.
|
| Second Previous Address Line 3 | Text |
Enter the third line of the second previous address.
|
| Second Previous Address Town | Text |
Enter the town of the second previous address.
|
| Second Previous Address Country | Text |
Enter the country of the second previous address.
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| Second Previous Address From Year | Number |
Enter the year from which the applicant lived at the second previous address.
|
| Second Previous Address To Year | Number |
Enter the year until which the applicant lived at the second previous address.
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| Second Previous Address Co-Habitant Name 1 | Text |
Enter the given name of the first person who lived at the second previous address.
|
| Second Previous Address Co-Habitant Name 2 | Text |
Enter the given name of the second person who lived at the second previous address.
|
| Second Previous Address Co-Habitant Name 3 | Text |
Enter the given name of the third person who lived at the second previous address.
|
| Second Previous Address Co-Habitant Name 4 | Text |
Enter the given name of the fourth person who lived at the second previous address.
|
| Second Previous Application Details | ||
| Second Previous Application Names | Text |
Enter the family and given names for the person(s) who made the second previous application, or write 'ALL' if all persons included in this current application made this previous one.
|
| Second Previous Application Date | Date |
Provide the date when the second previous application was made.
|
| Second Previous Application Country | Text |
Enter the country where the second previous application was made.
|
| Second Previous Application Type | Text |
Specify the type of the second previous application, such as refugee resettlement, migration, or asylum.
|
| Second Application Approved No | Checkbox |
Check this box if the second previous application was not approved.
|
| Second Application Approved Yes | Checkbox |
Check this box if the second previous application was approved.
|
| Second Application Approved Not Decided | Checkbox |
Check this box if the decision on the second previous application has not yet been made.
|
| Second Previous Visa Application Record | ||
| Second Previous Application Applicant Name | Text |
Enter the family and given name of the applicant for the second previous visa application, or 'All' if it applies to all persons in this application.
|
| Second Previous Application Date | Date |
Enter the full date when the second previous visa application was submitted.
|
| Second Previous Application Lodgement Location | Text |
Enter the location where the second previous visa application was lodged.
|
| Second Previous Application File Number | Text |
Enter the file number for the second previous visa application, if known.
|
| Second Previous Visa Application No | Checkbox |
Check this box if the second previous visa application was not approved.
|
| Second Previous Visa Application Yes | Checkbox |
Check this box if the second previous visa application was approved.
|
| Second Previous Visa Application Not Decided | Checkbox |
Check this box if a decision has not yet been made on the second previous visa application.
|
| Second Registered Applicant Details | ||
| Second Registered Applicant Name | Text |
Enter the name of the second applicant who is registered with UNHCR.
|
| Second Registration Number | Text |
Enter the refugee registration number for the second applicant.
|
| Second Country of Registration | Text |
Enter the country where the second applicant is registered.
|
| Second Relative's Details | ||
| Second Relative's Full Name | Text |
Enter the full name of the second relative residing in Australia.
|
| Second Relative's Date of Birth Day | Text |
Enter the day of birth for the second relative.
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| Second Relative's Date of Birth Year | Combobox |
Enter the year of birth for the second relative.
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| Second Relative's Address | Text |
Enter the full residential address of the second relative in Australia.
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| Second Related Applicant's Given Names | Text |
Enter the given names of the person in this application who is related to the second relative.
|
| Second Relative's Relationship to Applicant | Text |
Enter the relationship of the second relative to the applicant in this application.
|
| Second Relative's Visa Application Record | ||
| Second Relative's Family and Given Name | Text |
Enter the family and given name of the second relative not included in this visa application.
|
| Second Relative's Application Day | Text |
Enter the day the second relative's visa application was lodged.
|
| Second Relative's Application Lodgement Location | Text |
Enter the location where the second relative's visa application was lodged.
|
| Second Relative's Application File Number | Text |
Enter the file number for the second relative's visa application, if known.
|
| Second Relative's Type of Visa Application | Text |
Enter the type of visa application for the second relative, if known.
|
| Second Separated Person Details | ||
| Second Separated Person Family Name | Text |
Enter the family name of the second separated person.
|
| Second Separated Person Given Names | Text |
Enter the given names of the second separated person.
|
| Second Separated Person Date of Birth | Date |
Enter the date of birth of the second separated person.
|
| Second Separated Person Relationship to You | Text |
Enter the relationship of the second separated person to you.
|
| Second Separated Person Last Contact Details | Text |
Provide details about when, where, and how you were last in contact with the second separated person.
|
| Second Separated Person's Residential Address | ||
| Second Separated Person's Residential Address Line 1 | Text |
Enter the first line of the second separated person's full residential address, if known.
|
| Second Separated Person's Residential Address Line 2 | Text |
Enter the second line of the second separated person's full residential address, if known.
|
| Second Separated Person's Residential Address Line 3 | Text |
Enter the third line of the second separated person's full residential address, if known.
|
| Second Separated Person's Postal Code | Text |
Enter the postal code for the second separated person's full residential address, if known.
|
| Second Sibling Details | ||
| Second Sibling Name | Text |
Enter the full name of the second sibling.
|
| Second Sibling Sex | Text |
Enter the sex of the second sibling, using 'M' for male, 'F' for female, or 'X' if preferred.
|
| Second Sibling Birth Day | Text |
Enter the day of birth for the second sibling.
|
| Second Sibling Birth Month | Combobox |
Enter the month of birth for the second sibling.
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| Second Sibling Birth Year | Text |
Enter the year of birth for the second sibling.
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| Second Sibling Relationship Status | Combobox |
Enter the relationship status of the second sibling using the provided codes on the right.
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| Second Sibling Place and Country of Birth | Text |
Enter the place and country where the second sibling was born.
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| Second Sibling Relationship to Partner | Combobox |
Enter the second sibling's relationship to the main applicant's partner, using the provided codes on the right.
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| Second Travel Record | ||
| Second Travel Record Country | Text |
Provide the name of the country you traveled through or stayed in for this second travel record.
|
| Second Travel Record Date From | Date |
Provide the starting date of your travel or stay in the country for this second travel record.
|
| Second Travel Record Date To | Date |
Provide the ending date of your travel or stay in the country for this second travel record.
|
| Service in Military or Intelligence Agency | ||
| No | Checkbox |
Check this box if you or any other person included in this application has NOT served in a military force, police force, state sponsored/private militia, or intelligence agency.
|
| Yes | Checkbox |
Check this box if you or any other person included in this application HAS served in a military force, police force, state sponsored/private militia, or intelligence agency.
|
| Seventh Brother or Sister Details | ||
| Seventh Brother or Sister Name | Text |
Enter the full name of the seventh brother or sister.
|
| Seventh Brother or Sister Sex | Text |
Enter the sex of the seventh brother or sister as M for Male, F for Female, or X for unspecified.
|
| Seventh Brother or Sister Birth Day | Text |
Enter the day of birth for the seventh brother or sister.
|
| Seventh Brother or Sister Birth Month | Combobox |
Enter the month of birth for the seventh brother or sister.
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| Seventh Brother or Sister Birth Year | Text |
Enter the year of birth for the seventh brother or sister.
|
| Seventh Brother or Sister Relationship Status | Combobox |
Enter the relationship status of the seventh brother or sister using the provided codes on the right.
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| Seventh Brother or Sister Place and Country of Birth | Text |
Enter the place and country where the seventh brother or sister was born.
|
| Seventh Brother or Sister Relationship to Main Applicant | Combobox |
Enter the relationship of the seventh brother or sister to the main applicant using the provided codes on the right.
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| Seventh Dependent Applicant Signature | ||
| Seventh Dependent Applicant Name | Text |
Provide the full name of the seventh dependent applicant.
|
| Seventh Mandated Applicant Details | ||
| Seventh Mandated Applicant Name | Text |
Provide the full name of the seventh applicant who has been mandated as a refugee.
|
| Seventh Mandated Refugee Number | Text |
Provide the refugee mandate number(s) for the seventh mandated applicant.
|
| Seventh Mandated Country | Text |
Provide the country of mandate for the seventh mandated applicant.
|
| Seventh Non-Dependent Child Details | ||
| Seventh Non-Dependent Child Name | Text |
Provide the full name of the seventh non-dependent child.
|
| Seventh Non-Dependent Child Sex | Text |
Indicate the sex of the seventh non-dependent child (M for Male, F for Female, or X for unspecified).
|
| Seventh Non-Dependent Child Date of Birth | Date |
Enter the date of birth for the seventh non-dependent child.
|
| Seventh Non-Dependent Child Relationship Status | Combobox |
Provide the relationship status of the seventh non-dependent child using the codes provided on the right side of the form.
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| Seventh Non-Dependent Child Place and Country of Birth | Text |
Enter the place and country where the seventh non-dependent child was born.
|
| Seventh Non-Dependent Child Relationship to Main Applicant | Combobox |
Indicate the relationship of the seventh non-dependent child to the main applicant using the codes provided on the right side of the form.
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| Seventh Non-Dependent Child Current Country of Residence | Text |
Provide the country where the seventh non-dependent child is currently living, or write 'DECEASED' or 'UNKNOWN' if applicable.
|
| Seventh Non-Dependent Child Status in Current Country of Residence | Combobox |
Specify the status of the seventh non-dependent child in their country of residence using the codes provided on the right side of the form.
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| fm.m name partn 7 | Text | |
| fm.m sex partn 7 | Text | |
| fm.m dob partn 7 | Text | |
| fm.m rel stat partn 7 | ComboBox |
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| fm.m birth partn 7 | Text | |
| fm.m rel ap partn 7 | ComboBox |
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| fm.m country partn 7 | Text | |
| fm.m cntry stat partn 7 | ComboBox |
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| Seventh Other Applicant Details | ||
| m.hc more 1 | Text | |
| Seventh Other Applicant Given Names | Text |
Enter the given names for the seventh other applicant.
|
| Seventh Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan for the seventh other applicant.
|
| Seventh Other Applicant Religion | Text |
Enter the religion, if any, for the seventh other applicant.
|
| Seventh Other Applicant Political Party or Group Membership | Text |
Enter the membership of any political party or group, if any, for the seventh other applicant.
|
| Seventh Other Applicant Education | ||
| Seventh Other Applicant Given Names | Text |
Enter the given names of the seventh other applicant.
|
| Seventh Other Applicant Primary School From Day | Text |
Enter the day the seventh other applicant started primary school.
|
| Seventh Other Applicant Primary School To Month | Text |
Enter the month the seventh other applicant finished primary school.
|
| Seventh Other Applicant Secondary School From Day | Text |
Enter the day the seventh other applicant started secondary school.
|
| Seventh Other Applicant Secondary School To Month | Text |
Enter the month the seventh other applicant finished secondary school.
|
| Seventh Other Applicant Post-Secondary Education From Day | Text |
Enter the day the seventh other applicant started post-secondary education.
|
| Seventh Other Applicant Post-Secondary Education To Month | Text |
Enter the month the seventh other applicant finished post-secondary education.
|
| Seventh Other Applicant Highest Educational Qualification | Text |
Enter the highest educational qualification obtained by the seventh other applicant.
|
| Seventh Other Applicant Language | ||
| Seventh Other Applicant Given Names | Text |
Enter the given names for the seventh other applicant.
|
| Seventh Other Applicant Main Language Spoken | Text |
Enter the main language spoken by the seventh other applicant.
|
| Seventh Other Applicant Other Languages Spoken | Text |
Enter any other languages spoken by the seventh other applicant.
|
| Seventh Other Applicant English Proficiency | Combobox |
Enter the code indicating how well the seventh other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Seventh Registered Applicant Details | ||
| Seventh Registered Applicant Name | Text |
Enter the name of the seventh registered applicant.
|
| Seventh Registered Applicant Refugee Registration Number | Text |
Enter the refugee registration number(s) for the seventh registered applicant.
|
| Seventh Registered Applicant Registration Country | Text |
Enter the country of registration for the seventh registered applicant.
|
| Seventh Sibling Details | ||
| Seventh Sibling Name | Text |
Enter the full name of the seventh sibling of your partner.
|
| Seventh Sibling Sex | Text |
Enter the sex of the seventh sibling of your partner (M for Male, F for Female, or X for Other).
|
| Seventh Sibling Date of Birth Day | Text |
Enter the day of birth for the seventh sibling of your partner.
|
| Seventh Sibling Date of Birth Month | Combobox |
Enter the month of birth for the seventh sibling of your partner.
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| Seventh Sibling Date of Birth Year | Text |
Enter the year of birth for the seventh sibling of your partner.
|
| Seventh Sibling Relationship Status | Combobox |
Enter the relationship status code for the seventh sibling of your partner, using the codes provided on the right of the form.
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| Seventh Sibling Place and Country of Birth | Text |
Enter the place and country of birth for the seventh sibling of your partner.
|
| Seventh Sibling Relationship to Partner | Combobox |
Enter the code describing the relationship of the seventh sibling to the main applicant's partner, using the codes provided on the right of the form.
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| Sex Offender Register Status | ||
| Sex Offender Register Status - No | Checkbox |
Check this box if you have not been named on a sex offender register.
|
| Sex Offender Register Status - Yes | Checkbox |
Check this box if you have been named on a sex offender register.
|
| Sixth Accompanying Person Signature Date | ||
| Sixth Accompanying Person Signature Date Day | Date |
Enter the day of the sixth accompanying person's signature date.
|
| Sixth Brother or Sister Details | ||
| Sixth Brother or Sister Name | Text |
Enter the full name of the sixth brother or sister.
|
| Sixth Brother or Sister Sex | Text |
Enter the sex of the sixth brother or sister, using M for Male, F for Female, or X for unspecified.
|
| Sixth Brother or Sister Birth Day | Text |
Enter the day of birth for the sixth brother or sister.
|
| Sixth Brother or Sister Birth Month | Combobox |
Enter the month of birth for the sixth brother or sister.
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| Sixth Brother or Sister Birth Year | Text |
Enter the year of birth for the sixth brother or sister.
|
| Sixth Brother or Sister Relationship Status | Combobox |
Enter the relationship status code for the sixth brother or sister, using the codes provided on the right.
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| Sixth Brother or Sister Place and Country of Birth | Text |
Enter the place and country of birth for the sixth brother or sister.
|
| Sixth Brother or Sister Relationship to Main Applicant | Combobox |
Enter the relationship code of the sixth brother or sister to the main applicant, using the codes provided on the right.
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| Sixth Camp/Centre Details | ||
| Sixth Camp/Centre Name | Text |
Enter the name of the sixth camp or centre where the person lived.
|
| Sixth Camp/Centre Location | Text |
Enter the location of the sixth camp or centre where the person lived.
|
| Sixth Camp/Centre Operator | Text |
Enter the name of the organization or person who ran the sixth camp or centre.
|
| Sixth Camp/Centre From Day | Text |
Enter the day when the person started living in the sixth camp or centre.
|
| Sixth Camp/Centre To Day | Text |
Enter the day when the person stopped living in the sixth camp or centre.
|
| Sixth Camp/Centre Residents | Text |
Enter the given names of people included in this application who lived in the sixth camp or centre, or write 'ALL' if all lived there.
|
| Sixth Dependent Applicant Signature | ||
| Sixth Dependent Applicant Name | Text |
Enter the full name of the sixth dependent applicant.
|
| Sixth Employment Record for Main Applicant | ||
| Sixth Employment From Day | Text |
Enter the day the main applicant's sixth employment period started.
|
| Sixth Employment To Day | Text |
Enter the day the main applicant's sixth employment period ended.
|
| Sixth Employment Name of Employer | Text |
Enter the name of the employer for the main applicant's sixth employment period.
|
| Sixth Employment Location of Employer | Text |
Enter the location of the employer for the main applicant's sixth employment period.
|
| Sixth Employment Type of Business | Text |
Enter the type of business for the main applicant's sixth employment period.
|
| Sixth Employment Occupation and Main Duties | Text |
Enter the occupation and main duties for the main applicant's sixth employment period.
|
| Sixth Mandated Applicant Details | ||
| Sixth Mandated Applicant Name | Text |
Enter the name of the sixth applicant mandated or registered by UNHCR.
|
| Sixth Mandated Applicant Refugee Mandate Number | Text |
Enter the refugee mandate number(s) for the sixth applicant.
|
| Sixth Mandated Applicant Country of Mandate | Text |
Enter the country where the sixth applicant's refugee mandate was issued.
|
| Sixth Non-Dependent Child Details | ||
| Sixth Non-Dependent Child Name | Text |
Provide the full name of the sixth non-dependent child.
|
| Sixth Non-Dependent Child Sex | Text |
Indicate the sex of the sixth non-dependent child (M for male, F for female, or X for unspecified).
|
| Sixth Non-Dependent Child Birth Year | Text |
Enter the birth year of the sixth non-dependent child.
|
| Sixth Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status code for the sixth non-dependent child using the provided codes on the right of the form.
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| Sixth Non-Dependent Child Place and Country of Birth | Text |
Provide the place and country where the sixth non-dependent child was born.
|
| Sixth Non-Dependent Child Relationship to Applicant | Combobox |
Enter the relationship code that describes the sixth non-dependent child's relationship to the main applicant using the provided codes on the right of the form.
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| Sixth Non-Dependent Child Current Country of Living | Text |
Provide the country where the sixth non-dependent child is currently living.
|
| Sixth Non-Dependent Child Status in Country of Residence | Combobox |
Enter the status code indicating the sixth non-dependent child's status in their country of residence using the provided codes on the right of the form.
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| Sixth Non-Dependent Child Name | Text |
Enter the full name of the sixth non-dependent child.
|
| Sixth Non-Dependent Child Sex | Text |
Enter the sex of the sixth non-dependent child (M for male, F for female, or X for unspecified/other).
|
| Sixth Non-Dependent Child Day of Birth | Text |
Enter the day of birth for the sixth non-dependent child.
|
| Sixth Non-Dependent Child Relationship Status | Combobox |
Enter the relationship status code for the sixth non-dependent child, using the codes provided on the right.
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| Sixth Non-Dependent Child Place and Country of Birth | Text |
Enter the place and country where the sixth non-dependent child was born.
|
| Sixth Non-Dependent Child Relationship to Partner | Combobox |
Enter the code describing the sixth non-dependent child's relationship to the main applicant's partner, using the codes provided on the right.
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| Sixth Non-Dependent Child Current Country of Residence | Text |
Enter the country where the sixth non-dependent child is currently living.
|
| Sixth Non-Dependent Child Status in Country of Residence | Combobox |
Enter the code describing the sixth non-dependent child's status in their country of residence, using the codes provided on the right.
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| Sixth Other Applicant Details | ||
| Sixth Other Applicant Given Names | Text |
Please enter the given names of the sixth other applicant.
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| Sixth Other Applicant Ethnic Group or Clan | Text |
Please enter the ethnic group or clan of the sixth other applicant.
|
| Sixth Other Applicant Religion | Text |
Please enter the religion of the sixth other applicant, if any.
|
| Sixth Other Applicant Membership of Political Party/Group | Text |
Please enter the membership of any political party or group for the sixth other applicant, if any.
|
| Sixth Other Applicant Education | ||
| Sixth Other Applicant Given Names | Text |
Please provide the given names of the sixth other applicant.
|
| Sixth Other Applicant Primary School From Day | Text |
Please enter the day the sixth other applicant started primary school.
|
| Sixth Other Applicant Primary School To Day | Text |
Please enter the day the sixth other applicant finished primary school.
|
| Sixth Other Applicant Secondary School From Day | Text |
Please enter the day the sixth other applicant started secondary school.
|
| Sixth Other Applicant Secondary School To Day | Text |
Please enter the day the sixth other applicant finished secondary school.
|
| Sixth Other Applicant Post-Secondary Education From Day | Text |
Please enter the day the sixth other applicant started post-secondary education.
|
| Sixth Other Applicant Post-Secondary Education To Day | Text |
Please enter the day the sixth other applicant finished post-secondary education.
|
| Sixth Other Applicant Highest Educational Qualification | Text |
Please provide the highest educational qualification obtained by the sixth other applicant.
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| Sixth Other Applicant Language | ||
| Sixth Other Applicant's Given Names | Text |
Enter the given names of the sixth other applicant.
|
| Sixth Other Applicant's Main Language Spoken | Text |
Enter the main language spoken by the sixth other applicant.
|
| Sixth Other Applicant's Other Languages Spoken | Text |
Enter any other languages spoken by the sixth other applicant.
|
| Sixth Other Applicant's English Proficiency Code | Combobox |
Enter the code indicating how well the sixth other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Sixth Person Over 18 Signature Date | ||
| Sixth Person Over 18 Signature Day | Text |
Enter the day the sixth person aged 18 or over signed the declaration.
|
| Sixth Registered Applicant Details | ||
| Sixth Registered Applicant Name | Text |
Provide the full name of the sixth applicant registered with the UNHCR.
|
| Sixth Registered Applicant Refugee Registration Number | Text |
Enter the refugee registration number for the sixth applicant registered with the UNHCR.
|
| Sixth Registered Applicant Country of Registration | Text |
State the country where the sixth applicant registered with the UNHCR.
|
| Sixth Sibling Details | ||
| Sixth Sibling Name | Text |
Enter the full name of the sixth sibling of your partner.
|
| Sixth Sibling Sex | Text |
Enter the sex of the sixth sibling of your partner, M for Male, F for Female, or X for unspecified.
|
| Sixth Sibling Day of Birth | Text |
Enter the day of birth for the sixth sibling of your partner.
|
| Sixth Sibling Month of Birth | Combobox |
Enter the month of birth for the sixth sibling of your partner.
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| Sixth Sibling Year of Birth | Text |
Enter the year of birth for the sixth sibling of your partner.
|
| Sixth Sibling Relationship Status | Combobox |
Enter the relationship status code for the sixth sibling of your partner based on the provided codes on the right side of the form.
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CB
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| Sixth Sibling Place and Country of Birth | Text |
Enter the place and country of birth for the sixth sibling of your partner.
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| Sixth Sibling Relationship to Partner | Combobox |
Enter the code describing the relationship of the sixth sibling to your partner based on the provided codes on the right side of the form.
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V
A
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| Sole Custody Status of Children | ||
| Sole Custody Status No | Checkbox |
Check this box if you do not have sole custody of any children under 18 years of age who are included in this application.
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| Sole Custody Status Yes | Checkbox |
Check this box if you have sole custody of any children under 18 years of age who are included in this application.
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| Source of Harm or Mistreatment | ||
| Source of Harm or Mistreatment Details | Text |
Provide details about who you believe may harm or mistreat you if you return to or continue living in that country.
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| Split Family Provisions Documentation | ||
| Proposer's Visa | Checkbox |
Check this box if you have attached a certified copy of your proposer's visa.
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| Evidence of Relationship with Proposer | Checkbox |
Check this box if you have attached evidence of your relationship with the proposer, such as a certified copy of a marriage or birth certificate.
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| Form 681 (Proposing Family Member) | Checkbox |
Check this box if you have attached a completed Form 681 from your immediate family member in Australia who is proposing you.
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| Statement on Fear of Returning to Home Country | ||
| Statement on Fear of Returning to Home Country | Checkbox |
Check this box if you have attached a detailed written statement (in English) explaining the reasons why you fear living in or returning to your home country.
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| Subject of Arrest Warrant or Interpol Notice | ||
| Subject of Arrest Warrant or Interpol Notice - No | Checkbox |
Check this box if you, or any other person included in this application, have NOT been the subject of an arrest warrant or Interpol notice.
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| Subject of Arrest Warrant or Interpol Notice - Yes | Checkbox |
Check this box if you, or any other person included in this application, HAVE been the subject of an arrest warrant or Interpol notice.
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| Subject of Domestic or Family Violence Order | ||
| Subject of Domestic or Family Violence Order - No | Checkbox |
Check this box if you, or any other person included in this application, have NOT been the subject of a domestic or family violence order, or any other order, of a tribunal or court or other similar authority, for the personal protection of another person.
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| Subject of Domestic or Family Violence Order - Yes | Checkbox |
Check this box if you, or any other person included in this application, HAVE been the subject of a domestic or family violence order, or any other order, of a tribunal or court or other similar authority, for the personal protection of another person.
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| Telephone Number | ||
| Telephone Number Country Code | Text |
Provide the country code for the telephone number.
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| Telephone Number Area Code | Text |
Provide the area code for the telephone number.
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| Telephone Number Main Number | Text |
Provide the main part of the telephone number.
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| Tenth Brother or Sister Details | ||
| Tenth Sibling Name | Text |
Enter the full name of the tenth brother or sister.
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| Tenth Sibling Sex | Text |
Enter the sex of the tenth brother or sister, using M for male, F for female, or X for unspecified.
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| Tenth Sibling Date of Birth Day | Text |
Enter the day of birth for the tenth brother or sister.
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| Tenth Sibling Date of Birth Month | Combobox |
Enter the month of birth for the tenth brother or sister.
D
MT
N
MR
F
M
E
S
W
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| Tenth Sibling Date of Birth Year | Text |
Enter the year of birth for the tenth brother or sister.
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| Tenth Sibling Relationship Status | Combobox |
Enter the code that describes the tenth brother or sister's relationship status, selected from the 'Relationship status' codes provided.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
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| Tenth Sibling Place and Country of Birth | Text |
Enter the place and country where the tenth brother or sister was born.
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| Tenth Sibling Relationship to Main Applicant | Combobox |
Enter the code that describes the tenth brother or sister's relationship to the main applicant, selected from the 'Relationship to main applicant' codes provided.
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| Tenth Other Applicant Details | ||
| Tenth Other Applicant Given Name (Part 1) | Text |
Enter the first part of the tenth other applicant's given name.
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| Tenth Other Applicant Given Name (Part 2) | Text |
Enter the second part of the tenth other applicant's given name.
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| Tenth Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan of the tenth other applicant.
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| Tenth Other Applicant Religion | Text |
Enter the religion of the tenth other applicant.
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| Tenth Other Applicant Political Party/Group Membership | Text |
Enter the membership of any political party or group for the tenth other applicant.
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| Third Accompanying Person Signature Date | ||
| Third Accompanying Person Signature Year | Number |
Enter the year the third accompanying person signed.
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| Third Applicant Name | ||
| Third Applicant Name | Text |
Enter the full name of the third applicant.
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| Third Brother or Sister Details | ||
| Third Brother or Sister Name | Text |
Enter the full name of the third brother or sister.
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| Third Brother or Sister Sex | Text |
Enter the sex of the third brother or sister as M for Male, F for Female, or X for unspecified.
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| Third Brother or Sister Date of Birth Day | Text |
Enter the day of birth for the third brother or sister.
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| Third Brother or Sister Date of Birth Month | Combobox |
Enter the month of birth for the third brother or sister.
D
MT
N
MR
F
M
E
S
W
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| Third Brother or Sister Date of Birth Year | Text |
Enter the year of birth for the third brother or sister.
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| Third Brother or Sister Relationship Status | Combobox |
Enter the relationship status code for the third brother or sister from the codes provided on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
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| Third Brother or Sister Place and Country of Birth | Text |
Enter the place and country of birth for the third brother or sister.
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| Third Brother or Sister Relationship to Main Applicant | Combobox |
Enter the relationship code of the third brother or sister to the main applicant from the codes provided on the right.
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| Third Camp/Centre Details | ||
| Third Camp/Centre Name | Text |
Enter the name of the third refugee camp, collective accommodation centre for refugees, or detention centre.
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| Third Camp/Centre Location | Text |
Enter the location of the third refugee camp, collective accommodation centre for refugees, or detention centre.
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| Third Camp/Centre Organizer | Text |
Enter the name of the organization or individual who ran the third refugee camp, collective accommodation centre for refugees, or detention centre.
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| Third Camp/Centre From Date | Date |
Enter the start date when the person lived in the third refugee camp, collective accommodation centre for refugees, or detention centre.
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| Third Camp/Centre To Date | Date |
Enter the end date when the person lived in the third refugee camp, collective accommodation centre for refugees, or detention centre.
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| Third Camp/Centre People Who Lived There | Text |
Enter the given names of all people included in this application who lived in the third refugee camp, collective accommodation centre for refugees, or detention centre, or write 'ALL' if it applies to everyone.
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| Third Child's Details | ||
| Third Child's Family Name | Text |
Enter the family name of the third child.
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| Third Child's Given Names | Text |
Enter the given names of the third child.
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| Third Child's Birth Year | Number |
Enter the year of birth for the third child.
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| Third Child's Relationship to Applicant | Text |
Enter the third child's relationship to the main applicant or partner.
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| Third Child's Biological Father's Full Name | Text |
Enter the full name of the third child's biological father.
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| Third Child's Biological Mother's Full Name | Text |
Enter the full name of the third child's biological mother.
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| Third Child's Biological Parents' Whereabouts | Text |
Enter the whereabouts of the third child's biological parents, specifying if they are deceased or unknown.
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| Third Child Adopted No | Checkbox |
Check this box if the third child has NOT been adopted by the main applicant and/or partner.
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| Third Child Adopted Yes | Checkbox |
Check this box if the third child HAS been adopted by the main applicant and/or partner.
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| Third Child's Custody Commencement Year | Number |
Enter the year when custody for the third child commenced.
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| Third Dependant Details | ||
| Third Dependant Family Name | Text |
Enter the family name of the third dependant.
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| Third Dependant Given Names | Text |
Enter the given names of the third dependant.
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| Third Dependant Date of Birth | Date |
Enter the date of birth of the third dependant.
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| Third Dependant Relationship to Applicant | Text |
Enter the relationship of the third dependant to the applicant.
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| Third Dependant Reason for Not Applying | Text |
Provide the reason why the third dependant is not applying with you.
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| Third Dependent Applicant Signature | ||
| Third Dependent Applicant Name | Text |
Please enter the full name of the third dependent applicant.
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| Third Employment Record for Fourth Applicant | ||
| Fourth Applicant Third Employment From Day | Text |
Enter the day of the start date for the fourth applicant's third employment.
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| Fourth Applicant Third Employment To Day | Text |
Enter the day of the end date for the fourth applicant's third employment.
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| Fourth Applicant Third Employment From Month | Text |
Enter the month of the start date for the fourth applicant's third employment.
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| Fourth Applicant Third Employment From Year | Text |
Enter the year of the start date for the fourth applicant's third employment.
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| Fourth Applicant Third Employment To Month | Text |
Enter the month of the end date for the fourth applicant's third employment.
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| Fourth Applicant Third Employment To Year | Text |
Enter the year of the end date for the fourth applicant's third employment.
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| Third Employment Record for Main Applicant | ||
| Third Employment From Year | Text |
Enter the year when the third employment period started for the main applicant.
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| Third Employment To Year | Text |
Enter the year when the third employment period ended for the main applicant.
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| Third Employment Employer Name | Text |
Enter the name of the employer for the third employment record of the main applicant.
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| Third Employment Employer Location | Text |
Enter the location of the employer for the third employment record of the main applicant.
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| Third Employment Business Type | Text |
Enter the type of business for the third employment record of the main applicant.
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| Third Employment Occupation and Duties | Text |
Enter the occupation and main duties for the third employment record of the main applicant.
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| Third Employment Record for Second Applicant | ||
| Second Applicant Third Employment From Day | Text |
Enter the day the second applicant's third employment period started.
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| Second Applicant Third Employment To Day | Text |
Enter the day the second applicant's third employment period ended.
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| Second Applicant Third Employment Employer Name | Text |
Enter the name of the employer for the second applicant's third employment period.
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| Second Applicant Third Employment Employer Location | Text |
Enter the location of the employer for the second applicant's third employment period.
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| Second Applicant Third Employment Type of Business | Text |
Enter the type of business for the second applicant's third employment period.
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| Second Applicant Third Employment Occupation and Main Duties | Text |
Enter the occupation and main duties for the second applicant's third employment period.
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| Third Employment Record for Third Applicant | ||
| m2.emp fr 3 | Text | |
| m2.emp to 3 | Text | |
| m2.emp name 3 | Text | |
| m2.emp loc 3 | Text | |
| m2.emp bs 3 | Text | |
| m2.occup 3 | Text | |
| Third Mandated Applicant Details | ||
| Third Mandated Applicant Name | Text |
Enter the full name of the third mandated applicant.
|
| Third Mandated Applicant Refugee Mandate Number(s) | Text |
Enter the refugee mandate number(s) for the third mandated applicant.
|
| Third Mandated Applicant Country of Mandate | Text |
Enter the country where the third mandated applicant's mandate was issued.
|
| Third Non-Dependent Child Details | ||
| Third Non-Dependent Child's Name | Text |
Enter the full name of the third non-dependent child.
|
| Third Non-Dependent Child's Sex | Text |
Enter the sex of the third non-dependent child (M for Male, F for Female, or X for unspecified).
|
| Third Non-Dependent Child's Day of Birth | Text |
Enter the day of birth for the third non-dependent child.
|
| Third Non-Dependent Child's Relationship Status Code | Combobox |
Enter the code that best describes the relationship status of the third non-dependent child, using the 'Relationship status' codes provided on the right.
D
MT
N
MR
F
M
E
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W
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| Third Non-Dependent Child's Place and Country of Birth | Text |
Enter the city and country where the third non-dependent child was born.
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| Third Non-Dependent Child's Relationship to Main Applicant Code | Combobox |
Enter the code that defines the third non-dependent child's relationship to the main applicant, using the 'Relationship to main applicant' codes provided on the right.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
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| Third Non-Dependent Child's Current Country of Residence | Text |
Enter the country where the third non-dependent child is currently living. If deceased or whereabouts unknown, write 'DECEASED' or 'UNKNOWN'.
|
| Third Non-Dependent Child's Status in Country of Residence Code | Combobox |
Enter the code that describes the third non-dependent child's status in their country of residence, using the 'Status in country of residence' codes provided on the right.
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| Third Non-Dependent Child's Name | Text |
Enter the full name of the third non-dependent child.
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| Third Non-Dependent Child's Sex | Text |
Enter the sex of the third non-dependent child (M for Male, F for Female, or X if not specified).
|
| Third Non-Dependent Child's Date of Birth Day | Text |
Enter the day of birth for the third non-dependent child.
|
| Third Non-Dependent Child's Date of Birth Month | Combobox |
Enter the month of birth for the third non-dependent child.
D
MT
N
MR
F
M
E
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| Third Non-Dependent Child's Date of Birth Year | Text |
Enter the year of birth for the third non-dependent child.
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| Third Non-Dependent Child's Relationship Status | Combobox |
Enter the relationship status of the third non-dependent child using the provided codes on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
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| Third Non-Dependent Child's Current Country of Residence | Text |
Enter the country where the third non-dependent child is currently living.
|
| Third Non-Dependent Child's Status in Country of Residence | Combobox |
Enter the status of the third non-dependent child in their country of residence using the provided codes.
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| Third Other Applicant Details | ||
| Third Other Applicant Given Names | Text |
Enter the given names of the third other applicant.
|
| Third Other Applicant Ethnic Group or Clan | Text |
Enter the ethnic group or clan of the third other applicant.
|
| Third Other Applicant Religion | Text |
Enter the religion of the third other applicant, if applicable.
|
| Third Other Applicant Political Party/Group Membership | Text |
Enter the political party or group the third other applicant is a member of, if applicable.
|
| Third Other Applicant Education | ||
| Third Other Applicant Given Names | Text |
Enter the given names of the third other applicant.
|
| Third Other Applicant Primary School From Day | Text |
Enter the day the third other applicant started primary school.
|
| Third Other Applicant Primary School To Day | Text |
Enter the day the third other applicant finished primary school.
|
| Third Other Applicant Secondary School From Day | Text |
Enter the day the third other applicant started secondary school.
|
| Third Other Applicant Secondary School To Day | Text |
Enter the day the third other applicant finished secondary school.
|
| Third Other Applicant Post-Secondary Education From Day | Text |
Enter the day the third other applicant started post-secondary education.
|
| Third Other Applicant Post-Secondary Education To Day | Text |
Enter the day the third other applicant finished post-secondary education.
|
| Third Other Applicant Highest Educational Qualification | Text |
Enter the highest educational qualification obtained by the third other applicant, such as a school certificate, electrician certificate, BA, or PhD.
|
| Third Other Applicant Language | ||
| Third Other Applicant Given Names | Text |
Enter the given names of the third other applicant.
|
| Third Other Applicant Main Language Spoken | Text |
Enter the main language spoken by the third other applicant.
|
| Third Other Applicant Other Languages Spoken | Text |
Enter any other languages spoken by the third other applicant.
|
| Third Other Applicant English Proficiency Code | Combobox |
Enter the code indicating how well the third other applicant speaks English.
Not well
Well
Not at all
Very well
|
| Third Other Applicant's Travel Document Details | ||
| Third Other Applicant's Given Names | Text |
Enter the third other applicant's given names as they appear on their travel or identity document.
|
| Third Other Applicant No Travel Document | Checkbox |
Check this box if the third other applicant does not have a travel or identity document and you will attach a statement explaining what happened to their documents.
|
| Third Other Applicant Yes Travel Document | Checkbox |
Check this box if the third other applicant has a travel or identity document and you will provide its details.
|
| Third Other Applicant's Document Type | Combobox |
Provide the type of travel or identity document for the third other applicant, using the provided codes if applicable.
National Identity Card
Passport
UN Convention travel doc
Seafarer
Alien Registration Card
Certificate of Identity
|
| Third Other Applicant's Document Number | Text |
Enter the passport number or other travel document number for the third other applicant.
|
| Third Other Applicant's Country of Issue | Text |
Specify the country where the third other applicant's travel or identity document was issued.
|
| Third Other Applicant's Date of Issue | Date |
Enter the date when the third other applicant's travel or identity document was issued.
|
| Third Other Applicant's Date of Expiry | Date |
Enter the date when the third other applicant's travel or identity document will expire.
|
| Third Other Applicant's Issuing Authority/Place | Text |
Provide the name of the issuing authority or the place of issue exactly as it appears on the third other applicant's passport or other travel document.
|
| Third Person Over 18 Signature Date | ||
| Third Person Over 18 Signature Date Day | Text |
Enter the day the third person aged over 18 signed the document.
|
| Third Person's Previous Relationship Details | ||
| Third Person's Family Name | Text |
Enter the family name of the third person who had a previous relationship.
|
| Third Person's Given Names | Text |
Enter the given names of the third person who had a previous relationship.
|
| Third Person's Previous Partner's Full Name | Text |
Enter the full name of the third person's previous partner.
|
| Third Person's Relationship End Reason | Text |
Describe how the third person's previous relationship ended.
|
| Third Person's Children from Previous Relationship | Text |
Enter the names of all children born from the third person's previous relationship.
|
| Third Person's Relationship Dates | ||
| Third Person's Relationship From Day | Text |
Enter the day the third person's relationship began.
|
| Third Person's Relationship To Day | Text |
Enter the day the third person's relationship ended.
|
| Third Previous Address | ||
| Third Previous Address Line 1 | Text |
Please enter the first line of the third previous address.
|
| Third Previous Address Line 2 | Text |
Please enter the second line of the third previous address.
|
| Third Previous Address Line 3 | Text |
Please enter the third line of the third previous address.
|
| Third Previous Address Town | Text |
Please enter the town of the third previous address.
|
| Third Previous Address Country | Text |
Please enter the country of the third previous address.
|
| Third Previous Address Period From | Text |
Please enter the start of the period you lived at the third previous address.
|
| Third Previous Address Period To | Text |
Please enter the end of the period you lived at the third previous address.
|
| Third Previous Address Resident Name 1 | Text |
Please enter the given name of the first person included in this application who lived at the third previous address.
|
| Third Previous Address Resident Name 2 | Text |
Please enter the given name of the second person included in this application who lived at the third previous address.
|
| Third Previous Address Resident Name 3 | Text |
Please enter the given name of the third person included in this application who lived at the third previous address.
|
| Third Previous Address Resident Name 4 | Text |
Please enter the given name of the fourth person included in this application who lived at the third previous address.
|
| Third Previous Application Details | ||
| Third Previous Application Applicant Name | Text |
Provide the family and given names of the person who made the third previous application, or write 'ALL' if all persons included in this current application made this previous application.
|
| Third Previous Application Date | Date |
Enter the date when the third previous application was made.
|
| Third Previous Application Country | Text |
Specify the country to which the third previous application was made.
|
| Third Previous Application Type | Text |
Describe the type of the third previous application, such as refugee resettlement, migration, or asylum.
|
| Third Application Approved? No | Checkbox |
Check this box if the third previous application was not approved.
|
| Third Application Approved? Yes | Checkbox |
Check this box if the third previous application was approved.
|
| Third Application Approved? Not Decided | Checkbox |
Check this box if a decision has not yet been made on the third previous application.
|
| Third Previous Visa Application Record | ||
| Third Previous Visa - Family and Given Name | Text |
Please provide the family and given name of the person who made the third previous visa application, or write 'All' if it applies to all persons included in this application.
|
| Third Previous Visa - Date of Application | Date |
Please provide the date when the third previous visa application was made.
|
| Third Previous Visa - Application Lodgement Location | Text |
Please specify where the third previous visa application was lodged.
|
| Third Previous Visa - File Number | Text |
Please provide the file number for the third previous visa application, if known.
|
| Third Application Approved No | Checkbox |
Check this box if the third previous Australian visa application was not approved.
|
| Third Application Approved Yes | Checkbox |
Check this box if the third previous Australian visa application was approved.
|
| Third Application Not Decided | Checkbox |
Check this box if the third previous Australian visa application has not yet been decided.
|
| Third Registered Applicant Details | ||
| Third Registered Applicant Name | Text |
Enter the name of the third registered applicant.
|
| Third Registered Applicant Registration Number | Text |
Enter the refugee registration number(s) for the third registered applicant.
|
| Third Registered Applicant Country of Registration | Text |
Enter the country of registration for the third registered applicant.
|
| Third Relative's Details | ||
| Third Relative's Name | Text |
Enter the full name of the third relative residing in Australia.
|
| Third Relative's Birth Day | Text |
Enter the day of birth for the third relative.
|
| Third Relative's Birth Month | Combobox |
Enter the month of birth for the third relative.
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| Third Relative's Residence Status | Text |
Enter the residence status in Australia for the third relative, using the provided codes.
|
| Third Relative's Related Person Given Names | Text |
Enter the given names of the person in this application to whom the third relative is related.
|
| Third Relative's Relationship to Applicant | Text |
Enter the relationship of the third relative to the applicant.
|
| Third Relative's Visa Application Record | ||
| Third Relative's Family and Given Name | Text |
Enter the family and given name of the third relative.
|
| Third Relative's Application Date | Date |
Enter the date when the third relative's visa application was submitted.
|
| Third Relative's Application Lodgement Location | Text |
Specify the location where the third relative's visa application was lodged.
|
| Third Relative's Application File Number | Text |
Provide the file number for the third relative's visa application, if known.
|
| Third Relative's Visa Application Type | Text |
Specify the type of visa application the third relative submitted, if known.
|
| Third Separated Person Details | ||
| Third Separated Person Family Name | Text |
Enter the family name of the third separated person.
|
| Third Separated Person Given Names | Text |
Provide the given names of the third separated person.
|
| Third Separated Person Date of Birth | Date |
Provide the date of birth for the third separated person.
|
| Third Separated Person Relationship to You | Text |
State the relationship of the third separated person to you.
|
| Third Separated Person Last Contact Details | Text |
Describe the details of the last contact with the third separated person, including when, where, and how you were separated.
|
| Third Separated Person's Residential Address | ||
| Third Separated Person's Residential Address Line 1 | Text |
Please provide the first line of the third separated person's full residential address.
|
| Third Separated Person's Residential Address Line 2 | Text |
Please provide the second line of the third separated person's full residential address.
|
| Third Separated Person's Postal Code | Text |
Please provide the postal code for the third separated person's residential address.
|
| Third Sibling Details | ||
| Third Sibling Name | Text |
Provide the full name of your partner's third sibling.
|
| Third Sibling Sex | Text |
Indicate the sex of your partner's third sibling as M (Male), F (Female), or X (Unspecified).
|
| Third Sibling Day of Birth | Text |
Enter the day of birth for your partner's third sibling.
|
| Third Sibling Month of Birth | Combobox |
Enter the month of birth for your partner's third sibling.
D
MT
N
MR
F
M
E
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W
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| Third Sibling Year of Birth | Text |
Enter the year of birth for your partner's third sibling.
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| Third Sibling Relationship Status | Combobox |
Provide the current relationship status of your partner's third sibling using the codes provided on the right side of the form.
PA
SS
PB
PO
SO
CO
PS
CA
SB
SA
CS
CB
|
| Third Sibling Place and Country of Birth | Text |
State the place and country where your partner's third sibling was born.
|
| Third Sibling Relationship to Partner | Combobox |
Indicate the specific relationship of your partner's third sibling to your partner using the provided codes on the right side of the form.
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| Third Travel Record | ||
| Third Travel Country | Text |
Please enter the name of the third country you traveled through or stayed in.
|
| Third Travel From Date | Date |
Please enter the start date of your travel or stay in the third country.
|
| Third Travel To Date | Date |
Please enter the end date of your travel or stay in the third country.
|
| Travel or Identity Documents Attachment | ||
| Travel/Identity Documents | Checkbox |
Check this box if you have attached certified copies of travel documents and/or identity cards for any person included in this application.
|
| Statement for Missing Travel/Identity Documents | Checkbox |
Check this box if you have attached a statement explaining why you do not have travel/identity documents.
|
| UNHCR Mandate/Registration Status | ||
| No | Checkbox |
Check this box if no person included in this application has been mandated as a refugee or registered with the United Nations High Commissioner for Refugees (UNHCR).
|
| Yes | Checkbox |
Check this box if any person included in this application has been mandated as a refugee or registered with the United Nations High Commissioner for Refugees (UNHCR).
|
| UNHCR Referral Inquiry | ||
| UNHCR Referral Inquiry - No | Checkbox |
Check this box if your application has not been lodged because the United Nations High Commissioner for Refugees (UNHCR) referred you to Australia for resettlement.
|
| UNHCR Referral Inquiry - Yes | Checkbox |
Check this box if your application has been lodged because the United Nations High Commissioner for Refugees (UNHCR) referred you to Australia for resettlement.
|
| UNHCR Resettlement Registration Form Attachment | ||
| UNHCR Resettlement Registration Form (RRF) Attached | Checkbox |
Check this box if you have attached a full copy of your UNHCR Resettlement Registration Form (RRF) because you have been referred for resettlement by the UNHCR.
|
| Visa Overstay History | ||
| Visa Overstay History No | Checkbox |
Check this box if you have not overstayed a visa in any country (including Australia).
|
| Visa Overstay History Yes | Checkbox |
Check this box if you have overstayed a visa in any country (including Australia).
|
| Visa/Residence Permits Attachment | ||
| Certified Copies of Visas/Residence Permits Attached | Checkbox |
Check this box if you have attached certified copies of any visas or residence permits held by any person included in this application.
|