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.
Max length: 11 characters
Applicant Signature Date Date
Provide the date the applicant signed the form.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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).
Max length: 1 characters
Eighth Sibling Birth Day Text
Enter the day of birth for the eighth brother or sister.
Max length: 11 characters
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.
Max length: 2 characters
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
Max length: 2 characters
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.
Max length: 11 characters
Eighth Other Applicant Primary School To Month Text
Enter the month when the eighth other applicant finished primary school.
Max length: 11 characters
Eighth Other Applicant Secondary School From Month Text
Enter the month when the eighth other applicant started secondary school.
Max length: 11 characters
Eighth Other Applicant Secondary School To Month Text
Enter the month when the eighth other applicant finished secondary school.
Max length: 11 characters
Eighth Other Applicant Post-secondary Education From Month Text
Enter the month when the eighth other applicant started post-secondary education.
Max length: 11 characters
Eighth Other Applicant Post-secondary Education To Month Text
Enter the month when the eighth other applicant finished post-secondary education.
Max length: 11 characters
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
Max length: 3 characters
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).
Max length: 1 characters
Eighth Sibling Birth Month and Year Text
Enter the month and year of birth for the eighth sibling.
Max length: 11 characters
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.
Max length: 60 characters
Secondary Email Address 1 Text
Enter the first secondary email address where you can be contacted.
Max length: 60 characters
Secondary Email Address 2 Text
Enter the second secondary email address where you can be contacted.
Max length: 60 characters
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.
Max length: 11 characters
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.
Max length: 1 characters
Fifth Brother or Sister Day of Birth Text
Enter the day of birth for the fifth brother or sister.
Max length: 11 characters
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.
Max length: 11 characters
Fifth To Day Text
Please enter the day the person stopped living in the fifth camp or centre.
Max length: 11 characters
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.
Max length: 11 characters
Fifth Employment To Date Date
Enter the end date of the fifth employment period for the main applicant.
Max length: 11 characters
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
Max length: 11 characters
m1.emp to 5 Text
Max length: 11 characters
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.
Max length: 1 characters
Fifth Non-Dependent Child Date of Birth Day Text
Enter the day of birth for the fifth non-dependent child.
Max length: 11 characters
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).
Max length: 1 characters
Fifth Non-Dependent Child Birth Day Text
Enter the day of birth for the fifth non-dependent child.
Max length: 11 characters
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.
Max length: 11 characters
Fifth Other Applicant Primary School To Year Number
Enter the year the fifth other applicant finished primary school.
Max length: 11 characters
Fifth Other Applicant Secondary School From Year Number
Enter the year the fifth other applicant started secondary school.
Max length: 11 characters
Fifth Other Applicant Secondary School To Year Number
Enter the year the fifth other applicant finished secondary school.
Max length: 11 characters
Fifth Other Applicant Post-Secondary Education From Year Number
Enter the year the fifth other applicant started post-secondary education.
Max length: 11 characters
Fifth Other Applicant Post-Secondary Education To Year Number
Enter the year the fifth other applicant finished post-secondary education.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 8 characters
Fifth Previous Address To Month Text
Please provide the ending month of residence at the fifth previous address.
Max length: 8 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Fifth Relative's Date of Birth Month Combobox
Enter the month of birth for the fifth relative.
I V U O TR C S PR
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.
Max length: 11 characters
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).
Max length: 1 characters
Fifth Sibling Birth Day Text
Enter the day of birth for the fifth sibling.
Max length: 11 characters
Fifth Sibling Birth Month Combobox
Enter the month of birth for the fifth sibling.
D MT N MR F M E S W
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).
I V A R O TR C S PR
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.
Max length: 11 characters
Fifth Travel Record To Day Text
Please enter the day of arrival to the country for the fifth travel record.
Max length: 11 characters
First Accompanying Person Signature Date
First Accompanying Person Signature Day Text
Enter the day of the signature for the first accompanying person.
Max length: 11 characters
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).
Max length: 1 characters
First Brother or Sister Date of Birth Date
Provide the date of birth for the first brother or sister.
Max length: 11 characters
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
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.
I V A R O TR C S PR
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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
Max length: 11 characters
m3.emp to 1 Text
Max length: 11 characters
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.
Max length: 11 characters
First Employment End Year Text
Provide the end year for the main applicant's first employment.
Max length: 11 characters
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.
Max length: 11 characters
Second Applicant First Employment End Day Text
Enter the day the second applicant's first employment record ended.
Max length: 11 characters
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
Max length: 11 characters
m2.emp to 1 Text
Max length: 11 characters
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.
Max length: 1 characters
First Non-Dependent Child Day of Birth Text
Enter the day of birth for the first non-dependent child.
Max length: 11 characters
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
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.
I V A R O TR C S PR
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).
Max length: 1 characters
First Non-Dependent Child's Date of Birth Day Text
Enter the day of birth for the first non-dependent child.
Max length: 11 characters
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.
I V A R O TR C S PR
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.
Max length: 11 characters
First Other Applicant Primary School To Day Text
Enter the day the first other applicant finished primary school.
Max length: 11 characters
First Other Applicant Secondary School From Day Text
Enter the day the first other applicant started secondary school.
Max length: 11 characters
First Other Applicant Secondary School To Day Text
Enter the day the first other applicant finished secondary school.
Max length: 11 characters
First Other Applicant Post-Secondary Education From Day Text
Enter the day the first other applicant started post-secondary education.
Max length: 11 characters
First Other Applicant Post-Secondary Education To Day Text
Enter the day the first other applicant finished post-secondary education.
Max length: 11 characters
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.
Max length: 11 characters
First Other Applicant's Date of Expiry Date
Enter the date the first other applicant's travel or identity document expires.
Max length: 11 characters
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.
Max length: 1 characters
First Parent Date of Birth Date
Provide the date of birth for the first parent.
Max length: 11 characters
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.
I V A R O TR C S PR
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).
Max length: 1 characters
First Parent's Date of Birth Date
Enter the date of birth of the first parent of your partner.
Max length: 11 characters
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.
I V A R O TR C S PR
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.
Max length: 11 characters
First Person Membership To Date Date
Please enter the end date of the first person's membership in the military or paramilitary organization.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
First Person's Relationship To Year Text
Enter the year when the first person's relationship ended.
Max length: 11 characters
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.
Max length: 8 characters
First Previous Address Period To Month Text
Enter the month when you stopped living at the first previous address.
Max length: 8 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 10 characters
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).
Max length: 1 characters
First Sibling Day of Birth Text
Enter the day of birth for the first sibling.
Max length: 11 characters
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.
Max length: 11 characters
First Travel Record To Date Date
Indicate the end date of your first travel or stay in the country mentioned.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 1 characters
Fourth Brother or Sister Date of Birth Day Text
Enter the day of birth for the fourth brother or sister.
Max length: 11 characters
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.
Max length: 11 characters
Fourth Camp/Centre To Year Text
Enter the year the person stopped living in the fourth camp or centre.
Max length: 11 characters
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.
Max length: 11 characters
Fourth Employment To Year Text
Enter the year when the fourth employment record for the main applicant ended.
Max length: 11 characters
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.
Max length: 11 characters
Second Applicant Fourth Employment To Day Text
Enter the ending day of the second applicant's fourth employment record.
Max length: 11 characters
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).
Max length: 1 characters
Fourth Non-Dependent Child Date of Birth Day Text
Enter the day of birth for the fourth non-dependent child.
Max length: 11 characters
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.
Max length: 1 characters
Fourth Non-Dependent Child Date of Birth Date
Enter the full date of birth for the fourth non-dependent child.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Fourth Other Applicant Date of Expiry Date
Enter the date when the fourth other applicant's travel or identity document will expire.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 8 characters
Fourth Previous Address To Month Text
Enter the month when you stopped living at the fourth previous address.
Max length: 8 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 1 characters
Fourth Sibling Birth Day Text
Enter the day of birth for the fourth sibling of the applicant's partner.
Max length: 11 characters
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.
Max length: 11 characters
Fourth To Year Text
Enter the ending year of travel for this fourth travel record.
Max length: 11 characters
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.
Max length: 2 characters
Person 2 Name Text
Please provide the full name of Person 2.
Max length: 2 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Main Applicant Primary School To Day Text
Enter the day the main applicant finished primary school.
Max length: 11 characters
Main Applicant Secondary School From Day Text
Enter the day the main applicant started secondary school.
Max length: 11 characters
Main Applicant Secondary School To Day Text
Enter the day the main applicant finished secondary school.
Max length: 11 characters
Main Applicant Post-Secondary Education From Day Text
Enter the day the main applicant started post-secondary education.
Max length: 11 characters
Main Applicant Post-Secondary Education To Day Text
Enter the day the main applicant finished post-secondary education.
Max length: 11 characters
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.
Max length: 11 characters
Main Applicant's Date of Expiry Date
Enter the date when the main applicant's travel or identity document will expire.
Max length: 11 characters
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.
Max length: 1 characters
Ninth Brother/Sister's Date of Birth Date
Enter the date of birth for the ninth brother or sister.
Max length: 11 characters
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.
Max length: 2 characters
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.
Max length: 2 characters
Ninth Other Applicant Language
m9.lang more Text
Max length: 3 characters
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.
Max length: 1 characters
Ninth Sibling's Date of Birth - Day Text
Enter the day of birth for your partner's ninth sibling.
Max length: 11 characters
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.
Max length: 2 characters
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.
Max length: 11 characters
Partner Signature Day Text
Enter the day the partner signed the form.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Person 76 First Employment To Day Text
Enter the day of the end date for the first employment.
Max length: 11 characters
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.
Max length: 11 characters
Person 76 Second Employment To Day Text
Enter the ending day of employment for Person 76's second employment.
Max length: 11 characters
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.
Max length: 11 characters
Third Employment End Day Text
Enter the day the person's third employment ended.
Max length: 11 characters
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.
Max length: 11 characters
Person 96 First Employment End Day Text
Provide the day of the month when Person 96's first employment concluded.
Max length: 11 characters
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.
Max length: 11 characters
Second Employment Start Month Text
Please enter the month when the second employment period began.
Max length: 11 characters
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.
Max length: 11 characters
Third Employment To Day Text
Enter the day the third employment ended.
Max length: 11 characters
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.
Max length: 11 characters
Person A5 First Employment To Day Text
Enter the day the first employment for Person A5 ended.
Max length: 11 characters
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.
Max length: 11 characters
Person A5 Fourth Employment To Day Text
Enter the day of the month when the Person A5's fourth employment period ended.
Max length: 11 characters
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.
Max length: 11 characters
A5 Second Employment To Day Text
Please provide the day the second employment ended.
Max length: 11 characters
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.
Max length: 11 characters
Person A5 Third Employment To Year Text
Provide the ending year of the Person A5's third employment.
Max length: 11 characters
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.
Max length: 11 characters
A6 Date of Expiry Date
Please enter the date when Person A6's document expires.
Max length: 11 characters
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.
Max length: 11 characters
A6 First Employment End Day Text
Enter the day the first employment for Person A6 ended.
Max length: 11 characters
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.
Max length: 11 characters
Person A6 Fourth Employment End Day Text
Please provide the day of the end date for this fourth employment period.
Max length: 11 characters
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.
Max length: 11 characters
A6 Second Employment To Day Text
Enter the day of the end date for the A6 second employment.
Max length: 11 characters
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.
Max length: 11 characters
Person A6 Third Employment End Day Text
Provide the day when the third employment ended.
Max length: 11 characters
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.
Max length: 11 characters
Person A7 Date of Expiry Date
Enter the date when the travel or identity document for Person A7 will expire.
Max length: 11 characters
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.
Max length: 11 characters
A7 First Employment To Day Text
Enter the day when the first employment ended.
Max length: 11 characters
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.
Max length: 11 characters
A7 Fourth Employment To Day Text
Provide the day the fourth employment for Person A7 ended.
Max length: 11 characters
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.
Max length: 11 characters
A7 Second Employment To Day Text
Enter the day the second employment for Person A7 ended.
Max length: 11 characters
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.
Max length: 11 characters
A7 Third Employment From Year Text
Enter the starting year of the A7 third employment period.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 1 characters
Second Brother or Sister Birth Day Text
Enter the day of birth for the second brother or sister.
Max length: 11 characters
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.
Max length: 11 characters
Second Camp/Centre To Day Text
Enter the day the person stopped living in the second camp or centre.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Fourth Applicant Second Employment To Day Text
Provide the ending day of the fourth applicant's second employment period.
Max length: 11 characters
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.
Max length: 11 characters
Second Employment To Day Text
Enter the ending day of the second employment period for the main applicant.
Max length: 11 characters
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.
Max length: 11 characters
Second Employment To Day Text
Enter the day of the month when the second employment period for the second applicant ended.
Max length: 11 characters
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.
Max length: 11 characters
Third Applicant's Second Employment To Day Text
Enter the day the third applicant's second employment period ended.
Max length: 11 characters
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).
Max length: 1 characters
Second Non-Dependent Child's Date of Birth Day Text
Enter the day of birth for the second non-dependent child.
Max length: 11 characters
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.
Max length: 1 characters
Second Non-Dependent Child Date of Birth Day Text
Please enter the day of birth for the second non-dependent child.
Max length: 11 characters
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.
Max length: 11 characters
Second Other Applicant Primary School To Day Text
Enter the day the second other applicant finished primary school.
Max length: 11 characters
Second Other Applicant Secondary School From Day Text
Enter the day the second other applicant started secondary school.
Max length: 11 characters
Second Other Applicant Secondary School To Day Text
Enter the day the second other applicant finished secondary school.
Max length: 11 characters
Second Other Applicant Post-Secondary Education From Day Text
Enter the day the second other applicant started post-secondary education.
Max length: 11 characters
Second Other Applicant Post-Secondary Education To Day Text
Enter the day the second other applicant finished post-secondary education.
Max length: 11 characters
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.
Max length: 11 characters
Second Other Applicant's Date of Expiry Date
Provide the date when the second other applicant's travel or identity document will expire.
Max length: 11 characters
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).
Max length: 1 characters
Second Parent Day of Birth Text
Enter the day of birth for the second parent.
Max length: 11 characters
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.
Max length: 1 characters
Second Parent's Date of Birth Date
Enter the date of birth for the second parent of the main applicant's partner.
Max length: 11 characters
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.
Max length: 11 characters
Second Person Membership To Date Date
Enter the end date of the second person's membership in the military or paramilitary organization.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Second Person's Relationship To Day Text
Enter the day the second person's relationship ended.
Max length: 11 characters
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.
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.
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.
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.
Second Previous Address From Year Number
Enter the year from which the applicant lived at the second previous address.
Max length: 8 characters
Second Previous Address To Year Number
Enter the year until which the applicant lived at the second previous address.
Max length: 8 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Second Relative's Date of Birth Year Combobox
Enter the year of birth for the second relative.
I V U O TR C S PR
Second Relative's Address Text
Enter the full residential address of the second relative in Australia.
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 10 characters
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.
Max length: 1 characters
Second Sibling Birth Day Text
Enter the day of birth for the second sibling.
Max length: 11 characters
Second Sibling Birth Month Combobox
Enter the month of birth for the second sibling.
D MT N MR F M E S W
Second Sibling Birth Year Text
Enter the year of birth for the second sibling.
Second Sibling Relationship Status Combobox
Enter the relationship status of the second sibling using the provided codes on the right.
PA SS PB PO SO CO PS CA SB SA CS CB
Second Sibling Place and Country of Birth Text
Enter the place and country where the second sibling was born.
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.
I V A R O TR C S PR
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.
Max length: 11 characters
Second Travel Record Date To Date
Provide the ending date of your travel or stay in the country for this second travel record.
Max length: 11 characters
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.
Max length: 1 characters
Seventh Brother or Sister Birth Day Text
Enter the day of birth for the seventh brother or sister.
Max length: 11 characters
Seventh Brother or Sister Birth Month Combobox
Enter the month of birth for the seventh brother or sister.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
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).
Max length: 1 characters
Seventh Non-Dependent Child Date of Birth Date
Enter the date of birth for the seventh non-dependent child.
Max length: 11 characters
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.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
fm.m name partn 7 Text
fm.m sex partn 7 Text
Max length: 1 characters
fm.m dob partn 7 Text
Max length: 11 characters
fm.m rel stat partn 7 ComboBox
D MT N MR F M E S W
fm.m birth partn 7 Text
fm.m rel ap partn 7 ComboBox
PA SS PB PO SO CO PS CA SB SA CS CB
fm.m country partn 7 Text
fm.m cntry stat partn 7 ComboBox
I V A R O TR C S PR
Seventh Other Applicant Details
m.hc more 1 Text
Max length: 2 characters
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.
Max length: 11 characters
Seventh Other Applicant Primary School To Month Text
Enter the month the seventh other applicant finished primary school.
Max length: 11 characters
Seventh Other Applicant Secondary School From Day Text
Enter the day the seventh other applicant started secondary school.
Max length: 11 characters
Seventh Other Applicant Secondary School To Month Text
Enter the month the seventh other applicant finished secondary school.
Max length: 11 characters
Seventh Other Applicant Post-Secondary Education From Day Text
Enter the day the seventh other applicant started post-secondary education.
Max length: 11 characters
Seventh Other Applicant Post-Secondary Education To Month Text
Enter the month the seventh other applicant finished post-secondary education.
Max length: 11 characters
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).
Max length: 1 characters
Seventh Sibling Date of Birth Day Text
Enter the day of birth for the seventh sibling of your partner.
Max length: 11 characters
Seventh Sibling Date of Birth Month Combobox
Enter the month of birth for the seventh sibling of your partner.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
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.
Max length: 11 characters
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.
Max length: 1 characters
Sixth Brother or Sister Birth Day Text
Enter the day of birth for the sixth brother or sister.
Max length: 11 characters
Sixth Brother or Sister Birth Month Combobox
Enter the month of birth for the sixth brother or sister.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
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.
Max length: 11 characters
Sixth Camp/Centre To Day Text
Enter the day when the person stopped living in the sixth camp or centre.
Max length: 11 characters
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.
Max length: 11 characters
Sixth Employment To Day Text
Enter the day the main applicant's sixth employment period ended.
Max length: 11 characters
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).
Max length: 1 characters
Sixth Non-Dependent Child Birth Year Text
Enter the birth year of the sixth non-dependent child.
Max length: 11 characters
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.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
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).
Max length: 1 characters
Sixth Non-Dependent Child Day of Birth Text
Enter the day of birth for the sixth non-dependent child.
Max length: 11 characters
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.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
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.
I V A R O TR C S PR
Sixth Other Applicant Details
Sixth Other Applicant Given Names Text
Please enter the given names of the sixth other applicant.
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.
Max length: 11 characters
Sixth Other Applicant Primary School To Day Text
Please enter the day the sixth other applicant finished primary school.
Max length: 11 characters
Sixth Other Applicant Secondary School From Day Text
Please enter the day the sixth other applicant started secondary school.
Max length: 11 characters
Sixth Other Applicant Secondary School To Day Text
Please enter the day the sixth other applicant finished secondary school.
Max length: 11 characters
Sixth Other Applicant Post-Secondary Education From Day Text
Please enter the day the sixth other applicant started post-secondary education.
Max length: 11 characters
Sixth Other Applicant Post-Secondary Education To Day Text
Please enter the day the sixth other applicant finished post-secondary education.
Max length: 11 characters
Sixth Other Applicant Highest Educational Qualification Text
Please provide the highest educational qualification obtained by the sixth other applicant.
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.
Max length: 11 characters
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.
Max length: 1 characters
Sixth Sibling Day of Birth Text
Enter the day of birth for the sixth sibling of your partner.
Max length: 11 characters
Sixth Sibling Month of Birth Combobox
Enter the month of birth for the sixth sibling of your partner.
D MT N MR F M E S W
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.
PA SS PB PO SO CO PS CA SB SA CS CB
Sixth Sibling Place and Country of Birth Text
Enter the place and country of birth for the sixth sibling of your partner.
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.
I V A R O TR C S PR
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.
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.
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.
Split Family Provisions Documentation
Proposer's Visa Checkbox
Check this box if you have attached a certified copy of your proposer's visa.
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.
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.
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.
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.
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.
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.
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.
Telephone Number
Telephone Number Country Code Text
Provide the country code for the telephone number.
Telephone Number Area Code Text
Provide the area code for the telephone number.
Telephone Number Main Number Text
Provide the main part of the telephone number.
Tenth Brother or Sister Details
Tenth Sibling Name Text
Enter the full name of the tenth brother or sister.
Tenth Sibling Sex Text
Enter the sex of the tenth brother or sister, using M for male, F for female, or X for unspecified.
Max length: 1 characters
Tenth Sibling Date of Birth Day Text
Enter the day of birth for the tenth brother or sister.
Max length: 11 characters
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
Tenth Sibling Date of Birth Year Text
Enter the year of birth for the tenth brother or sister.
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
Tenth Sibling Place and Country of Birth Text
Enter the place and country where the tenth brother or sister was born.
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.
I V A R O TR C S PR
Tenth Other Applicant Details
Tenth Other Applicant Given Name (Part 1) Text
Enter the first part of the tenth other applicant's given name.
Max length: 2 characters
Tenth Other Applicant Given Name (Part 2) Text
Enter the second part of the tenth other applicant's given name.
Tenth Other Applicant Ethnic Group or Clan Text
Enter the ethnic group or clan of the tenth other applicant.
Tenth Other Applicant Religion Text
Enter the religion of the tenth other applicant.
Tenth Other Applicant Political Party/Group Membership Text
Enter the membership of any political party or group for the tenth other applicant.
Third Accompanying Person Signature Date
Third Accompanying Person Signature Year Number
Enter the year the third accompanying person signed.
Max length: 11 characters
Third Applicant Name
Third Applicant Name Text
Enter the full name of the third applicant.
Third Brother or Sister Details
Third Brother or Sister Name Text
Enter the full name of the third brother or sister.
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.
Max length: 1 characters
Third Brother or Sister Date of Birth Day Text
Enter the day of birth for the third brother or sister.
Max length: 11 characters
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
Third Brother or Sister Date of Birth Year Text
Enter the year of birth for the third brother or sister.
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
Third Brother or Sister Place and Country of Birth Text
Enter the place and country of birth for the third brother or sister.
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.
I V A R O TR C S PR
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.
Third Camp/Centre Location Text
Enter the location of the third refugee camp, collective accommodation centre for refugees, or detention centre.
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.
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Third Child's Details
Third Child's Family Name Text
Enter the family name of the third child.
Third Child's Given Names Text
Enter the given names of the third child.
Third Child's Birth Year Number
Enter the year of birth for the third child.
Max length: 11 characters
Third Child's Relationship to Applicant Text
Enter the third child's relationship to the main applicant or partner.
Third Child's Biological Father's Full Name Text
Enter the full name of the third child's biological father.
Third Child's Biological Mother's Full Name Text
Enter the full name of the third child's biological mother.
Third Child's Biological Parents' Whereabouts Text
Enter the whereabouts of the third child's biological parents, specifying if they are deceased or unknown.
Third Child Adopted No Checkbox
Check this box if the third child has NOT been adopted by the main applicant and/or partner.
Third Child Adopted Yes Checkbox
Check this box if the third child HAS been adopted by the main applicant and/or partner.
Third Child's Custody Commencement Year Number
Enter the year when custody for the third child commenced.
Max length: 11 characters
Third Dependant Details
Third Dependant Family Name Text
Enter the family name of the third dependant.
Third Dependant Given Names Text
Enter the given names of the third dependant.
Third Dependant Date of Birth Date
Enter the date of birth of the third dependant.
Max length: 11 characters
Third Dependant Relationship to Applicant Text
Enter the relationship of the third dependant to the applicant.
Third Dependant Reason for Not Applying Text
Provide the reason why the third dependant is not applying with you.
Third Dependent Applicant Signature
Third Dependent Applicant Name Text
Please enter the full name of the third dependent applicant.
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.
Max length: 11 characters
Fourth Applicant Third Employment To Day Text
Enter the day of the end date for the fourth applicant's third employment.
Max length: 11 characters
Fourth Applicant Third Employment From Month Text
Enter the month of the start date for the fourth applicant's third employment.
Fourth Applicant Third Employment From Year Text
Enter the year of the start date for the fourth applicant's third employment.
Fourth Applicant Third Employment To Month Text
Enter the month of the end date for the fourth applicant's third employment.
Fourth Applicant Third Employment To Year Text
Enter the year of the end date for the fourth applicant's third employment.
Third Employment Record for Main Applicant
Third Employment From Year Text
Enter the year when the third employment period started for the main applicant.
Max length: 11 characters
Third Employment To Year Text
Enter the year when the third employment period ended for the main applicant.
Max length: 11 characters
Third Employment Employer Name Text
Enter the name of the employer for the third employment record of the main applicant.
Third Employment Employer Location Text
Enter the location of the employer for the third employment record of the main applicant.
Third Employment Business Type Text
Enter the type of business for the third employment record of the main applicant.
Third Employment Occupation and Duties Text
Enter the occupation and main duties for the third employment record of the main applicant.
Third Employment Record for Second Applicant
Second Applicant Third Employment From Day Text
Enter the day the second applicant's third employment period started.
Max length: 11 characters
Second Applicant Third Employment To Day Text
Enter the day the second applicant's third employment period ended.
Max length: 11 characters
Second Applicant Third Employment Employer Name Text
Enter the name of the employer for the second applicant's third employment period.
Second Applicant Third Employment Employer Location Text
Enter the location of the employer for the second applicant's third employment period.
Second Applicant Third Employment Type of Business Text
Enter the type of business for the second applicant's third employment period.
Second Applicant Third Employment Occupation and Main Duties Text
Enter the occupation and main duties for the second applicant's third employment period.
Third Employment Record for Third Applicant
m2.emp fr 3 Text
Max length: 11 characters
m2.emp to 3 Text
Max length: 11 characters
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).
Max length: 1 characters
Third Non-Dependent Child's Day of Birth Text
Enter the day of birth for the third non-dependent child.
Max length: 11 characters
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 S W
Third Non-Dependent Child's Place and Country of Birth Text
Enter the city and country where the third non-dependent child was born.
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
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.
I V A R O TR C S PR
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 if not specified).
Max length: 1 characters
Third Non-Dependent Child's Date of Birth Day Text
Enter the day of birth for the third non-dependent child.
Max length: 11 characters
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 S W
Third Non-Dependent Child's Date of Birth Year Text
Enter the year of birth for the third non-dependent child.
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
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.
I V A R O TR C S PR
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.
Max length: 11 characters
Third Other Applicant Primary School To Day Text
Enter the day the third other applicant finished primary school.
Max length: 11 characters
Third Other Applicant Secondary School From Day Text
Enter the day the third other applicant started secondary school.
Max length: 11 characters
Third Other Applicant Secondary School To Day Text
Enter the day the third other applicant finished secondary school.
Max length: 11 characters
Third Other Applicant Post-Secondary Education From Day Text
Enter the day the third other applicant started post-secondary education.
Max length: 11 characters
Third Other Applicant Post-Secondary Education To Day Text
Enter the day the third other applicant finished post-secondary education.
Max length: 11 characters
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.
Max length: 11 characters
Third Other Applicant's Date of Expiry Date
Enter the date when the third other applicant's travel or identity document will expire.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Third Person's Relationship To Day Text
Enter the day the third person's relationship ended.
Max length: 11 characters
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.
Max length: 8 characters
Third Previous Address Period To Text
Please enter the end of the period you lived at the third previous address.
Max length: 8 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 11 characters
Third Relative's Birth Month Combobox
Enter the month of birth for the third relative.
I V U O TR C S PR
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.
Max length: 11 characters
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.
Max length: 11 characters
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.
Max length: 10 characters
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).
Max length: 1 characters
Third Sibling Day of Birth Text
Enter the day of birth for your partner's third sibling.
Max length: 11 characters
Third Sibling Month of Birth Combobox
Enter the month of birth for your partner's third sibling.
D MT N MR F M E S W
Third Sibling Year of Birth Text
Enter the year of birth for your partner's third sibling.
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.
I V A R O TR C S PR
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.
Max length: 11 characters
Third Travel To Date Date
Please enter the end date of your travel or stay in the third country.
Max length: 11 characters
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.