Partner Details form Instructions
This form contains 147 fields organized into 41 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Australian Citizenship by Birth | ||
| No | Checkbox |
Check this box if you are an Australian citizen but were not born in Australia.
|
| Yes | Checkbox |
Check this box if you are an Australian citizen and were born in Australia.
|
| Next Question Number | Text |
Enter the number of the next question to proceed to if you are not an Australian citizen born in Australia.
|
| Australian Citizenship Status | ||
| Australian Citizenship | Checkbox |
Check this box if you are an Australian citizen.
|
| Date Citizenship Granted | Date |
Provide the date your Australian citizenship was granted. Fill only if 'Australian Citizenship' is 'Yes'.
Depends on:
Australian Citizenship
|
| Cohabitation Status | ||
| No | Checkbox |
Check this box if you do not currently live in the same home as your partner. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Yes | Checkbox |
Check this box if you currently live in the same home as your partner. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Live With Partner - No | Text |
Enter your response if you do not live in the same home as your partner. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Current Country of Residence | ||
| Australia | Checkbox |
Check this box if your current country of residence is Australia.
|
| Other | Checkbox |
Check this box if your current country of residence is a country other than Australia.
|
| Country of Residence | Text |
Please provide the name of the country where you currently live on a long-term basis.
|
| Current Country of Residence (Details) | Text |
Please provide the full name of the country where you currently reside on a long-term basis, or any additional details if needed. Fill only if 'Other' is selected.
Depends on:
Other
|
| Current Residence Status Code | ||
| Current Residence Status Code | Text |
Enter the code that represents your current residence status.
|
| Customer Reference Number | ||
| Customer Reference Number Part 1 | Text |
Please enter the first part of your customer reference number.
|
| Customer Reference Number Part 2 | Text |
Please enter the second part of your customer reference number.
|
| Customer Reference Number Part 3 | Text |
Please enter the third part of your customer reference number.
|
| Customer Reference Number Part 4 | Text |
Please enter the fourth and final part of your customer reference number.
|
| Date of Birth | ||
| Date of Birth | Date |
Please enter your date of birth.
|
| Email Address | ||
| Email Address | Text |
Please provide your email address.
|
| Employer Details | ||
| Employer Name | Text |
Enter the full legal name of the employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 1 | Text |
Enter the first line of the employer's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 2 | Text |
Enter the second line of the employer's street address, if applicable. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Address Line 3 | Text |
Enter the third line of the employer's street address, which might include suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Postcode | Text |
Enter the postcode associated with the employer's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Phone Number | Text |
Enter the employer's full phone number, including the area code. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employment Start Date | Date |
Enter the date your employment with this employer started. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Employment End Date | Date |
Enter the date your employment with this employer ended. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Country Lived In | ||
| DummyCalcQ19 | Text | |
| First Country Name | Text |
Please enter the name of the first country you lived in. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| First Country Date From | Date |
Please provide the date you started living in this first country. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| General | ||
| Instructions | Button | |
| Instructions | Button | |
| Q8.Address1 | Text | |
| Q8.Address2 | Text | |
| Q11GoToQ12.0 | Button | |
| Q11GoToQ12.1 | Button | |
| Q11GoToQ12.2 | Button | |
| Q12GoToQ15 | Button | |
| Q17GoToQ19 | Button | |
| Q20GoToQ23 | Button | |
| Print button | Button | |
| Clear button | Button | |
| Home Phone Number Details | ||
| Home Phone Number | Text |
Please enter your home phone number, including the area code.
|
| My name | Checkbox |
Check this box if the home phone account is in your name.
|
| My partner's name | Checkbox |
Check this box if the home phone account is in your partner's name. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Another name | Checkbox |
Check this box if the home phone account is in a name other than yours or your partner's.
|
| Income From Work Question | ||
| No | Checkbox |
Check this box if you have not received any income from work other than self-employment in the last 12 weeks.
|
| DummyCalcQ20 | Text | |
| Yes | Checkbox |
Check this box if you have received income from work other than self-employment in the last 12 weeks and need to provide details.
|
| Lived Outside Australia Question | ||
| No, Go to next question | Checkbox |
Check this box if you have never lived outside Australia for any period.
|
| Yes, List all countries | Checkbox |
Check this box if you have ever lived outside Australia for any period.
|
| Mobile Phone Number Details | ||
| Mobile Number | Text |
Please provide your mobile phone number.
|
| My name | Checkbox |
Check this box if the mobile phone account is in your name.
|
| My partner's name | Checkbox |
Check this box if the mobile phone account is in your partner's name. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Another name | Checkbox |
Check this box if the mobile phone account is in a name other than your own or your partner's.
|
| New Zealand Citizen Status | ||
| New Zealand Citizen Passport Holder | Checkbox |
Check this box if you are a New Zealand citizen who arrived in Australia on a New Zealand passport.
|
| Date Arrived in Australia | Date |
Provide the date you arrived in Australia. Fill only if 'New Zealand Citizen Passport Holder' is 'Yes'.
Depends on:
New Zealand Citizen Passport Holder
|
| Other Name (Row 1) | ||
| Other Name | Text |
Please provide the other name you have been known by. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Type of Name | Text |
Please specify the type of other name, such as name at birth, alias, or previous married name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Other Name (Row 2) | ||
| Other Name (Row 2) | Text |
Please enter the other name for this entry. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Type of Name (Row 2) | Text |
Please specify the type of this other name, such as name before marriage, alias, or foster name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Other Residence Status | ||
| None of the above | Checkbox |
Check this box if your current residence status does not match Australian Citizenship, a New Zealand citizen, a permanent visa holder, or a temporary visa holder.
|
| Other Residence Status Details | Text |
Please provide details about your current residence status if none of the above options apply to you. Fill only if 'None of the above' is 'Yes'.
Depends on:
None of the above
|
| Page 6 | ||
| Q23 | Text | |
| Signature | Text |
Please provide your signature to confirm the declaration.
|
| Declaration Date | Date |
Please provide the date you are making this declaration.
|
| Partner's Customer Reference Number | ||
| Partner's Customer Reference Number - Segment 1 | Text |
Please enter the first segment of your partner's customer reference number.
|
| Partner's Customer Reference Number - Segment 2 | Text |
Please enter the second segment of your partner's customer reference number.
|
| Partner's Customer Reference Number - Segment 3 | Text |
Please enter the third segment of your partner's customer reference number.
|
| Partner's Customer Reference Number - Segment 4 | Text |
Please enter the fourth segment of your partner's customer reference number.
|
| Partner's Date of Birth | ||
| Partner's Date of Birth | Date |
Please provide your partner's date of birth.
|
| Partner's Full Name | ||
| Partner's Family Name | Text |
Please enter your partner's family name.
|
| Partner's First Given Name | Text |
Please enter your partner's first given name.
|
| Partner's Second Given Name | Text |
Please enter your partner's second given name.
|
| Partner's Title | ||
| Mr | Checkbox |
Check this box if your partner's title is 'Mr'.
|
| Mrs | Checkbox |
Check this box if your partner's title is 'Mrs'.
|
| Miss | Checkbox |
Check this box if your partner's title is 'Miss'.
|
| Ms | Checkbox |
Check this box if your partner's title is 'Ms'.
|
| Mx | Checkbox |
Check this box if your partner's title is 'Mx'.
|
| Partner's Other Title | Text |
Provide the partner's title if it is not Mr, Mrs, Miss, Ms, or Mx.
|
| Period Not Living with Partner | ||
| Period From Date | Date |
Enter the start date of the period you were not living with your partner. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Period To Date | Date |
Enter the end date of the period you were not living with your partner. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Indefinite | Checkbox |
Check this box if the period of not living with your partner is indefinite. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Permanent Address | ||
| Address Line 1 | Text |
Please provide the first line of your permanent address, including house number and street name.
|
| Address Line 2 | Text |
Please provide the second line of your permanent address, such as the suburb, town, or city.
|
| Postcode | Text |
Please enter your permanent address postcode.
|
| Permanent Visa Holder Status | ||
| A permanent visa holder | Checkbox |
Check this box if you are currently holding a permanent visa.
|
| Permanent Visa Grant Date | Date |
Please provide the date when your permanent visa was granted. Fill only if 'A permanent visa holder' is 'Yes'.
Depends on:
A permanent visa holder
|
| Permanent Visa Subclass Number | Text |
Please enter the subclass number for your permanent visa. Fill only if 'A permanent visa holder' is 'Yes'.
Depends on:
A permanent visa holder
|
| Postal Address | ||
| Postal Address Line 1 | Text |
Enter the first line of your postal address.
|
| Postal Address Line 2 | Text |
Enter the second line of your postal address.
|
| Postal Address Line 3 | Text |
Enter the third line of your postal address, typically for city or state.
|
| Postcode | Text |
Provide the postal code for your address.
|
| Previous Names Inquiry | ||
| No | Checkbox |
Check this box if you have not been known by any other name.
|
| Yes | Checkbox |
Check this box if you have been known by other names and need to provide details.
|
| Other Name | Text |
Please enter any other name by which you have been known, such as a name at birth, an alias, an adoptive name, or a previous married name. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Reason for Not Living with Partner | ||
| Partner's illness | Checkbox |
Check this box if you are not living with your partner due to your partner's illness. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Your illness | Checkbox |
Check this box if you are not living with your partner due to your own illness. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Partner in prison | Checkbox |
Check this box if you are not living with your partner because your partner is in prison. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Partner's employment | Checkbox |
Check this box if you are not living with your partner due to your partner's employment. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Other | Checkbox |
Check this box if you are not living with your partner for any other reason not listed above. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Other Reason | Text |
Provide a brief description of the 'Other' reason why you are not living with your partner. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Details for Not Living with Partner | Text |
Provide detailed information explaining why you are not living with your partner. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Regular Working Days Question | ||
| No | Checkbox |
Check this box if you do not have regular working days with this employer, and proceed to the next question.
|
| Yes | Checkbox |
Check this box if you have regular working days with this employer, and provide details by selecting the days you work.
|
| Regular Working Days Details | Text |
Please provide details regarding your regular working days with this employer.
|
| Relationship Status | ||
| Most Recent Reconciliation Date | Date |
Please provide the date you most recently got back together (reconciled) with your partner, if you have ever been separated. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Married | Checkbox |
Check this box if your current relationship status is married. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Married Date or Last Reconciled Date | Date |
Please provide the date you were married or the date you last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Depends on:
Married
|
| Registered relationship | Checkbox |
Check this box if your relationship is registered under Australian state or territory law. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| Registered Relationship Date or Last Reconciled Date | Date |
Please provide the date your relationship was registered or the date you last reconciled with your partner. Fill only if 'Registered relationship' is 'Yes'.
Depends on:
Registered relationship
|
| De facto | Checkbox |
Check this box if your relationship is similar to a married couple but you are not married or in a registered relationship. Fill only if 'Your partner's name' is filled
Depends on:
Partner's Family Name, Partner's First Given Name, Partner's Second Given Name
|
| De Facto Relationship Start Date or Last Reconciled Date | Date |
Please provide the date you started your de facto relationship or the date you last reconciled with your partner. Fill only if 'De facto' is 'Yes'.
Depends on:
De facto
|
| Remunerative Allowance Amount | ||
| DummyCalcQ22 | Text | |
| Weekly Remunerative Allowance Amount | Number |
Please enter the amount of remunerative allowance paid per week. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Remunerative Allowances Question | ||
| No | Checkbox |
Check this box if you do not receive any remunerative allowances from this employer.
|
| Yes | Checkbox |
Check this box if you receive remunerative allowances from this employer.
|
| Second Country Lived In | ||
| Second Country Name | Text |
Please provide the name of the second country you have lived in. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| Second Country Date From | Date |
Please provide the date you started living in the second country. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| Temporary Visa Holder Status | ||
| Temporary Visa Holder | Checkbox |
Check this box if your current residence status is that of a temporary visa holder.
|
| Temporary Visa Granted Date | Date |
Please provide the date your temporary visa was granted. Fill only if 'Temporary Visa Holder' is 'Yes'.
Depends on:
Temporary Visa Holder
|
| Temporary Visa Subclass Number | Text |
Please provide the subclass number of your temporary visa. Fill only if 'Temporary Visa Holder' is 'Yes'.
Depends on:
Temporary Visa Holder
|
| Third Country Lived In | ||
| Third Country Name | Text |
Please enter the name of the third country you have lived in. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| Third Country Date From | Date |
Please provide the date you started living in this third country. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on:
Yes, List all countries
|
| Travel History Outside Australia | ||
| No | Checkbox |
Check this box if you have not travelled outside Australia, including for short trips and holidays.
|
| Not applicable - never travelled to Australia | Checkbox |
Check this box if you have never travelled outside Australia.
|
| Yes | Checkbox |
Check this box if you have travelled outside Australia, including for short trips and holidays.
|
| Travel Details | Text |
Provide any additional details or reference related to your travel outside Australia.
|
| Year Last Entered Australia | Number |
Provide the year you last entered Australia. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Passport Number | Text |
Provide your passport number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Passport Country of Issue | Text |
Provide the country that issued your passport. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Work Days | ||
| Monday | Checkbox |
Check this box if Monday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Tuesday | Checkbox |
Check this box if Tuesday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Wednesday | Checkbox |
Check this box if Wednesday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Thursday | Checkbox |
Check this box if Thursday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Friday | Checkbox |
Check this box if Friday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Saturday | Checkbox |
Check this box if Saturday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Sunday | Checkbox |
Check this box if Sunday is one of your regular working days with this employer. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Your Full Name | ||
| Family Name | Text |
Please enter your family name, also known as your surname.
|
| First Given Name | Text |
Please enter your first given name.
|
| Second Given Name | Text |
Please enter your second given name.
|
| Your Title | ||
| Mr | Checkbox |
Check this box if your title is Mr.
|
| Mrs | Checkbox |
Check this box if your title is Mrs.
|
| Miss | Checkbox |
Check this box if your title is Miss.
|
| Ms | Checkbox |
Check this box if your title is Ms.
|
| Mx | Checkbox |
Check this box if your title is Mx.
|
| Other Title | Text |
Please provide your title if it is not listed among the options.
|