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Purpose of Travel

Referred by (Travel Agent / Tour Operator / Other)

If travel agent/tour operator, please specify.

Main purpose of travel*

Tourism

Business

Family visit

Study

Religious event

Other

Is there a significant date on which you need to be in Australia?*

Yes

No

Date*

DD slash MM slash YYYY

Reason*

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Applicant Details

Given name(s)*

Surname*

Gender*

Male

Female

Other

Date of birth*

DD slash MM slash YYYY

Nationality*

British CitizenBritish SubjectBritish Virgin IslandsBritish Overseas CitizenBritish National OverseasBritish Dependant Territories CitizenBritish Protected PersonAfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComores IslandsCongo, Dem. Rep. OfCongo, Republic ofCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicDutch CaribbeanEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFijiFinlandFranceFrench GuianaFrench GuineaFrench PolynesiaFrench West IndiesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGrenadaGuatemalaGuinea BissauGuinea, Republic ofGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea - NorthKorea - SouthKosovoKuwaitKyrgystanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMocronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorwayNot ApplicableOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarReunion IslandRomaniaRussiaRwandaSamoa (American)San MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSt Kitts and NevisSt LuciaSt Vincent and the GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwan (Republic of China)TajikistanTanzaniaThailandThe Vatican (Holy See)TibetTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Nations Laissez PasserUnited StatesUruguayUS Diplomatic PassportUzbekistanVanuatuVenezuelaVietnamWestern SamoaYemenZambiaZimbabwe

Passport type*

Regular

Official

Diplomatic

Passport number*

Issuing country*

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

Issuing authority*

Date of issue*

DD slash MM slash YYYY

Date of expiry*

DD slash MM slash YYYY

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Do you hold a national identity card?*

Yes

No

National identity card number*

Issuing country*

Date of issue*

DD slash MM slash YYYY

Date of expiry*

DD slash MM slash YYYY

Do you hold a Pacific-Australia Card?*

Yes

No

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Marital status

Married

Divorced

Single

Widowed

Other

Have you ever changed your name?*

Yes

No

Reason for name change*

Marriage

Deed poll

Other

Previous name*

Are you a citizen of any other country?*

Yes

No

Country*

Have you previously travelled to Australia?*

Yes

No

Have you previously applied for a visa for Australia?*

Yes

No

Have you previously been granted a visa for Australia?*

Yes

No

Previous visa grant number*

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Do you hold any other passports?*

Yes

No

Issuing country*

Passport number*

Date of issue*

DD slash MM slash YYYY

Date of expiry*

DD slash MM slash YYYY

Do you hold any other identity documents?*

Not including driving license

Yes

No

Issuing country*

Identity document number*

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Health Examination

Have you undertaken a health examination for an Australian visa in the last 12 months?*

Yes

No

HAP ID*

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Travel Companions

Are there other persons travelling with you to Australia?*

Yes

No

Relationship to you*

Name*

First Last

Gender*

Male

Female

Other

Date of birth*

DD slash MM slash YYYY

Additional travelling companions

If you are travelling with more than one other person, please use this space to provide all traveller's information

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Applicant Contact Details

Current residential address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

Telephone number*

Email address*

Enter Email Confirm Email

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Family Details

Do you have members of your immediate family unit who are not travelling with you to Australia?*

Yes

No

Relationship to you*

Name*

First Last

Gender*

Male

Female

Other

Date of birth*

DD slash MM slash YYYY

Country of birth*

Additional family members

Please use this space to detail any other relevant family members

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Travel Details

Do you intend to enter Australia on more than one occasion?*

Yes

No

Intended length of stay*

Up to 3 months

Up to 6 months

Up to 12 months

Are you a parent or step-parent of an Australian citizen or Australian permanent resident?*

Yes

No

Do you wish to apply for a longer visa validity period?*

Yes

No

Have you applied for an Australian parent visa?*

Yes

No

Do you have a queue date?*

Yes

No

Are you applying for a multi-entry visa that allows you to stay in Australia for up to 12 months per visit?*

Yes

No

Proposed date of entry into Australia*

DD slash MM slash YYYY

Proposed date of exit from Australia*

DD slash MM slash YYYY

Proposed length of stay*

Days

Do you intend to undertake a course of study whilst in Australia?*

Yes

No

Course name*

Institution name*

Course start date*

DD slash MM slash YYYY

Course end date*

DD slash MM slash YYYY

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Contacts in Australia

Do you intend to visit any relatives, friends or contacts while in Australia?*

Yes

No

Name*

First Last

Relationship to you*

Gender*

Male

Female

Other

Date of birth*

DD slash MM slash YYYY

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

Phone*

Email*

Australian residency status*

Australian citizen

Australian permanent resident

Australian temporary resident (student, visitor or work visa)

Unknown

Other

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Employment Details

Employment status*

Employed

Self-employed

Unemployed

Retired

Student

Other

Please select the category that is most appropriate for your current occupation*

Manager

Professional

Technical & Trade Worker

Community & Personal Service Worker

Clerical & Administrative Worker

Sales Worker

Machinery Operator & Driver

Labourer

Other

Employer name*

Start date*

DD slash MM slash YYYY

Employer address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

Employer telephone number*

Employer email*

Retirement date*

DD slash MM slash YYYY

From what date have you been unemployed*

DD slash MM slash YYYY

Last employment position*

Course name*

Institution name*

Course start date*

DD slash MM slash YYYY

Course end date*

DD slash MM slash YYYY

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Funding Details

How will your trip to Australia be funded*

Self-funded

Employer

Other organisation

Other individual

Funds available for the trip (£)*

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Health Insurance Details

Do you have health insurance arranged for your stay in Australia?*

Yes

No

Type of health insurance cover*

Name of health insurer*

Covered from*

DD slash MM slash YYYY

Covered to*

DD slash MM slash YYYY

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Health Declarations

In the last five years, have you visited or lived in a country other than the country of your passport for more than 3 consecutive months? Do not include time spent in Australia.*

Yes

No

Country*

Date from*

DD slash MM slash YYYY

Date to*

DD slash MM slash YYYY

Do you intend to enter a hospital or health care facility (including a nursing home) while in Australia?*

Yes

No

Do you intend to work as, or study or train to be, a health care worker or work within a health care facility while in Australia?*

Yes

No

Do you intend to work, study or train within aged care or disability care while in Australia?*

Yes

No

During your stay in Australia, do you expect to incur medical costs, or require treatment or medical follow up for blood disorder, cancer, heart disease, hepatitis B or C and/or liver disease, HIV infection, kidney disease, mental illness, pregnancy or respiratory disease?*

Yes

No

Do you require assistance with mobility or care due to a medical condition?*

Yes

No

If you have answered yes to any of the above Health Declaration questions, you must provide further detail:*

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Character Declarations

Have you ever been charged with any offence that is currently awaiting legal action?*

Yes

No

Have you ever been convicted of an offence in any country (including any conviction which is now removed from official records)?*

Yes

No

Have you ever been the subject of a domestic violence or family violence order, or any other order, of a tribunal or court or other similar authority, for the personal protection of another person?*

Yes

No

Have you ever been the subject of an arrest warrant or Interpol notice?*

Yes

No

Have you ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?*

Yes

No

Have you ever been named on sex offender register?*

Yes

No

Have you ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?*

Yes

No

Have you ever been found by a court not fit to plead?*

Yes

No

Have you ever 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

No

Have you ever 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?*

Yes

No

Have you ever been associated with a person, group or organisation that has been or is involved in criminal conduct?*

Yes

No

Have you ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia?*

Yes

No

Have you ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?*

Yes

No

Have you ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?*

Yes

No

Have you ever been involved in people smuggling or people trafficking offences?*

Yes

No

Have you ever been removed, deported or excluded from any country (including Australia)?*

Yes

No

Have you ever overstayed a visa in any country (including Australia)?*

Yes

No

Have you ever had any outstanding debts to the Australian Government or any public authority in Australia?*

Yes

No

If you have answered yes to any of the above Character Declaration questions, you must provide further detail:*

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Visa History

Do you currently hold or have you ever held a visa for Australia or any other country?*

Yes

No

Have you ever been in Australia or any other country and not complied with visa conditions or departed outside their authorised period of stay?*

Yes

No

Have you ever had a visa for Australia or any other country refused or cancelled?*

Yes

No

If you have answered yes to any of the above Visa History questions, you must provide further detail:*

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Australia Eligibility Questions

I have read and understand the information provided to me in this application*

Yes

No

I have provided complete and correct information in every detail*

Yes

No

I understand that if any fraudulent documents or false or misleading information has been provided in this application, or if any of the applicants fail to satisfy the Minister of their identity, the application may be refused and the applicant, and any member of their family unit, may become unable to be granted a visa for a specified period of time*

Yes

No

I understand that if documents are found to be fraudulent or information to be incorrect after the grant of the visa, this visa may be subsequently cancelled*

Yes

No

I understands that if this application is approved, any person not included in this application will not have automatic right of entry to Australia*

Yes

No

I will inform the Department in writing immediately as I become aware of a change in circumstances (including change of address) or if there is any change relating to information I have provided in or with this application, while it is being considered*

Yes

No

I have read the information contained in the Australian Privacy Notice (Form 1442i found at https://immi.homeaf- fairs.gov.au/form-listing/forms/1442i.pdf)*

Yes

No

I understand that the Department may collect, use and disclose the applicant’s personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice.*

Yes

No

I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such,I will be expected to depart from Australia, and be subject to removal under the Migration Act 1958*

Yes

No

I understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i)*

Yes

No

I understand that if a no further stay 8503 condition is imposed on this visa, it will limit the ability to remain in Australia beyond the authorised period of stay of the visa*

Yes

No

I agree not to undertake study or training for more than three months.*

Yes

No

I agree to leave Australia on or before the expiry of the period of stay of the visa*

Yes

No

I give consent to the collection of their fingerprints and facial image if required*

Yes

No

I understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical information held by the Department may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being applied for, and for law enforcement purposes*

Yes

No

I give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the Department to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes*

Yes

No

I understand that the Visitor visa does not permit the applicant to work in Australia*

Yes

No

I give consent to the Department using the applicant's biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.*

Yes

No

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Document Upload

Copy of passport*

Please provide a copy of the photograph/information page of your passport. Your passport must be valid for at least the entire duration of your proposed stay in Australia.

Drop files here or Select files

Max. file size: 32 MB.

Proof of funds*

IF you are applying for a 12 month visa you must provide a copy of your most recent back statement. The statement must show you name, address and enough available funds to support yourself whilst in Australia.

Drop files here or Select files

Max. file size: 32 MB.

Proof of name change*

IF you have ever changed your name, including through marriage, you MUST provide proof of name change. In the case of marriage, this would be a copy of your marriage certificate.

Drop files here or Select files

Max. file size: 32 MB.

ACRO Police Certificate

IF you have ever been convicted of any crime, in any country, you MUST provide a copy of an ACRO Police Certificate dated within the last 6 months. DON’T HAVE AN ACRO? – If you do not already have this document, The Travel Visa Company offer a service to obtain this on your behalf for an additional fee. Please visit www.thetravelvisacompany.co.uk/services/acro

Drop files here or Select files

Max. file size: 32 MB.

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Service and Delivery Options

Length of Stay

Up to 3 monthsUp to 6 monthsUp to 12 months

How would you like to receive confirmation of your visa once approved?*

EmailPost

Total

Discount code

Payment Details

Billing address*

Same as residential

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