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AUSTRALIA VISA FORM

Application for Australia Visa

Part A – Your details 7. Give the following details exactly as they appear in your passport ( Make sure your passport is valid for the period of stay you are applying for )
1. Indicate if you are applying outside Australia or in Australia
2. When do you wish to visit Australia?
From Date
To Date
3. How long do you wish to stay in Australia? Note:The stay period granted may be less than the period requested. You should check the terms of any visa granted.
4. Do you intend to enter Australia on more than one occasion?
5. Specify the date you wish to extend your stay to
6. Provide detailed reasons for requesting this further stay
Family name
Given names
Sex Male Female
Date of birth
Passport number
Country of passport
Nationality of passport holder
Date of issue
Date of expiry
Place of issue/ issuing authority
Place of birth
Town/city
State/province
Country
Relationship status
10. Are you or have you been known by any other name? (including name at birth, previous married names, aliases)
11. Do you currently hold an Australian visa? Note: If this VISA application is approved, your current VISA may cease
12. Have you applied for a Parent (subclass 103) visa?
13. Do you currently hold, or have you applied for, an APEC Business Travel Card (ABTC)? Note: If this visa application is approved, the Australian visa associated with your ABTC will cease
14. Are you a citizen of any other country?
15. Do you have other current passports?
16. Do you hold an identity card or identity number issued to you by your government (eg. National identity card) (if applicable)? Note: If you are the holder of multiple identity numbers because you are a citizen of more than one country, you need to enter the identity number on the card from the country that you live in.
17. In what country are you currently located?
18. What is your legal status in your current location?
19. What is the purpose of your stay in your current location and what is your visa status
20. Your current residential address Note:A street address is required as a post office box address cannot be accepted
21. Address for correspondence Same as your residential address
22. Contact telephone numbers (please mention country code, area code and number)
23. Do you agree to the Department communicating with you by email and/or fax? This may include receiving notification of the outcome of this application. Note:We can communicate about this application more quickly using email and/or fax.
Part B – Family travelling to Australia with you
24. Are you travelling to, or are you currently in, Australia with any family members?. If Yes Give details of each family member Make sure all the applications are lodged at the same time.
Part C – Family NOT travelling to Australia with you
25. Do you have a partner, any children, or fiancé who will NOT be travelling, or has NOT travelled, to Australia with you?
Part D – Details of your visit to Australia:
26. Is it likely you will be travelling from Australia to any other country (eg. New Zealand, Singapore, Papua New Guinea) and back to Australia? Upload Travel Itinerary Size : 150 Kb , Best Upload Ratio - 1:1 (Eg: 150 X 150 px)
27. you have any relatives in Australia?
28. Do you have any friends or contacts in Australia?
29. Why do you want to visit Australia? Include details of any dates that are of special significance to your visit.
30. Do you intend to do a course of study while in Australia?
Part E – Health details
31. In the last 5 years, have you visited or lived outside your country of passport for more than 3 consecutive months? Do not include time spent in Australia.
32. Do you intend to enter a hospital or health care facility (including nursing homes) while in Australia?
33. Do you intend to work as, or study to be, a doctor, dentist, nurse or paramedic during your stay in Australia?
34. Have you: • ever had, or currently have, tuberculosis? • been in close contact with a family member that has active tuberculosis? • ever had a chest x-ray which showed an abnormality?
35. During your proposed visit to 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 • pregnancy; • kidney disease, including dialysis; • mental illness; • respiratory disease that has required hospital admission or oxygen therapy; • HIV Infection, including AIDS; • other?
36. Do you require assistance with mobility or care due to a medical condition?
37. Have you undertaken a health examination for an Australian visa in the last 12 months? Note: If you are applying for a long stay Visitor visa or are 75 years or over, you will be asked to undergo a health assessment and may be asked to show that you have medical insurance to cover your intended stay in Australia. Please contact your nearest office of the Department for further advice before lodging your application. If additional medical consultations are required, a decision on your visa application will be delayed.
Part F – Character details
38. Have you ever:
(a) been charged with any offence that is currently awaiting legal action? Yes No
(b) been convicted of an offence in any country (including any conviction which is now removed from official records)? Yes No
(c) been the subject of an arrest warrant orInterpol notice? Yes No
(d) been found guilty of a sexually based offence involving a child (including where no conviction was recorded)? Yes No
(e) been named on a sex offender register? Yes No
(f) been acquitted of any offence on the grounds of unsoundness of mind or insanity? Yes No
(g) been found by a court not fit to plead? Yes No
(h) 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
(i) 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
(j) been associated with a person, group or organisation that has been/is involved in criminal conduct? Yes No
(k) 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
(l) served in a military force, police force, state sponsored/private militia or intelligence agency (including secret police)? Yes No
(m) undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products? Yes No
(n) been involved in people smuggling or people trafficking offences? Yes No
(o) been removed, deported or excluded from any country (including Australia)? Yes No
(p) overstayed a visa in any country (including Australia)? Yes No
(q) had any outstanding debts to the Australian Government or any public authority in Australia? Yes No
If you answered ‘Yes’ to any of the questions at Question 38, give ALL relevant details below.
Part G – Employment status
39. What is your employment status?Employed/ self-employed Retired Yes No If student give details
Part H – Funding for stay All visitors to Australia must be able to demonstrate they have adequatefunds to cover all costs associated with their visit. Providing evidence of funds will help expedite the processing of a visitor visa application. Examples may include personal bank statements showing a financial history, pay slips, audited accounts, taxation records or details of funds that visitors will be taking with them or funds that are available to them. Relevant factors may also include the number of persons your are supporting, the type of activities planned and the length of stay sought.
40. Give details of how you will maintain yourself financially while you are in Australia
41. Is your sponsor or someone else providing support for your visit to Australia? Note:This includes support from an organisation.
Part I – Previous applications
42. Have you ever:
(a) been in Australia and not complied with visa conditions or departed Australia outside your authorised period of stay?
(b) had an application for entry to or further stay in Australia refused, or had a visa for Australia cancelled?
If you answered ‘Yes’ to any of the above questions, give details
Part J – Assistance with this form
43. Did you receive assistance in completing this form?
44. Is the person an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA)?
45. Is the person/agent in Australia?
46. Did you pay the person/agent and/or give a gift for this assistance?
Part K – Options for receiving written communications
47. All written communications about this application should be sent to
For Future Contact
Your name * Your Mobile Number * Your Email Id *

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