Académique Documents
Professionnel Documents
Culture Documents
Form
842
Children under 18
Children under the age of 18 who have no parents, or who have
been separated from their parents, may also be granted a visa
in one of the subclasses listed above. However, the Australian
Government must be satisfied the childs entry to Australia is in
the best interest of the child and that the rights of the parents,
if any, are properly considered.
If any children under 18 who are members of the family unit
and included in this application are not your biological children,
you must provide information and documentation as to who
their birth parents are/were.
Partner
Partner means your spouse or de facto partner (including
same-sex partners).
Residential address
You must advise the department where you intend to live while
your application is being dealt with, or if you change your
residential address after your application has been lodged.
Failure to give a residential address will result in your application
being invalid. A post office box address will not be accepted as
your residential address.
Your application
Note: Your APO must complete form 1417 Proposal for refugee
and special humanitarian entrants by Approved Proposing
Organisation. Your APO must lodge both of these forms
(form 842 and form 1417) by post or courier at the department's
Victoria Offshore Humanitarian Processing Centre (OHPC).
If you need more space than is provided in this form for any of
your answers, attach a separate page, clearly marking the
question number the page relates to. Additional pages must be
signed and dated by each person aged 18 years or over included
in this application.
Integrity of application
The department is committed to maintaining the integrity of
the visa and citizenship programmes. Please be aware that if
you provide us with fraudulent documents or claims, this may
result in processing delays or your application being refused.
Supporting documents
The documents you must provide are requested throughout
this form. There is also a document checklist in Part O of this
form and you should carefully check you have provided all the
listed documents.
You should also provide all documents necessary to support
your humanitarian claims.
Copies of documents must be certified as true copies of the
original by a Justice of the Peace, Commissioner for
Declarations, or a person before whom a Statutory Declaration
may be made under the Statutory Declarations Act 1959.
Outside Australia, a person who is equivalent to a Justice of the
Peace or a Commissioner for Declarations must certify copies.
No forms 681, 842 and 1417 are free and may be obtained
from any office of the department in Australia and overseas or
are available free-of-charge from the departments website
www.immi.gov.au/allforms/
Change of circumstances
If your circumstances change in any way after you have lodged
this form (eg. if you or a family member enters into a new
relationship, becomes engaged, or marries), you must inform
the office where the application was lodged. If a child is born
to you (or any other person included in this application)
after the application is lodged, the child will be included
in your application if details are provided before a final
decision is made on your application.
By Post:
GPO Box 241
Melbourne VIC 3001
AUSTRALIA
Processing information
2 Lonsdale Street
Melbourne VIC 3001
AUSTRALIA
(* Countries include Bahrain, Iran, Iraq, Jordan, Kuwait,
Lebanon, Oman, Qatar, Saudi Arabia, Syria, Turkey, United Arab
Emirates and Yemen.)
Review rights
Settlement services
If you are granted a humanitarian visa (subclasses 200, 201, 202,
203 or 204), information on the personal possessions that you
may take with you to Australia is available from the office that
granted your visa.
The Australian Government provides a range of services to help
refugee and humanitarian entrants settle in Australia. This
assistance may include being met on arrival by a service provider
and taken to accommodation, help to register for income
support, help to arrange medical appointments, information
about your new community, and attending English language
classes.
Note: If you are granted a humanitarian visa in the Community
Proposal Pilot, settlement services will be provided to you by
your APO, in conjunction with any Supporting Community
Organisation.
Immigration assistance
A person gives immigration assistance to you if he or she uses,
or claims to use, his or her knowledge or experience in
migration procedure to assist you with your visa application,
request for ministerial intervention, cancellation review
application, sponsorship or nomination.
In Australia a person may only lawfully give immigration
assistance if he or she is a registered migration agent or is
exempt from being registered. Only registered migration agents
may receive a fee or reward for providing immigration
assistance.
Exempt persons
The following people do not have to be a registered migration
agent in order to provide immigration assistance, but they must
not charge a fee for their service:
a close family member (spouse, de facto partner, child,
parent, brother or sister);
a member of parliament or their staff;
an official whose duties include providing immigration
assistance (eg. a Legal Aid provider);
a member of a diplomatic mission, consular post or
international organisation.
Application for an
Offshore Humanitarian visa
Form
842
Please use a pen, and write neatly in English using BLOCK LETTERS.
PHOTOGRAPHS
Please attach eight (8) recent
passport sized photographs
of yourself
Relationship status
A1
Family name
Married legally
Engaged
Widowed
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Given names
Separated
Divorced
Name in own
language or
ethnic script
Sex
AND
DAY
MONTH
YEAR
Female
MONTH
YEAR
Date of birth
Place of birth Town/city
Do you currently have more than one partner (other than any partner
included in this visa application)?
Country
No
Citizenship
Yes
MONTH
YEAR
Select
Status in this country
1. Family name
Given names
Given names
Name in own
language or
ethnic script
Name in own
language or
ethnic script
Sex
Male
DAY
Female
MONTH
A3
2. Family name
Sex
Male
YEAR
DAY
Female
MONTH
Date of birth
Date of birth
Country
YEAR
Country
Citizenship
Citizenship
Married legally
Engaged
Widowed
Married legally
Engaged
Widowed
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Separated
Divorced
Separated
Divorced
Relationship to
main applicant
Relationship to
main applicant
No
No
Yes
Yes
A4
3. Family name
Given names
Given names
Name in own
language or
ethnic script
Name in own
language or
ethnic script
Sex
Male
DAY
Female
MONTH
A5
4. Family name
Sex
Male
YEAR
DAY
Female
MONTH
Date of birth
Date of birth
Country
YEAR
Country
Citizenship
Citizenship
Married legally
Engaged
Widowed
Married legally
Engaged
Widowed
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Separated
Divorced
Separated
Divorced
Relationship to
main applicant
Relationship to
main applicant
No
No
Yes
Yes
A6
5. Family name
Given names
Given names
Name in own
language or
ethnic script
Name in own
language or
ethnic script
Sex
Male
DAY
Female
MONTH
A7
6. Family name
Sex
Male
YEAR
DAY
Female
MONTH
Date of birth
Date of birth
Country
YEAR
Country
Citizenship
Citizenship
Relationship status
Relationship status
Married legally
Engaged
Widowed
Married legally
Engaged
Widowed
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Married by
tradition/custom
Married religiously
De facto
Never married or
been in a de facto
relationship
Separated
Divorced
Separated
Divorced
Relationship to
main applicant
Relationship to
main applicant
No
No
Yes
Yes
If you need more space, please attach a separate page with the details
Attach evidence of identity of each person included in this application
(eg. certified copies of birth certificates, marriage certificates,
passport, national identity card)
Has any person included in this application been mandated as a refugee or registered
with the United Nations High Commissioner for Refugees (UNHCR)?
No
Yes
Give details
Name
Country of mandate
Name
Country of registration
Give details
COUNTRY CODE
POSTAL CODE
Fax number
AREA CODE
) (
NUMBER
)
Email address
Note: If you wish to nominate a person other than yourself to receive
written communications about this application, you must indicate this
at Part M.
POSTAL CODE
AREA CODE
NUMBER
Telephone number
) (
Mobile/cell
) (
3. Family name
Given names
No
Yes
Previous partners
full name
Dates of
relationship
FROM
(DAY/MONTH/YEAR)
TO
Given names
Previous partners
full name
Names of all
children from
this previous
relationship
Dates of
relationship
FROM
(DAY/MONTH/YEAR)
TO
If you need more space, please attach a separate page with the details
Names of all
children from
this previous
relationship
2. Family name
Given names
No
Previous partners
full name
Dates of
relationship
FROM
(DAY/MONTH/YEAR)
TO
Yes
10 Are there any children included in this application who are not the
3. Family name
Given names
No
Yes
MONTH
YEAR
Date of birth
1. Family name
Relationship
to you
Given names
DAY
MONTH
Full name of
biological father
YEAR
Date of birth
Relationship
to you
Full name of
biological
mother
Full name of
biological father
Full name of
biological
mother
Whereabouts of biological parents
(if deceased or unknown, please state)
DAY
MONTH
DAY
MONTH
YEAR
If you need more space, please attach a separate page with the details
YEAR
2. Family name
Given names
DAY
MONTH
YEAR
Date of birth
Relationship
to you
Full name of
biological father
Full name of
biological
mother
Whereabouts of biological parents
(if deceased or unknown, please state)
DAY
MONTH
YEAR
normally live with you but who are not included in this application?
No
Yes
No
Yes
1. Family name
Given names
1. Family name
Given names
MONTH
Relationship
to you
YEAR
Date of birth
Last contact
(when, where
and how you
were separated)
Relationship
to you
Reason they are not applying with you
Full residential
address
(if known)
POSTAL CODE
2. Family name
2. Family name
Given names
Given names
DAY
MONTH
YEAR
Date of birth
Relationship
to you
Relationship
to you
Last contact
(when, where
and how you
were separated)
Full residential
address
(if known)
3. Family name
Given names
POSTAL CODE
DAY
MONTH
YEAR
Date of birth
3. Family name
Relationship
to you
Given names
If you need more space, please attach a separate page with the details
Full residential
address
(if known)
POSTAL CODE
If you need more space, please attach a separate page with the details
Name
Sex
M/F
Date of birth
DAY
MONTH
YEAR
Your parents
Relationship
to main
applicant
Relationship
status
(use codes
on right)
(use codes
on right)
Status in
country of
residence
(use codes
on right)
Select
Select
Select
Select
Select
Select
Select
Select
Your non-dependent children (all children who are not included as dependants in this application)
If you need more space, please attach a separate page listing further names
COMMONWEALTH OF AUSTRALIA, 2014
Name
Sex
M/F
Date of birth
DAY
MONTH
YEAR
Relationship
to main
applicants
partner
Relationship
status
(use codes
on right)
(use codes
on right)
Status in
country of
residence
(use codes
on right)
Select
Select
Select
Select
Select
Select
Relationship to main
applicants partner codes
PB = Parent Biological
PA = Parent Adoptive
PS = Parent Step
PO = Parent Other
(attach explanation)
SB = Sibling Biological (full)
SA = Sibling Adoptive
SS = Sibling Step
SO = Sibling Other
(attach explanation)
CB = Child Biological
CA = Child Adoptive
CS = Child Step
CO = Child Other
(attach explanation)
Select
Select
Your partners non-dependent children (all children who are not included as dependants in this application)
If you need more space, please attach a separate page listing further names
842 (Design date 07/14) - Page 16
Give details
Date of
application
DAY
MONTH
YEAR
Application approved?
File number
(if known)
No Yes
File number
(if known)
Not decided
If you need more space, please attach a separate page with the details
16 Do you or your partner have any relatives NOT INCLUDED IN THIS VISA APPLICATION
who have current Australian visa applications under consideration?
No
Yes
Give details
Date of
application
MONTH
YEAR
If you need more space, please attach a separate page with the details
17 Is any person included in this application being proposed (on form 681 or form 1417)
for entry to Australia by a person or organisation in Australia?
No
Yes
Give details of your proposer or Approved Proposing Organisation (in case of a Community Proposal Pilot application)
Family name
Given names
OR
Organisation name
Contact person
Relationship of the
proposer to you
Address of the proposer
POSTCODE
Telephone number
(AREA CODE
Note: Proposers in the Global Special Humanitarian (subclass 202) programme must complete form 681 Refugee and Special Humanitarian
Proposal and lodge both form 681 and this form (form 842) together. There is no charge for lodging or processing form 681.
Note: APOs under the Community Proposal Pilot must complete form 1417 Proposal for refugee and special humanitarian entrants by
Approved Proposing Organisation and lodge both form 1417 and this form (form 842) together. For charges associated with lodging and
processing form 1417, refer to the Visa Pricing Table www.immi.gov.au/fees-charges/visa-pricing-table.htm
These forms are available from the department's website www.immi.gov.au
COMMONWEALTH OF AUSTRALIA, 2014
Immediate family means a spouse or de facto partner (including same-sex partner), dependent children, or parent (if your child
in Australia is under 18 years of age)
No
Yes
Give details of the immediate family member who was granted the visa
Family name
Given names
File number (if known)
Name of the person in this
application they are related to
Relationship
Where did they last live together?
DAY
MONTH
YEAR
Attach a completed form 681 Refugee and Special Humanitarian Proposal to this application (there is no charge
for lodging or processing form 681)
Your proposer should complete form 681 for lodgement with this visa application. Form 681 is available from
any office of the department, or from the departments website www.immi.gov.au
Attach a certified copy of the immediate family members Australian visa and evidence of the
relationship (eg. a marriage certificate, birth certificate etc.) if available
Provide details of humanitarian claims at Part G, Questions 24 36
Ensure you are aware of recent changes to the Special Humanitarian Programme by reading information on the
departments website www.immi.gov.au/visas/humanitarian/offshore/how-propose.htm
19 Do any people included in this application have any other relatives residing in Australia?
No
Yes
Give details
Select
Details of the relative in Australia
Resident
status in
Australia
Date of birth
Name
DAY
MONTH
YEAR
Address
Given names
Relationship to applicant
(use codes
below)
1.
2.
3.
4.
5.
If you need more space, please attach a separate page with the details
Friend
Other
A3 Given names
No
Note: If you do not have any documents, please explain why do not
obtain fraudulent documents.
Yes
Give details
A1
Select
Main applicant
Passport number
No
Country of issue
Yes
Give details
Date of issue
DAY
Select
MONTH
YEAR
Date of expiry
Passport number
Country of issue
DAY
MONTH
YEAR
Date of issue
A4 Given names
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
Yes
Give details
Select
Other applicants
Passport number
(or document number)
A2 Given names
Country of issue
DAY
No
Date of issue
Yes
Give details
Date of expiry
Select
MONTH
YEAR
Country of issue
DAY
MONTH
A5 Given names
YEAR
Date of issue
Date of expiry
No
Yes
Give details
Select
Country of issue
DAY
MONTH
YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
Type of document codes
P = Passport
UN = UN Convention travel document or Titre de voyage
A = Alien/Asylum Registration Card
CI = Certificate or document of identity
S = Seafarer identity document
NIC = National identity card
842 (Design date 07/14) - Page 20
A6 Given names
Yes
Give details
Select
Country of passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
A7 Given names
Yes
Give details
Select
Country of issue
DAY
MONTH
YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
If you need more space, please attach a separate page with the details
Yes
Give details
Date of application
DAY
MONTH
Type of application
(eg. refugee resettlement,
migration, asylum etc.)
Which country?
YEAR
Application approved?
No Yes Not decided
If you need more space, please attach a separate page with the details
23 For EACH person included in this application list every address where they
have lived during the last 10 years
Address where you are living now
Town
1.
TO
FROM
TO
FROM
TO
FROM
TO
MONTH
MONTH
FROM
TO
MONTH
MONTH
MONTH
MONTH
MONTH
MONTH
Country
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
Country
5.
Town
YEAR
Country
4.
Town
MONTH
YEAR
Country
3.
Town
MONTH
Country
2.
Town
YEAR
Country
Previous addresses
Town
MONTH
YEAR
YEAR
24 For ALL the people included in this application list the ethnic group to which
they belong, their religion and any political party/group to which they belong
Given names
A1
Main applicant
Other applicants
A2
A3
A4
A5
A6
A7
If you need more space, please attach a separate page with the details
COMMONWEALTH OF AUSTRALIA, 2014
DAY
MONTH
YEAR
27 Why do you fear living in or returning to the country you listed at Question 25?
Your answer should pay special attention to what happened to you, not the general situation in that country.
If you need more space, please attach a separate page with details
842 (Design date 07/14) - Page 24
28 If you have left the country you fear, how did you leave?
29
Legally
Illegally
What do you believe may happen to you, or the people included in your application, if you were to return to or continue living in that country?
You should give full details of what you think may happen to you and reasons why that would happen
If you need more space, please attach a separate page with details
30 Who do you think may harm or mistreat you if you continue living in or go back to that country?
If you need more space, please attach a separate page with details
31 Do you think the authorities of that country can and will protect you if you continue living in or return to that country?
No
Yes
32 Did you travel through, or stay, in any other countries before arriving in the country where you are now living?
No
Yes
DAY
MONTH
To
YEAR
DAY
33 Has this application been lodged based on the United Nations High Commissioner for Refugees (UNHCR)
referring you to Australia for refugee resettlement?
No
Yes
Give details
Given names
Country served
Name of military/paramilitary organisation
Rank in this organisation
Dates of membership of this organisation
FROM
TO
If you need more space, please attach a separate page with the details
Attach certified copies of any discharge papers if available
FROM
TO
MONTH
YEAR
35 Has any person included in this application ever lived in a refugee camp,
collective accommodation centre for refugees, or detention centre?
No
Yes
Give details
Name of camp/centre
Location
1.
MONTH
YEAR
FROM
TO
2.
FROM
TO
3.
FROM
TO
4.
FROM
TO
5.
FROM
TO
6.
FROM
TO
If you need more space, please attach a separate page with the details
36 If selected for an interview about your application, will you need an interpreter?
No
Yes
Which language(s)?
If you are selected for an interview we will advise you if you are required to provide your own interpreter
A1
MONTH
Name of employer
Location of employer
YEAR
Main applicant
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Other applicants
A2
Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A3
Name
FROM
TO
FROM
TO
FROM
TO
A4
Name
FROM
TO
FROM
TO
FROM
TO
Type of business
(Question 37 continued)
Dates of employment
DAY
A5
MONTH
Name of employer
Location of employer
Type of business
YEAR
Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A6
Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A7
Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Name
FROM
TO
FROM
TO
FROM
TO
Name
FROM
TO
FROM
TO
FROM
TO
If you need more space, please attach a separate page with the details
COMMONWEALTH OF AUSTRALIA, 2014
Select
How well this person
speaks English
Given names
A1
(insert code
from below)
Main applicant
Other applicants
A2
A3
A4
A5
A6
A7
If you need more space, please attach a separate page with the details
39 For EACH person included in this application, give details of their education
Primary school
Given names
A1
Main applicant
DAY
MONTH
Secondary school
YEAR
DAY
MONTH
Post-secondary education
YEAR
DAY
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
FROM
FROM
FROM
TO
TO
TO
Other applicants
A2
A3
A4
A5
A6
A7
If you need more space, please attach a separate page with the details
English language codes
1 = Very well (eg. can speak English with little hesitation and few errors in most situations)
2 = Well (eg. can speak English well enough to deal with basic social and work situations)
3 = Not well (eg. can speak only a little English)
4 = Not at all
842 (Design date 07/14) - Page 30
MONTH
YEAR
Part J Health
No
No
Go to Part M
Yes
Yes
Title:
Mrs
Mr
Miss
Ms
Other
Family name
Given names
Organisation
Part K Character
Address
No
Yes
No
Yes
POSTCODE
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Office hours
AREA CODE
) (
NUMBER
)
Mobile/cell
43 Is the person an agent registered with the Office of the Migration Agents
Registration Authority (Office of the MARA)?
No
Yes
Go to Part M
No
Yes
No
Yes
45 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
No
No
Yes
Yes
Yes
Myself
If you answered Yes to any of the above questions, provide all details
below. If the matters relate to a criminal conviction, please give the
nature of the offence, full details of sentence and dates of any period
of imprisonment or other detention.
OR
Proposer
OR
Authorised
recipient
OR
Migration agent
OR
If you need more space, please attach a separate page with the details
Exempt person
Signature
of main
applicant
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
48 This declaration and consent must be signed by you (the main applicant)
I declare that:
the information I have supplied on and with this form is complete,
correct and up-to-date in every detail.
I did not marry or enter a de facto relationship to become eligible for
entry to Australia.
I understand that if I have given false or misleading information, my
application may be refused, or, if a visa has been granted, the visa
may be cancelled and I could be removed from Australia.
I understand that if I am granted a visa, any person not included in
this application will not have automatic right of entry to Australia by
way of this application.
I undertake to inform the Australian Government of any material
changes to my circumstances while my application is being
considered, or before I am immigration cleared.
(Note: Your visa may be cancelled and you could be removed if you
do not advise of changes in circumstances).
I authorise the Australian Government to make any enquiries necessary
to determine my eligibility for entry to Australia, and to use any
information supplied in this application for that purpose.
I understand that unless my qualifications have already been
recognised by an Australian assessing authority before my departure,
they may not be recognised after my arrival.
I understand that it is my personal responsibility to assess my own
employment prospects in Australia and acknowledge that labour
market conditions there can vary significantly from time to time and
between regions.
I understand that grant of a visa provides no guarantee of employment
once in Australia.
I have read the information contained in form 1442i Privacy notice.
I understand the department may collect, use and disclose my
personal information (including biometric information and other
sensitive information) as outlined in form 1442i Privacy notice.
I understand that information collected in the visa process may be
disclosed to the Department of Social Services for the purposes of
evaluating my settlement needs and providing settlement support.
For offshore applicants who are required to provide their fingerprints and
facial image:
I understand that my fingerprints and facial image and my biographical
information held by the department may be given to Australian law
enforcement agencies to help identify me, to help determine my eligibility
for grant of the visa I have applied for, and for law enforcement purposes.
I consent to:
Australian law enforcement agencies disclosing my biometric,
biographical and criminal record information to the department for
any of the purposes outlined above; and
the department using the information obtained for the purposes of
the Migration Act 1958 or the Australian Citizenship Act 2007.
For applicants applying in the Community Proposal Pilot:
I understand that my Approved Proposing Organisation will be lodging
this application on my behalf; and
I understand that the information that I provide in this form may be
shared with my Approved Proposing Organisation and that my
Approved Proposing Organisation may also share this information
with any Supporting Community Organisations it works with in order
to provide services to help me settle in Australia.
Signature or mark
of applicant
Date (DAY/MONTH/YEAR)
Signature or mark
of partner
(if applicable)
Date (DAY/MONTH/YEAR)
Signatures of persons aged 18 years or over who are
included in this application (if applicable)
Signature or mark
Date (DAY/MONTH/YEAR)
Signature or mark
Date (DAY/MONTH/YEAR)
Signature or mark
Date (DAY/MONTH/YEAR)
Signature or mark
Date (DAY/MONTH/YEAR)
Signature or mark
Date (DAY/MONTH/YEAR)
Signature or mark
Date (DAY/MONTH/YEAR)
Important If your circumstances change after you lodge this application (eg. you change your address, marry or become engaged to be married, or have
a baby), you must notify the office where you lodge this application. If your application is supported by a proposal form 681 Refugee and special humanitarian
proposal or form 1417 Proposal for refugee and special humanitarian entrants by Approved Proposing Organisations and your proposers circumstances
change after you have lodged this application, you should also notify the office where you lodge this application.
COMMONWEALTH OF AUSTRALIA, 2014
Question
Q21
Document
Q4
Q8
Q9
Q10
Q17
Q18
Q23
Q27
Attached?
OR
Attached?
OR
Document
If you have attached additional pages with answers, each page must
be marked with the question number it refers to, and signed
and dated by each person aged 18 years or over who is included in
this application.
Please ensure you, your partner and persons aged 18 years or over
who are included in this application have signed the Declaration at
Part O.
If you do not provide all the necessary documents, or you have not
provided an adequate explanation why you cannot provide these
documents, a decision may be made on the information you have
provided. It is in your interest to support your application with as much
information as possible at the time of lodging this application.
You must lodge your Class XB visa application at the relevant office
of the department responsible for visa applications from your country
of residence. To find out which office of the department you need to
lodge your application with, refer to the departments website at
www.immi.gov.au
Note: Certain applicants must lodge their application in Australia (see
Where can you lodge this application? on page 3).
*In Australia, copies of documents must be certified as true copies of the original
by a Justice of the Peace, Commissioner for Declarations, or a person before
whom a Statutory Declaration may be made under the Statutory Declarations
Act 1959.
*Outside Australia, copies of documents must be certified by a person who is the
equivalent of a Justice of the Peace or Commissioner for Declarations in the
country where the documents are being certified.