1409 - Application for a Temporary Graduate visa - Department of ...
1409 - Application for a Temporary Graduate visa - Department of ...
1409 - Application for a Temporary Graduate visa - Department of ...
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<strong>Application</strong> <strong>for</strong> a<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong><br />
Form<br />
<strong>1409</strong><br />
About this <strong>for</strong>m<br />
Important – Please read this in<strong>for</strong>mation carefully be<strong>for</strong>e you<br />
complete your application. Once you have completed your<br />
application we strongly advise that you keep a copy <strong>for</strong> your<br />
records.<br />
Who should use this <strong>for</strong>m?<br />
You should use this <strong>for</strong>m if you are eligible to apply <strong>for</strong> a<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> (subclass 485) and can be assessed<br />
against one <strong>of</strong> the following streams:<br />
• <strong>Graduate</strong> Work stream (18 months <strong>visa</strong> validity)<br />
• Post-Study Work stream (2, 3 and 4 years <strong>visa</strong> validity)<br />
OR<br />
• You are a dependant <strong>of</strong> a person who holds a <strong>Temporary</strong><br />
<strong>Graduate</strong> <strong>visa</strong> (subclass 485), including a subsequent<br />
entrant.<br />
A summary <strong>of</strong> the streams has been provided on pages 3 and 4<br />
<strong>of</strong> this <strong>for</strong>m. Further in<strong>for</strong>mation about the <strong>Temporary</strong><br />
<strong>Graduate</strong> <strong>visa</strong> is available on the <strong>Department</strong> <strong>of</strong> Immigration<br />
and Border Protection (the department) website<br />
www.immi.gov.au/<strong>visa</strong>s/students/485<br />
Applying online<br />
The department encourages applicants to apply online.<br />
<strong>Application</strong>s lodged online have quicker processing<br />
times. For in<strong>for</strong>mation on how to apply online go to the<br />
department’s website www.immi.gov.au/e_<strong>visa</strong>/<br />
Be<strong>for</strong>e completing this <strong>for</strong>m<br />
Please read carefully the in<strong>for</strong>mation below, and the in<strong>for</strong>mation<br />
on the <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> available on the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
Integrity <strong>of</strong> application<br />
The department is committed to maintaining the integrity <strong>of</strong><br />
the <strong>visa</strong> and citizenship programs. In relation to this<br />
application, if:<br />
• you;<br />
• a member <strong>of</strong> your family unit included in your application; or<br />
• a third party acting on your behalf;<br />
provide, or have provided in a previous application relating to<br />
yourself or a member <strong>of</strong> your family unit included in this<br />
application, false or misleading in<strong>for</strong>mation or documents<br />
(either knowingly or otherwise), this <strong>visa</strong> application is likely<br />
to be refused and you and any members <strong>of</strong> your family unit<br />
included in this application will be subject to a 3 year bar in<br />
relation to <strong>visa</strong>s to which the fraud criterion applies.<br />
If in<strong>for</strong>mation or documents are found to be fraudulent or<br />
misleading after the grant <strong>of</strong> a <strong>visa</strong>, it may subsequently be<br />
cancelled.<br />
Life in Australia – Australian values<br />
The Australian Government encourages people to gain an<br />
understanding <strong>of</strong> Australia, its people and their way <strong>of</strong> life,<br />
be<strong>for</strong>e applying <strong>for</strong> a <strong>visa</strong> to live in Australia. As part <strong>of</strong> this<br />
application every person aged 18 years or over must declare<br />
that they will respect Australian values, as outlined below and<br />
obey the laws <strong>of</strong> Australia.<br />
Australian values include respect <strong>for</strong> the freedom and<br />
dignity <strong>of</strong> the individual, freedom <strong>of</strong> religion,<br />
commitment to the rule <strong>of</strong> law, Parliamentary<br />
democracy, equality <strong>of</strong> men and women and a spirit <strong>of</strong><br />
egalitarianism that embraces mutual respect,<br />
tolerance, fair play and compassion <strong>for</strong> those in need<br />
and pursuit <strong>of</strong> the public good.<br />
Australian society also values equality <strong>of</strong> opportunity<br />
<strong>for</strong> individuals, regardless <strong>of</strong> their race, religion or<br />
ethnic background.<br />
It is also important to understand that English is the national<br />
language.<br />
Further in<strong>for</strong>mation is contained in the Life in Australia<br />
booklet, however, you are not required to read the booklet.<br />
The booklet is available in a wide range <strong>of</strong> languages. If you<br />
would like a copy <strong>of</strong> the booklet it can be obtained from<br />
www.immi.gov.au<br />
Students and the skilled migration program<br />
Australia has a well-deserved reputation <strong>for</strong> high-quality<br />
education and training. We continue to welcome overseas<br />
students, and appreciate the contribution they make to both<br />
academic life and the communities in which they live.<br />
People who wish to study in Australia may be granted a<br />
student <strong>visa</strong> that entitles them to come to Australia on a<br />
temporary basis <strong>for</strong> a specified period to undertake study at an<br />
Australian educational institution. While many overseas<br />
students make a decision to apply <strong>for</strong> a permanent <strong>visa</strong> upon<br />
completing their studies, this is an entirely separate process<br />
and there is no guarantee that, on the basis <strong>of</strong> having held a<br />
student <strong>visa</strong>, a person will meet the requirements to be<br />
granted a permanent <strong>visa</strong> at the end <strong>of</strong> their studies.<br />
Visa <strong>Application</strong> Charge<br />
A <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> application is subject to a charge.<br />
To check the Visa <strong>Application</strong> Charge, refer to the<br />
department’s website www.immi.gov.au/fees-charges or<br />
check with the nearest <strong>of</strong>fice <strong>of</strong> the department.<br />
Fees may be subject to adjustment at any time. Visa<br />
<strong>Application</strong> Charges may be subject to adjustment on 1 July<br />
each year. This may increase the cost <strong>of</strong> a <strong>visa</strong>.<br />
Payment must accompany your application. If you intend to pay<br />
by credit card, please provide details in Questions 82 and 83.<br />
© COMMONWEALTH OF AUSTRALIA, 2013<br />
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Method <strong>of</strong> payment<br />
To make a payment, please pay by credit card, debit card, bank<br />
cheque or money order made payable to the <strong>Department</strong> <strong>of</strong><br />
Immigration and Border Protection. Debit card and credit card<br />
are the preferred methods <strong>of</strong> payment.<br />
An alternate option is to make a payment at the nearest <strong>of</strong>fice<br />
<strong>of</strong> the department, if you are in Australia, or the nearest<br />
overseas Australian mission, if you are outside Australia. If you<br />
choose to pay in this way you must attach the departmental<br />
copy <strong>of</strong> the receipt to your application <strong>for</strong>m as evidence <strong>of</strong><br />
payment.<br />
Lodging your application<br />
All applications <strong>for</strong> a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> from both<br />
outside Australia and in Australia must be lodged online or<br />
sent to the address specified at www.immi.gov.au/<strong>visa</strong>s/<br />
students/_pdf/485-document-checklist.pdf<br />
You must lodge your application with the appropriate <strong>of</strong>fice,<br />
but you can make a payment at the nearest <strong>of</strong>fice <strong>of</strong> the<br />
department in Australia or the nearest overseas Australian<br />
mission.<br />
Important note: Any application made on this <strong>for</strong>m and not<br />
lodged at the address specified at www.immi.gov.au/<strong>visa</strong>s/<br />
students/_pdf/485-document-checklist.pdf cannot be<br />
accepted. It will not be a valid application and will not be<br />
processed. Please note that your nearest <strong>of</strong>fice <strong>of</strong> the<br />
department in Australia may not be the specified address.<br />
For further in<strong>for</strong>mation<br />
For more details on the <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong>, visit the<br />
department’s website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
or call 131 881. If you are outside Australia, please contact your<br />
nearest Australian mission.<br />
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<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> (subclass 485)<br />
PURPOSE<br />
<strong>Graduate</strong> Work stream<br />
This stream is <strong>for</strong> overseas students who have<br />
met the Australian study requirement in the last<br />
6 months and have skills and qualifications in<br />
certain skilled occupations.<br />
The <strong>visa</strong> is valid <strong>for</strong> 18 months and has<br />
unrestricted work and study conditions.<br />
APPLICATION REQUIREMENTS<br />
<strong>Graduate</strong> Work stream<br />
At the time you apply <strong>for</strong> this <strong>visa</strong> you must:<br />
• be in Australia;<br />
• be under 50 years <strong>of</strong> age;<br />
• hold a valid <strong>visa</strong>;<br />
• hold or have held an eligible Student <strong>visa</strong> in the last 6 months;<br />
• have met the Australian study requirement in the last 6 months;<br />
• have applied <strong>for</strong> a skills assessment in your nominated occupation from<br />
the Skilled Occupation List (SOL);<br />
• have evidence that you, and all persons included in this application who<br />
require an assessment, have booked or undergone a medical examination<br />
<strong>for</strong> the purpose <strong>of</strong> this <strong>visa</strong> application;<br />
• have evidence that you, and all persons included in this application, have<br />
adequate health insurance;<br />
• have evidence you have applied <strong>for</strong> a check <strong>of</strong> criminal records with the<br />
Australian Federal Police <strong>for</strong> you and all persons included in this<br />
application who are aged 16 years or over; and<br />
• have evidence <strong>of</strong> the required level <strong>of</strong> English at the time you apply <strong>for</strong><br />
your <strong>visa</strong>.<br />
In<strong>for</strong>mation regarding these requirements is available on the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
Post-Study Work stream<br />
This stream is <strong>for</strong> overseas students who have<br />
completed an eligible qualification in Australia<br />
and have met the Australian study requirement<br />
in the last 6 months.<br />
For example, the <strong>visa</strong> is valid <strong>for</strong>:<br />
• 2 years <strong>for</strong> students who complete a<br />
Bachelor degree (including honours) or<br />
Masters by Coursework degree or Masters<br />
(extended) degree;<br />
• 3 years <strong>for</strong> students who complete a Masters<br />
by Research degree;<br />
• 4 years <strong>for</strong> students who complete a<br />
Doctoral degree.<br />
This <strong>visa</strong> has unrestricted work and study<br />
conditions.<br />
Post-Study Work stream<br />
At the time you apply <strong>for</strong> this <strong>visa</strong> you must:<br />
• be in Australia;<br />
• be under 50 years <strong>of</strong> age;<br />
• hold a valid <strong>visa</strong>;<br />
• hold or have held an eligible Student <strong>visa</strong> in the last 6 months;<br />
• have met the Australian study requirement in the last 6 months;<br />
• have applied <strong>for</strong> and subsequently been granted your first Student <strong>visa</strong> on<br />
or after 5 November 2011;<br />
• have completed an eligible qualification at an eligible institution in the last<br />
6 months;<br />
• have evidence that you, and all persons included in this application who<br />
require an assessment, have booked or undergone a medical examination<br />
<strong>for</strong> the purpose <strong>of</strong> this <strong>visa</strong> application;<br />
• have evidence that you, and all persons included in this application, have<br />
adequate health insurance;<br />
• have evidence you have applied <strong>for</strong> a check <strong>of</strong> criminal records with the<br />
Australian Federal Police <strong>for</strong> you and all persons included in this<br />
application who are aged 16 years or over; and<br />
• have evidence <strong>of</strong> the required level <strong>of</strong> English at the time you apply <strong>for</strong><br />
your <strong>visa</strong>.<br />
In<strong>for</strong>mation regarding these requirements is available on the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
© COMMONWEALTH OF AUSTRALIA, 2013<br />
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PURPOSE<br />
Subsequent entrant<br />
This <strong>for</strong>m may be filled in <strong>for</strong> members <strong>of</strong> the<br />
family unit <strong>of</strong> current <strong>Temporary</strong> <strong>Graduate</strong><br />
(subclass 485) <strong>visa</strong> holders who wish to join the<br />
main applicant in Australia.<br />
A subsequent entrant is:<br />
• the main applicant’s partner;<br />
• a dependent child <strong>of</strong> the main applicant or<br />
their partner;<br />
• a dependent relative <strong>of</strong> the main applicant or<br />
their partner.<br />
The main applicant must already have been<br />
granted a subclass 485 <strong>visa</strong> be<strong>for</strong>e the<br />
subsequent entrant can apply <strong>for</strong> this <strong>visa</strong>.<br />
The subsequent entrant’s <strong>visa</strong> is valid <strong>for</strong> the<br />
same duration as specified <strong>for</strong> the main<br />
applicant.<br />
APPLICATION REQUIREMENTS<br />
Subsequent entrant<br />
At the time you apply <strong>for</strong> this <strong>visa</strong> you must:<br />
• have evidence that you, and all persons included in this application, who<br />
require an assessment, have booked or undergone a medical examination<br />
<strong>for</strong> the purpose <strong>of</strong> this <strong>visa</strong> application;<br />
• have evidence that you, and all persons included in this application, have<br />
adequate health insurance; and<br />
• have evidence you have applied <strong>for</strong> a check <strong>of</strong> criminal records with the<br />
Australian Federal Police <strong>for</strong> you and all persons included in this<br />
application who are aged 16 years or over.<br />
Note: Subsequent entrants may be in or outside Australia at the time they<br />
apply to be added to a subclass 485 <strong>visa</strong>, and in or outside Australia when<br />
their <strong>visa</strong> is granted.<br />
In<strong>for</strong>mation regarding these requirements is available on the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
Further in<strong>for</strong>mation about this <strong>visa</strong><br />
• You must not have previously held a subclass 476 or a<br />
subclass 485 <strong>visa</strong> that was granted on the basis that you<br />
satisfied the primary criteria <strong>for</strong> the grant <strong>of</strong> the <strong>visa</strong>.<br />
• The <strong>visa</strong> is valid only between the date it is granted and the<br />
date <strong>of</strong> expiry. Once granted, the timing <strong>of</strong> the <strong>visa</strong> may not<br />
be altered or deferred.<br />
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Making a valid application and supporting documents<br />
To make a valid application you must provide certain<br />
supporting documents with your application. The documents<br />
required are different <strong>for</strong> each type <strong>of</strong> application. If you do<br />
not provide the required documents your application may not<br />
be valid and may be returned to you.<br />
You will find the checklist <strong>of</strong> the documents you must provide<br />
in support <strong>of</strong> your application on the department’s website<br />
www.immi.gov.au/<strong>visa</strong>s/students/_pdf/485-documentchecklist.pdf<br />
You must complete the appropriate checklist from this<br />
website if you are sending your application by mail or courier.<br />
If you are applying online, the electronic <strong>for</strong>m has an in-built<br />
checklist.<br />
In either case, enclose/attach copies <strong>of</strong> all documents listed on<br />
the relevant checklist with your application.<br />
You may be asked to provide other documents during<br />
processing. ‘Certified copies’ <strong>of</strong> documents means authorised<br />
or stamped true copies <strong>of</strong> originals by a person or agency<br />
recognised by law <strong>of</strong> your country. In Australia, they must be<br />
certified by a Justice <strong>of</strong> the Peace or Commissioner <strong>for</strong><br />
Declarations or by a person be<strong>for</strong>e whom a statutory<br />
declaration may be made. The department also accepts<br />
documents certified by a registered migration agent.<br />
Documents in languages other than English should be<br />
accompanied by an English translation. If the applicant is<br />
onshore, the translation should be undertaken by a translator<br />
accredited by the National Accreditation Authority <strong>for</strong><br />
Translators and Interpreters (NAATI). Failure to do so may<br />
significantly affect the processing <strong>of</strong> your application.<br />
Translations provided by non-accredited translators overseas<br />
should be endorsed by the translator with their full name,<br />
address, telephone number, and details <strong>of</strong> their qualifications<br />
and experience in the language being translated.<br />
Note: You must include both a certified copy <strong>of</strong> the original<br />
language document and a certified copy <strong>of</strong> the translated<br />
document with your application. Do not supply any original<br />
documents with your application, unless you have been asked<br />
to do so.<br />
Character requirements – Australian Federal Police<br />
clearance<br />
You must provide evidence <strong>of</strong> having applied <strong>for</strong> an Australian<br />
Federal Police (AFP) ‘National Police Check’ in the 12 months<br />
be<strong>for</strong>e you apply <strong>for</strong> the <strong>Temporary</strong> <strong>Graduate</strong> (subclass 485)<br />
<strong>visa</strong>. This also applies to all family members listed in your<br />
application who are aged 16 years or older.<br />
The AFP ‘National Police Check’ is the only acceptable police<br />
certificate. This certificate will have the words ‘Complete<br />
Disclosure’ in the heading. Under the sub-heading ‘Purpose <strong>for</strong><br />
check’, you must select Immigration/Citizenship (Code 33).<br />
Fingerprints are not required.<br />
The AFP National Police Check <strong>Application</strong> Form is available<br />
from the AFP website www.afp.gov.au/what-we-do/policechecks/national-police-checks.aspx<br />
Health requirements<br />
All applicants must meet Australia’s health requirements. You<br />
and any family members included in this application may be<br />
required to undergo a chest x-ray and medical examination.<br />
Refer to <strong>for</strong>m 1163i Health requirement <strong>for</strong> temporary entry<br />
to Australia <strong>for</strong> further details.<br />
Health insurance requirements<br />
You are required to hold adequate private medical and hospital<br />
health insurance cover <strong>for</strong> the entire time you are in Australia<br />
on a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong>.<br />
To meet this requirement you should attach to this application<br />
evidence <strong>of</strong> adequate health insurance, which states the level<br />
<strong>of</strong> health care provided by the insurance policy. A copy <strong>of</strong> the<br />
suggested certification letter and further in<strong>for</strong>mation on the<br />
minimum level <strong>of</strong> coverage is available from<br />
www.immi.gov.au/<strong>visa</strong>s/students/485<br />
The above does not apply if you have enrolled with Medicare<br />
(Australia’s national health cover). In<strong>for</strong>mation on entitlements<br />
to Medicare is available from www.medicareaustralia.gov.au<br />
Who is covered by this <strong>for</strong>m?<br />
The application <strong>for</strong>m covers the main applicant and, if<br />
applicable, secondary applicants. Applicants seeking to meet<br />
the criteria as a subsequent applicant can also use this <strong>for</strong>m.<br />
For in<strong>for</strong>mation about who can be included in your application<br />
as a secondary or subsequent applicant, see the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
Dependent children<br />
A dependent child may be your or your partner’s child or stepchild.<br />
‘Step-child’ means a child <strong>of</strong> your current partner or a<br />
child <strong>of</strong> your <strong>for</strong>mer partner when the child is under 18 years <strong>of</strong><br />
age and you have a legal responsibility to care <strong>for</strong> that child (<strong>for</strong><br />
example, when your <strong>for</strong>mer partner is deceased and you have<br />
legal custody <strong>of</strong> your <strong>for</strong>mer partner’s child). You will need to<br />
provide a certified copy <strong>of</strong> the overseas or Australian court order<br />
in relation to the custody <strong>of</strong> the child. A child aged 18 years or<br />
over is not considered dependent if he or she is married or in a<br />
de facto relationship or is engaged to be married. A child aged 18<br />
years or over will not be considered dependent unless you can<br />
show that they are wholly or substantially reliant on you <strong>for</strong><br />
financial support <strong>for</strong> their basic needs <strong>of</strong> food, shelter and<br />
clothing. You must also show that you have provided that<br />
support <strong>for</strong> a significant period and that the child is more reliant<br />
on you than on any other person or source. Unless you can<br />
provide evidence <strong>of</strong> this, they should apply separately. You<br />
should also be aware that a child aged 25 years or over will<br />
generally not be considered dependent. Children <strong>of</strong> any age who<br />
have a total or partial loss <strong>of</strong> bodily or mental functions, which<br />
stops them earning a living, are regarded as dependent and part<br />
<strong>of</strong> the family unit (whether or not they accompany you). Give<br />
details <strong>of</strong> such children and whether or not they are in your care.<br />
In all cases you should attach evidence <strong>of</strong> your child’s<br />
dependency on you.<br />
Custody requirements<br />
The department will seek to ensure that allowing a child to<br />
reside temporarily in Australia is not in contravention <strong>of</strong><br />
Australia’s international obligations in relation to the<br />
prevention <strong>of</strong> child abduction. If your application includes a<br />
child under 18 years <strong>of</strong> age and the child’s other parent is not<br />
accompanying you or there is any other person who has the<br />
legal right to determine where the child can live, you will need<br />
to provide a Statutory Declaration from each <strong>of</strong> them giving<br />
permission <strong>for</strong> the child to accompany you in Australia.<br />
Alternatively, you can provide a certified copy <strong>of</strong> a valid court<br />
order showing that you, or your partner, has the legal right to<br />
remove the child from the country.<br />
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Other dependants<br />
You may include other relatives in your application if they are<br />
wholly or substantially reliant on you <strong>for</strong> financial support <strong>for</strong><br />
their basic needs <strong>of</strong> food, shelter and clothing and they have<br />
been reliant on you <strong>for</strong> that support <strong>for</strong> a substantial period.<br />
They must also be more reliant on you <strong>for</strong> support than on<br />
any other person or source. A relative may also be considered<br />
dependent on you if they are reliant on you <strong>for</strong> financial<br />
support because they have a mental or physical disability<br />
which stops them from earning a living to support themselves.<br />
Other relatives dependent on you or your partner may<br />
include, <strong>for</strong> example, an aged, unmarried relative.<br />
A <strong>for</strong>m 47A Details <strong>of</strong> child or other dependent family<br />
member aged 18 years or over must be completed <strong>for</strong><br />
each dependant aged 18 years or over, whether<br />
migrating or not. The dependant may need to provide<br />
supporting documents. Form 47A is available from the<br />
department’s website www.immi.gov.au/all<strong>for</strong>ms/<br />
About the in<strong>for</strong>mation you give<br />
The department is authorised to collect in<strong>for</strong>mation provided<br />
on this <strong>for</strong>m under Part 2 <strong>of</strong> the Migration Act 1958 ‘Control<br />
<strong>of</strong> Arrival and Presence <strong>of</strong> Non-citizens’. The in<strong>for</strong>mation<br />
provided will be used <strong>for</strong> assessing your eligibility <strong>for</strong> a<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> to travel, enter and/or remain in<br />
Australia, to monitor the conduct <strong>of</strong> migration agents, and <strong>for</strong><br />
other purposes relating to the administration <strong>of</strong> the Migration<br />
Act.<br />
Personal in<strong>for</strong>mation collected in this <strong>for</strong>m together with<br />
other in<strong>for</strong>mation held by the department relating to you may<br />
be disclosed to educational institutions where you have held a<br />
valid Confirmation <strong>of</strong> Enrolment or equivalent (including<br />
partner educational institutions <strong>of</strong> such institutions).<br />
If you come from a country where the government has issued<br />
you with a unique identity number <strong>for</strong> the purpose <strong>of</strong><br />
confirming your identity you need to enter that identity<br />
number and the country that issued the identity number. (An<br />
identity number is usually issued on an Identity Card which<br />
contains other personal details such as your full name, date <strong>of</strong><br />
birth, photograph, signature etc. An identity card can also be<br />
referred to as a National Identity Card, Smart Identity Card,<br />
Citizen Card etc.)<br />
The in<strong>for</strong>mation provided on this <strong>for</strong>m, including any<br />
in<strong>for</strong>mation on your health, will be used to assess your health<br />
<strong>for</strong> an Australian <strong>visa</strong> and may be disclosed to the relevant<br />
Commonwealth, state and territory health agencies and<br />
examining doctor(s).<br />
Form 1163i Health requirement <strong>for</strong> temporary entry to<br />
Australia has in<strong>for</strong>mation on Australia’s temporary <strong>visa</strong> health<br />
requirements. Form 1163i is available at <strong>of</strong>fices <strong>of</strong> the<br />
department or from the department’s website<br />
www.immi.gov.au/all<strong>for</strong>ms/<br />
The in<strong>for</strong>mation you provide might also be disclosed to<br />
agencies who are authorised to receive in<strong>for</strong>mation relating to<br />
adoption, border control, business skills, citizenship,<br />
education, employment, health assessment, health insurance,<br />
health services, law en<strong>for</strong>cement, payment <strong>of</strong> pensions and<br />
benefits, taxation, review <strong>of</strong> decisions and regulation <strong>of</strong><br />
migration agents.<br />
The collection, access, storage, use and disclosure by the<br />
department <strong>of</strong> the in<strong>for</strong>mation you provide in this <strong>for</strong>m is<br />
governed by the Privacy Act 1988 and, in particular, by the<br />
11 In<strong>for</strong>mation Privacy Principles. The in<strong>for</strong>mation <strong>for</strong>m 993i<br />
Safeguarding your personal in<strong>for</strong>mation, available from the<br />
department’s website, gives details <strong>of</strong> agencies to which your<br />
personal in<strong>for</strong>mation might be disclosed.<br />
The department is authorised under the Migration Act 1958,<br />
in certain circumstances, to collect a range <strong>of</strong> personal<br />
identifiers including a facial image, fingerprints and a signature<br />
from non-citizens, including from <strong>visa</strong> applicants. The<br />
department requires personal identifiers to assist in assessing<br />
your identity. The department is authorised to disclose your<br />
personal identifiers and in<strong>for</strong>mation relating to your name and<br />
other relevant biographical data to a number <strong>of</strong> agencies<br />
including law en<strong>for</strong>cement and health agencies and to other<br />
agencies who may need to check your identity with this<br />
department. Where the department obtains personal<br />
identifiers they will become part <strong>of</strong> your <strong>of</strong>ficial record with<br />
the department.<br />
The department is involved in international in<strong>for</strong>mation<br />
exchanges with a number <strong>of</strong> countries, including the United<br />
Kingdom, the United States <strong>of</strong> America, Canada and New<br />
Zealand. These international in<strong>for</strong>mation exchanges may<br />
involve the sharing <strong>of</strong> personal identifiers, including facial<br />
images and fingerprint data, collected by immigration agencies<br />
such as this department. If, as a result <strong>of</strong> this sharing between<br />
countries, there is a match with your personal identifiers, the<br />
department will disclose your biographical data, copies <strong>of</strong><br />
travel and other identity documents or in<strong>for</strong>mation from such<br />
documents, your immigration status and immigration history<br />
(which may include any immigration abuse and <strong>of</strong>fences) and<br />
any criminal history in<strong>for</strong>mation relevant to immigration<br />
purposes. The purpose <strong>of</strong> such disclosure would be to help<br />
confirm your identity and determine if you have presented to<br />
the department and the other agency under the same identity<br />
and with similar claims.<br />
For more detailed in<strong>for</strong>mation you should read in<strong>for</strong>mation<br />
<strong>for</strong>m 1243i Your personal identifying in<strong>for</strong>mation, which is<br />
available from the department’s website<br />
www.immi.gov.au/all<strong>for</strong>ms/ or from any <strong>of</strong>fice <strong>of</strong> the<br />
department or Australian mission overseas.<br />
Immigration assistance<br />
A person gives immigration assistance to you if he or she uses,<br />
or claims to use, his or her knowledge or experience in<br />
migration procedure to assist you with your <strong>visa</strong> application,<br />
request <strong>for</strong> ministerial intervention, cancellation review<br />
application, sponsorship or nomination.<br />
In Australia a person may only lawfully give immigration<br />
assistance if he or she is a registered migration agent or is<br />
exempt from being registered. Only registered migration<br />
agents may receive a fee or reward <strong>for</strong> providing immigration<br />
assistance.<br />
If an unregistered person in Australia, who is not exempt from<br />
registration, gives you immigration assistance they are<br />
committing a criminal <strong>of</strong>fence and may be prosecuted.<br />
Migration agents in Australia<br />
Migration agents in Australia must be registered with the<br />
Office <strong>of</strong> the Migration Agents Registration Authority (Office <strong>of</strong><br />
the MARA) unless they are exempt from registration.<br />
Migration agents outside Australia<br />
Migration agents who operate outside Australia do not have to<br />
be registered. The department may give some overseas agents<br />
an ID number. This number does not mean that they are<br />
registered.<br />
Note: Some Australian registered migration agents operate<br />
overseas.<br />
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Migration agent in<strong>for</strong>mation<br />
A migration agent is someone who can:<br />
• advise you on the <strong>visa</strong> that may best suit you;<br />
• tell you the documents you need to submit with your<br />
application;<br />
• help you fill in the application and submit it; and<br />
• communicate with the department on your behalf.<br />
If you appoint a migration agent, the department will assume<br />
that your migration agent will be your authorised recipient,<br />
unless you indicate otherwise.<br />
Your migration agent will be the person with whom the<br />
department will discuss your application and from whom it<br />
will seek further in<strong>for</strong>mation when required.<br />
You are not required to use a migration agent. However, if you<br />
use a migration agent, the department encourages you to use<br />
a registered migration agent. Registered agents are bound by<br />
the Migration Agents Code <strong>of</strong> Conduct, which requires them<br />
to act pr<strong>of</strong>essionally in their clients’ lawful best interests.<br />
In<strong>for</strong>mation on migration agents, including a list <strong>of</strong> registered<br />
migration agents, is available on the Office <strong>of</strong> the MARA<br />
website www.mara.gov.au<br />
You can also access in<strong>for</strong>mation about migration agents on the<br />
department’s website www.immi.gov.au<br />
Exempt persons<br />
The following people do not have to be a registered migration<br />
agent in order to provide immigration assistance, but they<br />
must not charge a fee <strong>for</strong> their service:<br />
• a close family member (spouse, de facto partner, child,<br />
parent, brother or sister);<br />
• a member <strong>of</strong> parliament or their staff;<br />
• an <strong>of</strong>ficial whose duties include providing immigration<br />
assistance (eg. a Legal Aid provider);<br />
• a member <strong>of</strong> a diplomatic mission, consular post or<br />
international organisation.<br />
Appointing a migration agent/exempt person<br />
To appoint a migration agent/exempt person you should<br />
complete Question 81 Options <strong>for</strong> receiving written<br />
communications.<br />
Your migration agent/exempt person should complete<br />
<strong>for</strong>m 956 Advice by a migration agent/exempt person <strong>of</strong><br />
providing immigration assistance.<br />
Form 956 is available from the department’s website<br />
www.immi.gov.au/all<strong>for</strong>ms/<br />
Options <strong>for</strong> receiving written communications<br />
If you do not appoint a migration agent/exempt person you<br />
may still authorise another person, in writing, to receive<br />
written communications on your behalf. This person is called<br />
the authorised recipient.<br />
Authorised recipient in<strong>for</strong>mation<br />
All written communication about your application will be sent to<br />
your authorised recipient, unless you indicate that you wish to<br />
have health and/or character in<strong>for</strong>mation sent directly to you.<br />
The department will communicate with the most recently<br />
appointed authorised recipient as you may only appoint one<br />
authorised recipient at any time <strong>for</strong> a particular application.<br />
You will be taken to have received any documents sent to that<br />
person as if they had been sent to you.<br />
To appoint an authorised recipient you should complete:<br />
• Question 81 Options <strong>for</strong> receiving written<br />
communications; and<br />
• <strong>for</strong>m 956A Appointment or withdrawal <strong>of</strong> an authorised<br />
recipient.<br />
Note: Migration agents/exempt persons do not need to<br />
complete <strong>for</strong>m 956A.<br />
Form 956A is available from the department’s website<br />
www.immi.gov.au/all<strong>for</strong>ms/<br />
Consent to communicate electronically<br />
The department may use a range <strong>of</strong> means to communicate<br />
with you. However, electronic means such as fax or e-mail will<br />
only be used if you indicate your agreement to receiving<br />
communication in this way.<br />
To process your application the department may need to<br />
communicate with you about sensitive in<strong>for</strong>mation, <strong>for</strong><br />
example, health, police checks, financial viability and personal<br />
relationships. Electronic communications, unless adequately<br />
encrypted, are not secure and may be viewed by others or<br />
interfered with.<br />
If you agree to the department communicating with you by<br />
electronic means, the details you provide will only be used by<br />
the department <strong>for</strong> the purpose <strong>for</strong> which you have provided<br />
them, unless there is a legal obligation or necessity to use<br />
them <strong>for</strong> another purpose, or you have consented to use <strong>for</strong><br />
another purpose. They will not be added to any mailing list.<br />
The Australian Government accepts no responsibility <strong>for</strong> the<br />
security or integrity <strong>of</strong> any in<strong>for</strong>mation sent to the department<br />
over the internet or by other electronic means.<br />
If you authorise another person to receive documents on your<br />
behalf and they wish to be contacted electronically, their<br />
signature is required on <strong>for</strong>m 956 or 956A to indicate their<br />
consent to this <strong>for</strong>m <strong>of</strong> communication.<br />
Note: Electronic communication is the fastest means <strong>of</strong><br />
communication available and the department prefers to<br />
communicate electronically because this results in faster<br />
processing.<br />
How to fill in this <strong>for</strong>m?<br />
You must:<br />
• complete the <strong>for</strong>m in English;<br />
• print clearly using a pen;<br />
• answer all questions truthfully and completely; and<br />
• provide supporting documents where necessary.<br />
Read the notes <strong>for</strong> each question. If a question is not<br />
applicable, write ‘N/A’. Any changes or corrections you make<br />
must be initialled and dated by each person who signs the<br />
<strong>for</strong>m. If you use any other sheets <strong>of</strong> paper <strong>for</strong> providing<br />
additional in<strong>for</strong>mation, each page must also be signed and<br />
dated by all persons who sign the <strong>for</strong>m.<br />
If there is not enough space on the <strong>for</strong>m to answer any questions<br />
in full, please give details at Question 85 Additional in<strong>for</strong>mation<br />
or attach additional sheets <strong>of</strong> paper with the details.<br />
If you provide incorrect in<strong>for</strong>mation or documents, it<br />
may affect whether you are granted a <strong>visa</strong> or not, or<br />
whether your <strong>visa</strong> may be subsequently cancelled.<br />
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Home page<br />
General<br />
enquiry line<br />
www.immi.gov.au<br />
Telephone 131 881 during business hours<br />
in Australia to speak to an operator (recorded<br />
in<strong>for</strong>mation available outside these hours).<br />
If you are outside Australia, please contact<br />
your nearest Australian mission.<br />
Please keep these in<strong>for</strong>mation pages <strong>for</strong> your reference<br />
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<strong>Application</strong> <strong>for</strong> a<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong><br />
Form<br />
<strong>1409</strong><br />
When lodging your application do NOT place the application<br />
in a binder, folder or plastic sleeve.<br />
Be<strong>for</strong>e you fill in the <strong>for</strong>m, it is very important that you read and<br />
understand all the in<strong>for</strong>mation outlined on pages 1 to 7.<br />
Please use a pen, and write neatly in English using BLOCK LETTERS.<br />
Tick where applicable<br />
3<br />
Part A – To be completed by<br />
all applicants<br />
<strong>Application</strong> overview<br />
1 How many people are included in this application?<br />
Visa conditions 8534 and 8503<br />
2 TYPE OF APPLICATION<br />
IMPORTANT INFORMATION FOR APPLICANTS WHO HOLD A<br />
STUDENT VISA APPLYING FOR A TEMPORARY GRADUATE VISA<br />
WHILE IN AUSTRALIA<br />
Applicants with conditions 8534 and 8503 on their student <strong>visa</strong> cannot<br />
apply <strong>for</strong> a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> while in Australia without applying<br />
<strong>for</strong> conditions 8534 and 8503 to be waived.<br />
Do you have condition 8534 on your student <strong>visa</strong>?<br />
No<br />
Yes Would you like to apply to have that condition waived<br />
to allow you to apply <strong>for</strong> a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> in<br />
Australia?<br />
No<br />
Yes By ticking this box you are applying <strong>for</strong> a<br />
waiver <strong>of</strong> this condition.<br />
Do you have condition 8503 on your student <strong>visa</strong>?<br />
No<br />
Yes Would you like to apply to have that condition waived<br />
to allow you to apply <strong>for</strong> a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> in<br />
Australia?<br />
No<br />
Yes By ticking this box you are applying <strong>for</strong> a<br />
waiver <strong>of</strong> this condition.<br />
<strong>Graduate</strong> (main applicant)<br />
Subsequent entrant<br />
Complete ALL Parts<br />
Complete Parts A, C and D<br />
3 Are you applying <strong>for</strong>:<br />
(Tick one box only)<br />
Note: Be<strong>for</strong>e submitting your application, you should assess your<br />
eligibility against all <strong>of</strong> the <strong>visa</strong> requirements. Check the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/485<br />
<strong>Graduate</strong> Work stream Go to Question 4<br />
(18 months <strong>visa</strong> validity)<br />
OR<br />
Post-Study Work stream Go to Question 4<br />
(2, 3 or 4 years <strong>visa</strong> validity)<br />
Family name<br />
Given names<br />
Sex<br />
Date <strong>of</strong> birth<br />
Male<br />
OR<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> as a<br />
subsequent entrant<br />
(Note: The main applicant must<br />
have already been granted their <strong>visa</strong>)<br />
Female<br />
DAY MONTH YEAR<br />
Current <strong>visa</strong> (Note: Must be a subclass 485)<br />
Give details <strong>of</strong> the main<br />
<strong>visa</strong> holder below<br />
Passport number<br />
File number (if known)<br />
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Your details<br />
4 Your full name<br />
(as shown in your passport or travel document)<br />
14 Answer only if you are a subsequent entrant applying outside Australia<br />
Country <strong>of</strong> current residence<br />
Family name<br />
Given names<br />
5 Name in your own language or script (if applicable)<br />
15<br />
Do you have a passport?<br />
No Go to Question 17<br />
Yes Give details<br />
Passport number<br />
Country <strong>of</strong> passport<br />
6 Other ways you spell your name<br />
Family name<br />
Given names<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
DAY MONTH YEAR<br />
7 Name in Chinese Commercial Code Numbers (if applicable)<br />
8 Other names you are, or have been, known by<br />
(including name at birth, previous married names, aliases)<br />
Family name<br />
Given names<br />
Reason <strong>for</strong> change<br />
16<br />
Note: Most <strong>visa</strong> applicants will be required to hold a valid passport<br />
be<strong>for</strong>e they can be granted a <strong>visa</strong>. It is strongly recommended that the<br />
passport be valid <strong>for</strong> at least 6 months.<br />
If you change your passport after you have been granted the <strong>visa</strong> you<br />
must notify the nearest Australian mission or <strong>of</strong>fice <strong>of</strong> the department.<br />
Do you hold more than one passport?<br />
No<br />
Yes Give details <strong>of</strong> all other passports<br />
1. Passport number<br />
Country <strong>of</strong> passport<br />
9 Sex<br />
If more than one other name, give details at Question 85 ‘Additional<br />
in<strong>for</strong>mation’<br />
10 Date <strong>of</strong> birth<br />
11 Place <strong>of</strong> birth<br />
Town/city<br />
Country<br />
Male<br />
Female<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
2. Passport number<br />
Country <strong>of</strong> passport<br />
Date <strong>of</strong> issue<br />
DAY MONTH YEAR<br />
DAY MONTH YEAR<br />
12<br />
13<br />
Your present country <strong>of</strong> citizenship<br />
Do you hold any other citizenship?<br />
No<br />
Yes Which countries?<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
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17<br />
Details <strong>of</strong> countries <strong>of</strong> residence<br />
For persons aged 16 years or older, provide details <strong>of</strong> all countries in which you have lived <strong>for</strong> a total <strong>of</strong> 12 months or more during the last 10 years.<br />
Country<br />
Dates lived there<br />
MONTH YEAR<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
Last permanent address in that country<br />
(include suburb/town/city and state/province)<br />
18<br />
Do you hold an identity card or identity number issued to you by your<br />
government (eg. National identity card) (if applicable)?<br />
Note: If you are the holder <strong>of</strong> multiple identity numbers because you<br />
are a citizen <strong>of</strong> more than one country you need to enter the identity<br />
number on the card from the country that you are a permanent<br />
resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Give details<br />
Identity number<br />
Country <strong>of</strong> issue<br />
19 Your current residential address<br />
Note: A post <strong>of</strong>fice box address is not acceptable as a residential<br />
address. Failure to give your residential address will result in this<br />
application being invalid.<br />
21 Contact telephone numbers<br />
Office hours ( ) ( )<br />
22 Do you agree to the department communicating with you by<br />
electronic means?<br />
No<br />
Yes Give details<br />
Fax number<br />
E-mail address<br />
COUNTRY CODE AREA CODE NUMBER<br />
After hours ( ) ( )<br />
Mobile/cell<br />
Mobile/cell<br />
COUNTRY CODE<br />
( )<br />
COUNTRY CODE AREA CODE NUMBER<br />
( ) ( )<br />
NUMBER<br />
POSTCODE<br />
20 Address <strong>for</strong> correspondence<br />
(If the same as your residential address, write ‘AS ABOVE’)<br />
Note: It is your responsibility to advise the department <strong>of</strong> any change to<br />
your address <strong>for</strong> correspondence during the application process.<br />
POSTCODE<br />
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23 Relationship status<br />
Married<br />
Engaged<br />
De facto<br />
Separated<br />
Divorced<br />
Widowed<br />
Never married or<br />
been in a de facto<br />
relationship<br />
Date <strong>of</strong> marriage<br />
Date <strong>of</strong> intended marriage<br />
Date relationship began<br />
Go to Question 25<br />
DAY MONTH YEAR<br />
24<br />
Is your partner included in this application?<br />
No<br />
Yes<br />
25<br />
Do you have any dependants (other than a partner) included in this<br />
<strong>visa</strong> application?<br />
No<br />
Yes<br />
26<br />
Health details<br />
Have you, and any other person included in this application who requires assessment, booked or undergone a medical examination?<br />
No Important – If you, or any other person included in this application, require an assessment and have not<br />
booked or undergone a medical examination, you cannot meet the criteria <strong>for</strong> the grant <strong>of</strong> this <strong>visa</strong>.<br />
Yes<br />
Give details<br />
List the main applicant details first.<br />
Full name<br />
Date <strong>of</strong> medical<br />
examination City <strong>of</strong> examination Booking reference number<br />
DAY MONTH YEAR<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
27 Do you and all applicants included in this application hold health<br />
insurance?<br />
No<br />
Yes<br />
Important – You will need to hold health insurance be<strong>for</strong>e<br />
this <strong>visa</strong> application is lodged. This <strong>visa</strong> application may not<br />
be approved without adequate health insurance<br />
arrangements <strong>for</strong> all applicants.<br />
Attach evidence <strong>of</strong> health insurance <strong>for</strong> all applicants.<br />
This may include:<br />
• copy <strong>of</strong> health insurance policy;<br />
• copy <strong>of</strong> Medicare card(s).<br />
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28<br />
Australian Federal Police check<br />
Have you, and any other person included in this application who is<br />
aged 16 years or over, applied <strong>for</strong> an Australian Federal Police ‘National<br />
Police Check’?<br />
Part B – To be completed by the main<br />
applicant<br />
If you are applying as a ‘Subsequent entrant’, Go to Part C<br />
For more in<strong>for</strong>mation see Character requirements – Australian Federal<br />
Police clearance on page 5.<br />
29<br />
Language requirements<br />
No<br />
Yes<br />
1. Full name<br />
Important – If you, and any other person included in this<br />
application who is aged 16 years or over, have not requested<br />
an Australian Federal Police ‘National Police Check’, you<br />
cannot meet the criteria <strong>for</strong> the grant <strong>of</strong> this <strong>visa</strong>.<br />
Give details<br />
List the main applicant details first.<br />
Date <strong>of</strong> request<br />
Reference number<br />
DAY MONTH YEAR<br />
30<br />
Do you hold a current passport from the USA, UK, Canada, New Zealand<br />
or the Republic <strong>of</strong> Ireland (to demonstrate you have competent English)<br />
No Go to Question 30<br />
Yes Go to Question 31<br />
Have you undertaken an English test within the last 36 months that<br />
demonstrates that you have at least competent English?<br />
For in<strong>for</strong>mation on the standard required to meet at least competent<br />
English go to the department’s website<br />
www.immi.gov.au/<strong>visa</strong>s/students/485<br />
No<br />
Important – If you have not answered ‘Yes’ to either<br />
Question 29 or 30, you cannot meet the criteria <strong>for</strong> the<br />
grant <strong>of</strong> this <strong>visa</strong>.<br />
2. Full name<br />
Yes<br />
Give details <strong>of</strong> your English test<br />
Name <strong>of</strong> test<br />
Date <strong>of</strong> request<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> test<br />
DAY MONTH YEAR<br />
Reference number<br />
Test reference<br />
number<br />
3. Full name<br />
Date <strong>of</strong> request<br />
DAY MONTH YEAR<br />
Reference number<br />
4. Full name<br />
Date <strong>of</strong> request<br />
DAY MONTH YEAR<br />
Reference number<br />
5. Full name<br />
Date <strong>of</strong> request<br />
DAY MONTH YEAR<br />
Reference number<br />
Attach a certified copy <strong>of</strong> the Australian Federal Police ‘National Police<br />
Check’ <strong>for</strong> each person listed above if held at the time <strong>of</strong> lodgement <strong>of</strong><br />
this application.<br />
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31<br />
Educational qualification details<br />
Provide details <strong>of</strong> your Australian and/or overseas post-secondary qualifications.<br />
List the most recent first.<br />
Qualification Course name Institution name City/Country<br />
Attach certified copies <strong>of</strong> your academic transcripts with your application.<br />
Postcode<br />
<strong>of</strong> campus<br />
Dates <strong>of</strong> enrolment<br />
MONTH YEAR<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
Applicant skills<br />
32<br />
Are you applying <strong>for</strong> the <strong>Graduate</strong> Work stream (18 months <strong>visa</strong> validity)?<br />
No Go to Part C<br />
Yes<br />
36<br />
Have you obtained a skills assessment from the relevant assessing<br />
authority <strong>for</strong> your nominated occupation which confirms that your skills<br />
have been assessed as suitable <strong>for</strong> your nominated occupation?<br />
No<br />
33<br />
What is your nominated occupation?<br />
Yes<br />
Give details<br />
(Your occupation must be on the Skilled Occupations List which is<br />
available from the department’s website www.immi.gov.au/skilled/sol)<br />
Name <strong>of</strong> assessing authority<br />
34<br />
What is the Australian and New Zealand Standard Classification <strong>of</strong><br />
Occupations (ANZSCO) code <strong>for</strong> your nominated occupation?<br />
Date <strong>of</strong> assessment<br />
Reference or<br />
receipt number<br />
DAY MONTH YEAR<br />
–<br />
35<br />
Skills assessment<br />
Have you applied <strong>for</strong> a skills assessment from the relevant assessing<br />
authority <strong>for</strong> your nominated occupation?<br />
No<br />
Important – If you have not applied <strong>for</strong><br />
a skills assessment, you cannot meet the<br />
criteria <strong>for</strong> the grant <strong>of</strong> this <strong>visa</strong>.<br />
Yes<br />
Give details <strong>of</strong> your skills assessment<br />
Name <strong>of</strong> assessing authority<br />
Date <strong>of</strong> assessment<br />
DAY MONTH YEAR<br />
Reference or<br />
receipt number<br />
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Part C – To be completed by<br />
all applicants<br />
Details <strong>of</strong> family members<br />
44 Place <strong>of</strong> birth<br />
Town/city<br />
Country<br />
Give details <strong>of</strong> all members <strong>of</strong> your family unit whether or not they<br />
intend to accompany you to Australia.<br />
Members <strong>of</strong> your family unit are your partner and any dependent<br />
children <strong>of</strong> you or your partner who are unmarried, not in a de facto<br />
relationship and who have not turned 18 years <strong>of</strong> age.<br />
Please attach evidence <strong>of</strong> your relationship to each family member<br />
(eg. certified copies <strong>of</strong> birth certificates or marriage certificate).<br />
If you are in a de facto relationship, please attach evidence that you<br />
have been in cohabitation with your partner <strong>for</strong> at least 12 months<br />
(eg. joint account statements and utility billing accounts).<br />
Complete all applicable questions.<br />
About your partner<br />
37 Partner’s full name<br />
(as shown in passport or travel document)<br />
Family name<br />
Given names<br />
38 Name in his/her own language or script (if applicable)<br />
45<br />
46<br />
Give details <strong>of</strong> the passport that your partner will use to enter<br />
Australia<br />
(Enter these details exactly how they appear in their passport)<br />
Note: It is strongly recommended that the passport be valid <strong>for</strong><br />
at least 6 months.<br />
Passport number<br />
Country <strong>of</strong> passport<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does your partner have other passports?<br />
No<br />
Yes Give details <strong>of</strong> all other passports<br />
1. Passport number<br />
Country <strong>of</strong> passport<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
DAY MONTH YEAR<br />
39 Other ways your partner spells his/her name<br />
Family name<br />
Given names<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
40 Name in Chinese Commercial Code Numbers (if applicable)<br />
2. Passport number<br />
41 Other names your partner is, or has been, known by<br />
(including name at birth, previous married names, aliases)<br />
Family name<br />
Given names<br />
Reason <strong>for</strong> change<br />
Country <strong>of</strong> passport<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
DAY MONTH YEAR<br />
42 Sex<br />
Male<br />
Female<br />
43 Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
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47<br />
Details <strong>of</strong> your partner’s countries <strong>of</strong> residence<br />
For persons aged 16 years or older, provide details <strong>of</strong> all countries in which your partner has lived <strong>for</strong> a total <strong>of</strong> 12 months or more during the last 10 years.<br />
Country<br />
Dates lived there<br />
Last permanent address in that country<br />
(include suburb/town/city and state/province)<br />
MONTH<br />
FROM /<br />
YEAR<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
48<br />
Does your partner hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If your partner is the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a permanent<br />
resident <strong>of</strong>, or reside in.<br />
No<br />
Yes<br />
Identity number<br />
Country <strong>of</strong> issue<br />
Give details<br />
49 Partner’s country <strong>of</strong> current residence<br />
50 Partner’s residential address<br />
51 Partner’s telephone numbers (if different from main applicant)<br />
COUNTRY CODE AREA CODE NUMBER<br />
Office hours ( ) ( )<br />
After hours ( ) ( )<br />
COUNTRY CODE<br />
Mobile/cell ( )<br />
POSTCODE<br />
NUMBER<br />
Details <strong>of</strong> accompanying family members<br />
52 Give details <strong>of</strong> ALL your and/or your partner’s children aged under<br />
18 years who are INCLUDED in this application<br />
1.<br />
Family name<br />
Given names<br />
Date <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
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2.<br />
Family name<br />
4.<br />
Family name<br />
Given names<br />
Given names<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes<br />
Identity number<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes<br />
Identity number<br />
Country <strong>of</strong> issue<br />
Country <strong>of</strong> issue<br />
3.<br />
Family name<br />
5.<br />
Family name<br />
Given names<br />
Given names<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
Country <strong>of</strong> issue<br />
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6.<br />
Family name<br />
Given names<br />
55 Are there any legal impediments to the removal <strong>of</strong> any <strong>of</strong> these<br />
children from their home country?<br />
No<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Yes<br />
Give details<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
If you have more than 6 children aged under 18 years who are<br />
included in this application, give details at Question 85<br />
‘Additional in<strong>for</strong>mation’<br />
53 Are all the children aged under 18 years in your care and legal custody?<br />
No Give details<br />
Yes<br />
56 Give details <strong>of</strong> ALL your and/or your partner’s children aged 18 years<br />
or over who are INCLUDED in this application<br />
1.<br />
Family name<br />
Given names<br />
Date <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
54 Does any other person have custodial, access or guardianship rights<br />
to any <strong>of</strong> these children?<br />
No<br />
Yes<br />
Give details<br />
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2.<br />
Family name<br />
4.<br />
Family name<br />
Given names<br />
Given names<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
Country <strong>of</strong> issue<br />
3.<br />
Family name<br />
5.<br />
Family name<br />
Given names<br />
Given names<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
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6.<br />
Family name<br />
Given names<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
Male<br />
Female<br />
Relationship<br />
to you<br />
Country <strong>of</strong> birth<br />
Country <strong>of</strong><br />
residence<br />
Citizenship<br />
Passport number<br />
Country <strong>of</strong><br />
passport<br />
DAY MONTH YEAR<br />
Date <strong>of</strong> issue<br />
Date <strong>of</strong> expiry<br />
Passport place<br />
<strong>of</strong> issue/issuing<br />
authority<br />
Does this person hold an identity card or identity number issued to<br />
them by their government (eg. National identity card) (if applicable)?<br />
Note: If they are the holder <strong>of</strong> multiple identity numbers because<br />
they are a citizen <strong>of</strong> more than one country they need to enter the<br />
identity number on the card from the country that they are a<br />
permanent resident <strong>of</strong>, or reside in.<br />
No<br />
Yes Identity number<br />
Country <strong>of</strong> issue<br />
If you have more than 6 dependants aged 18 years or over who<br />
are included in this application, give details at Question 85<br />
‘Additional in<strong>for</strong>mation’<br />
57<br />
Give details <strong>of</strong> all your and/or your partner’s other family members who are to be INCLUDED in this application<br />
(Include any dependent children <strong>of</strong> a dependant)<br />
Full name<br />
‘Relationship status’ codes<br />
M = Married<br />
E = Engaged<br />
D = Divorced<br />
W = Widowed<br />
F = De facto N = Never married or been in<br />
S = Separated<br />
a de facto relationship<br />
Date <strong>of</strong> birth<br />
DAY MONTH YEAR<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
Relationship<br />
status<br />
(use codes below)<br />
Relationship to you<br />
Country <strong>of</strong> current residence<br />
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58 Are any <strong>of</strong> your and/or your partner’s children married, engaged to be<br />
married or in a de facto relationship?<br />
No<br />
Yes Give details<br />
59<br />
For accompanying dependants aged 16 years or over, provide details <strong>of</strong> all countries in which they have lived <strong>for</strong> a total <strong>of</strong> 12 months or more<br />
during the last 10 years.<br />
Country<br />
Dates lived there<br />
MONTH<br />
FROM /<br />
YEAR<br />
Last permanent address in that country<br />
(include suburb/town/city and state/province)<br />
Who lived there?<br />
(Provide full name)<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
FROM /<br />
TO /<br />
Details <strong>of</strong> non-accompanying family members<br />
60<br />
Give details <strong>of</strong> ALL your and your partner’s other family members, not accompanying you to Australia<br />
(If not living, write ‘DECEASED’ in ‘Country <strong>of</strong> current residence’ column)<br />
Full name<br />
Sex<br />
Date <strong>of</strong> birth<br />
M/F DAY MONTH YEAR<br />
/ /<br />
Relationship<br />
status<br />
(use codes below)<br />
Country <strong>of</strong> current residence<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
‘Relationship status’ codes<br />
M = Married<br />
E = Engaged<br />
D = Divorced<br />
W = Widowed<br />
F = De facto N = Never married or been in<br />
S = Separated<br />
a de facto relationship<br />
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61<br />
Part D – To be completed by all<br />
applicants<br />
Health requirements<br />
In the last 5 years, have you, or any other person included in this<br />
application, visited or lived outside your country <strong>of</strong> passport <strong>for</strong> more<br />
than 3 consecutive months?<br />
No<br />
64 Do you, or any other person included in this application, intend to work,<br />
or be a trainee, at a child care centre (including preschools and creches)<br />
while in Australia?<br />
No<br />
Yes Give details<br />
Yes<br />
Give details<br />
1.<br />
Full name<br />
Country(s)<br />
65 Do you, or any other person included in this application, intend to be<br />
in a classroom situation <strong>for</strong> more than 3 months (eg. as either a<br />
student, teacher, lecturer or observer)?<br />
DAY MONTH YEAR<br />
DAY MONTH YEAR<br />
No<br />
Date<br />
from<br />
to<br />
Yes<br />
Give details<br />
2.<br />
Full name<br />
Country(s)<br />
DAY MONTH YEAR<br />
DAY MONTH YEAR<br />
Date<br />
from<br />
to<br />
66 Have you, or any other person included in this application:<br />
• ever had, or currently have, tuberculosis?<br />
3.<br />
Full name<br />
Country(s)<br />
• been in close contact with a family member that has active<br />
tuberculosis?<br />
• ever had a chest x-ray which showed an abnormality?<br />
No<br />
Date<br />
from<br />
DAY MONTH YEAR<br />
to<br />
DAY MONTH YEAR<br />
Yes<br />
Give details<br />
62 Do you, or any other person included in this application, intend to<br />
enter a hospital or a health care facility (including nursing homes)<br />
while in Australia?<br />
No<br />
Yes<br />
Give details<br />
63 Do you, or any other person included in this application, intend to<br />
work as, or study to be, a doctor, dentist, nurse or paramedic during<br />
your stay in Australia?<br />
No<br />
Yes Give details<br />
67 During your proposed visit to Australia, do you, or any other person<br />
included in this application, expect to incur medical costs, or require<br />
treatment or medical follow up <strong>for</strong>:<br />
• blood disorder;<br />
• cancer;<br />
• heart disease;<br />
• hepatitis B or C and/or liver disease;<br />
• HIV Infection, including AIDS;<br />
• kidney disease, including dialysis;<br />
• mental illness;<br />
• pregnancy;<br />
• respiratory disease that has required<br />
hospital admission or oxygen therapy;<br />
• other?<br />
No<br />
Yes Give details<br />
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68 Do you, or any other person included in this application, require<br />
assistance with mobility or care due to a medical condition?<br />
No<br />
Yes Give details<br />
69 Have you, or any other person included in this application, undertaken<br />
a health examination <strong>for</strong> an Australian <strong>visa</strong> in the last 12 months?<br />
No<br />
Yes Give details (including HAP ID if available)<br />
70<br />
Character requirements<br />
Character declarations<br />
Note: All relevant in<strong>for</strong>mation must be disclosed regardless <strong>of</strong> age,<br />
minor nature <strong>of</strong> <strong>of</strong>fence and whether or not the <strong>of</strong>fences are considered<br />
to have expired in home country.<br />
Have you, or any person included in this application, ever:<br />
• been convicted <strong>of</strong> a crime or <strong>of</strong>fence in any<br />
country (including any conviction which is<br />
now removed from <strong>of</strong>ficial records)?<br />
• been charged with any <strong>of</strong>fence that is<br />
currently awaiting legal action?<br />
• been acquitted <strong>of</strong> any criminal <strong>of</strong>fence or<br />
other <strong>of</strong>fence on the grounds <strong>of</strong> mental<br />
illness, insanity or unsoundness <strong>of</strong> mind?<br />
No<br />
No<br />
No<br />
Yes<br />
Yes<br />
Yes<br />
• been removed or deported from any<br />
country (including Australia)?<br />
• left any country to avoid being removed or<br />
deported?<br />
• been excluded from or asked to leave any<br />
country (including Australia)?<br />
• committed, or been involved in the<br />
commission <strong>of</strong> war crimes or crimes<br />
against humanity or human rights?<br />
• been involved in any activities that would<br />
represent a risk to Australian national<br />
security?<br />
• had any outstanding debts to the Australian<br />
Government or any public authority in<br />
Australia?<br />
• been involved in any activity, or been<br />
convicted <strong>of</strong> any <strong>of</strong>fence, relating to the<br />
illegal movement <strong>of</strong> people to any country<br />
(including Australia)?<br />
• served in a military <strong>for</strong>ce or state<br />
sponsored/private militia, undergone any<br />
military/paramilitary training, or been<br />
trained in weapons/explosives use<br />
(however described)?<br />
No<br />
No<br />
No<br />
No<br />
No<br />
No<br />
No<br />
No<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
If you answered ‘Yes’ to any <strong>of</strong> the above questions, you must state<br />
who it applies to and give ALL relevant details. If the matter relates to a<br />
criminal conviction, please give the nature <strong>of</strong> the <strong>of</strong>fence, full details <strong>of</strong><br />
sentence and dates <strong>of</strong> any period <strong>of</strong> imprisonment or other detention.<br />
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71<br />
• Have you, or any other person included in<br />
this application, ever been refused an entry<br />
permit or <strong>visa</strong> to Australia?<br />
• Have you, or any other person included in<br />
this application, ever had an entry permit<br />
or <strong>visa</strong> cancelled in Australia?<br />
No<br />
No<br />
Yes<br />
Yes<br />
72 Have you/your partner or any dependent family members<br />
(accompanying you or not) ever served in the armed <strong>for</strong>ces?<br />
No<br />
Yes Give full names, and enclose evidence <strong>of</strong> service, discharge<br />
and rank on discharge<br />
• Are you, or any other person included in<br />
this application, waiting on a decision on<br />
any other <strong>visa</strong> application?<br />
No<br />
Yes<br />
If you answered ‘Yes’ to any <strong>of</strong> the above questions, you must state<br />
who it applies to and give ALL relevant details.<br />
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Details <strong>of</strong> previous <strong>visa</strong>(s)<br />
Warning: In general, a person can only hold one <strong>visa</strong> at a time. If you are granted a <strong>visa</strong> while you already have another,<br />
the first <strong>visa</strong> will cease automatically when the new <strong>visa</strong> is granted.<br />
73<br />
Give details <strong>of</strong> any Australian <strong>visa</strong> applications that you, or any person accompanying you, are awaiting a decision on (not including this one)<br />
Full name<br />
Type <strong>of</strong> <strong>visa</strong><br />
Date applied<br />
DAY MONTH YEAR<br />
Office applied at<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
74<br />
Have you, or any person accompanying you, previously been to Australia, held or currently hold a <strong>visa</strong> <strong>for</strong> travel to Australia?<br />
No<br />
Yes Give details <strong>of</strong> any previous visits to Australia by you or any person accompanying you<br />
Full name Type <strong>of</strong> <strong>visa</strong> Visa number<br />
Purpose and details <strong>of</strong><br />
previous stay in Australia<br />
Date <strong>of</strong> arrival and departure<br />
DAY MONTH YEAR<br />
FROM / /<br />
TO / /<br />
FROM / /<br />
TO / /<br />
FROM / /<br />
TO / /<br />
FROM / /<br />
TO / /<br />
FROM / /<br />
TO / /<br />
75<br />
Give details <strong>of</strong> any Australian entry permit or <strong>visa</strong> that you, or any other person accompanying you, have had refused<br />
Full name<br />
Type <strong>of</strong> <strong>visa</strong> refused<br />
Date refused<br />
DAY MONTH YEAR<br />
Office applied at<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
76<br />
Give details <strong>of</strong> any Australian entry permit or <strong>visa</strong> that you, or any other person accompanying you, had cancelled<br />
Full name<br />
Type <strong>of</strong> <strong>visa</strong> cancelled<br />
Date cancelled<br />
DAY MONTH YEAR<br />
Office applied at<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
/ /<br />
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Assistance with this <strong>for</strong>m<br />
77 Did you receive assistance in completing this <strong>for</strong>m?<br />
No<br />
Yes<br />
Go to Question 81<br />
Please give details <strong>of</strong> the person who assisted you<br />
Title: Mr Mrs Miss Ms Other<br />
Family name<br />
Given names<br />
Address<br />
Telephone number or daytime contact<br />
POSTCODE<br />
Options <strong>for</strong> receiving written<br />
communications<br />
81 All written communications about this application should be sent to:<br />
(Tick one box only)<br />
Myself<br />
OR<br />
Authorised<br />
recipient<br />
OR<br />
Migration agent<br />
OR<br />
Exempt person<br />
You should complete <strong>for</strong>m 956A Appointment<br />
or withdrawal <strong>of</strong> an authorised recipient<br />
Your migration agent/exempt person should<br />
complete <strong>for</strong>m 956 Advice by a migration<br />
agent/exempt person <strong>of</strong> providing<br />
immigration assistance<br />
Office hours<br />
COUNTRY CODE AREA CODE NUMBER<br />
( ) ( )<br />
Mobile/cell<br />
78 Is the person an agent registered with the Office <strong>of</strong> the Migration<br />
Agents Registration Authority (Office <strong>of</strong> the MARA)?<br />
No<br />
Yes Go to Question 81<br />
79 Is the person/agent in Australia?<br />
No Go to Question 81<br />
Yes<br />
80 Did you pay the person/agent and/or give a gift <strong>for</strong> this assistance?<br />
No<br />
Yes<br />
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Payment details<br />
82 IMPORTANT: You must refer to the department’s website at www.immi.gov.au/fees-charges to complete this part <strong>of</strong> your application.<br />
The website shows reference tables with the Visa <strong>Application</strong> Charges applicable to each <strong>visa</strong> subclass.<br />
Visa subclass you are applying <strong>for</strong><br />
Base <strong>Application</strong> Charge<br />
Write the amount shown on the reference table <strong>for</strong> your <strong>visa</strong> subclass<br />
AUD<br />
(1)<br />
+<br />
Non-internet <strong>Application</strong> Charge (if applicable)<br />
AUD<br />
(2)<br />
Additional Applicant Charge aged 18 years or over at the time your application is lodged<br />
Write the amount shown on the<br />
reference table <strong>for</strong> your <strong>visa</strong> subclass<br />
Number <strong>of</strong> additional applicants<br />
aged 18 years or over<br />
+<br />
AUD<br />
X (multiplied by)<br />
=<br />
AUD<br />
(3)<br />
Additional Applicant Charge under 18 years <strong>of</strong> age at the time your application is lodged<br />
Write the amount shown on the<br />
reference table <strong>for</strong> your <strong>visa</strong> subclass<br />
Number <strong>of</strong> additional applicants<br />
under 18 years <strong>of</strong> age<br />
+<br />
AUD<br />
X (multiplied by)<br />
=<br />
AUD<br />
(4)<br />
Subsequent <strong>Temporary</strong> <strong>Application</strong> Charge (if applicable)<br />
Write the amount shown on the<br />
reference table <strong>for</strong> your <strong>visa</strong> subclass<br />
Number <strong>of</strong> applicants<br />
+<br />
AUD<br />
X (multiplied by)<br />
=<br />
AUD<br />
(5)<br />
=<br />
Total<br />
Total (1) + (2) + (3) + (4) + (5)<br />
You must pay the total amount or your <strong>visa</strong> application will not be valid.<br />
Note: A second instalment <strong>of</strong> the Visa <strong>Application</strong> Charge must also be<br />
paid be<strong>for</strong>e we can grant some <strong>visa</strong>s.<br />
AUD<br />
83<br />
How will you pay your application charge?<br />
If applying in Australia, debit card or credit card are the preferred methods <strong>of</strong> payment. Debit cards cannot be used <strong>for</strong> applications<br />
lodged by mail. If paying by bank cheque or money order please make payable to the <strong>Department</strong> <strong>of</strong> Immigration and Border Protection.<br />
If applying outside Australia, please check with the Australian Government <strong>of</strong>fice where you intend to lodge your application as to<br />
what methods <strong>of</strong> payment and currencies they can accept and to whom the payment should be made payable.<br />
Bank cheque<br />
Money order<br />
Debit card<br />
Credit card<br />
Cannot be used <strong>for</strong> applications lodged by mail<br />
Give details below<br />
Payment by (tick one box)<br />
Australian Dollars<br />
MasterCard<br />
American Express<br />
Visa<br />
Diners Club<br />
JCB<br />
AUD<br />
Telephone<br />
number<br />
Address<br />
COUNTRY CODE AREA CODE NUMBER<br />
( ) ( )<br />
Credit card number<br />
: : : : : : : : : : : : : : : : : :<br />
MONTH YEAR<br />
Expiry date : :<br />
Cardholder’s name<br />
Signature <strong>of</strong><br />
cardholder<br />
-<br />
POSTCODE<br />
Credit card in<strong>for</strong>mation will be used <strong>for</strong> charge paying purposes only.<br />
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84<br />
Declaration and consent<br />
DECLARATION FOR ALL APPLICANTS<br />
WARNING: Giving false or misleading in<strong>for</strong>mation is a serious <strong>of</strong>fence.<br />
I declare that:<br />
• I declare that the in<strong>for</strong>mation I have supplied in this application is<br />
complete, correct and up-to-date in every detail.<br />
• I understand that if I, a member <strong>of</strong> my family unit included in my<br />
application, or third parties acting on my behalf, provide (or have<br />
provided in another application) false or misleading in<strong>for</strong>mation or<br />
bogus documents either knowingly or otherwise, my <strong>visa</strong> application<br />
will be refused. If my application is refused on this basis, I will likely<br />
be subject to a 3 year bar in relation to <strong>visa</strong>s to which the fraud<br />
criterion applies. Any <strong>visa</strong> granted may be cancelled.<br />
• I have made adequate health insurance arrangements <strong>for</strong> the period<br />
<strong>of</strong> my stay in Australia and I acknowledge that I am required to<br />
maintain these arrangements while in Australia as the holder <strong>of</strong> a<br />
<strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong>.<br />
• I understand that if this application is approved, any person not<br />
included in this application will not have automatic right <strong>of</strong> entry to<br />
Australia by way <strong>of</strong> this application.<br />
• I will in<strong>for</strong>m the department <strong>of</strong> any changes to my personal<br />
circumstances (including change <strong>of</strong> address) while my application is<br />
being considered.<br />
• I authorise the Australian Government to make any enquiries necessary<br />
to determine my eligibility <strong>for</strong> temporary stay in Australia, and to use any<br />
in<strong>for</strong>mation supplied in this application <strong>for</strong> that purpose. The agencies/<br />
organisations to which in<strong>for</strong>mation may be disclosed include:<br />
– federal, state or territory government agencies;<br />
– federal, state or territory law en<strong>for</strong>cement agencies;<br />
– state or territory housing authorities (including private landlords);<br />
– local government authorities;<br />
– financial institutions;<br />
– educational institutions; and<br />
– private businesses (including telecommunication and internet<br />
service providers, insurance companies).<br />
• I have read and understood the in<strong>for</strong>mation supplied to me in this<br />
application.<br />
• I understand that a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> is a temporary <strong>visa</strong>, and<br />
that being granted a <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong> will not guarantee that<br />
I will be eligible <strong>for</strong> the grant <strong>of</strong> a further <strong>visa</strong> to remain in Australia,<br />
including a skilled migration <strong>visa</strong>.<br />
• I understand that if I cannot obtain a further <strong>visa</strong> that I must depart<br />
Australia on or be<strong>for</strong>e the cease date <strong>of</strong> the <strong>Temporary</strong> <strong>Graduate</strong> <strong>visa</strong>.<br />
• I will respect Australian values during my stay in Australia and will<br />
obey the laws <strong>of</strong> Australia.<br />
Have you completed the <strong>visa</strong> specific checklist from the department’s<br />
website www.immi.gov.au/<strong>visa</strong>s/students/_pdf/485-documentchecklist.pdf<br />
No<br />
Yes<br />
Please complete the checklist<br />
Include it with your application<br />
The declaration and consent must be signed and dated by all<br />
people aged 18 years or older included in this application.<br />
Both parents or any person who has legal custody must complete<br />
the declaration and consent on behalf <strong>of</strong> any children aged under<br />
18 years or any person who lacks the legal capacity to sign on<br />
their own behalf.<br />
Signature<br />
<strong>of</strong> primary<br />
applicant<br />
Date<br />
-<br />
DAY MONTH YEAR<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
Signature<br />
Family name<br />
Given names<br />
Date<br />
-<br />
DAY MONTH YEAR<br />
-<br />
DAY MONTH YEAR<br />
-<br />
DAY MONTH YEAR<br />
-<br />
DAY MONTH YEAR<br />
-<br />
DAY MONTH YEAR<br />
-<br />
DAY MONTH YEAR<br />
When lodging your application do NOT place the application in<br />
any binder, folder or plastic sleeve.<br />
We strongly advise that you keep a copy <strong>of</strong> your application<br />
and all attachments <strong>for</strong> your records.<br />
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Additional in<strong>for</strong>mation<br />
85<br />
Question number<br />
Additional in<strong>for</strong>mation<br />
If insufficient space, attach additional details.<br />
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