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1276 - Application for general skilled migration to Australia

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60<br />

Are there any legal impediments <strong>to</strong> the removal of any of these children<br />

from their home country?<br />

No<br />

2.<br />

Family name<br />

Given names<br />

Yes<br />

Give details<br />

Date of birth<br />

DAY MONTH YEAR<br />

Sex<br />

Relationship<br />

<strong>to</strong> you<br />

Country of birth<br />

Country of<br />

residence<br />

Citizenship<br />

Male<br />

Female<br />

61<br />

Give details of all your and/or your partner’s dependents over 18 years<br />

of age that are <strong>to</strong> be INCLUDED in this application<br />

1.<br />

Family name<br />

Passport<br />

number<br />

Country of<br />

passport<br />

DAY MONTH YEAR<br />

Given names<br />

Date of issue<br />

Date of birth<br />

Sex Male<br />

Relationship<br />

<strong>to</strong> you<br />

Country of birth<br />

Country of<br />

residence<br />

Citizenship<br />

Passport<br />

number<br />

Country of<br />

passport<br />

Date of issue<br />

Date of expiry<br />

Passport place<br />

of issue/issuing<br />

authority<br />

DAY MONTH YEAR<br />

Female<br />

DAY MONTH YEAR<br />

Date of expiry<br />

Passport place<br />

of issue/issuing<br />

authority<br />

Details of their identity card or identity number issued by his/her<br />

government (if applicable) eg. National identity card<br />

Note: If they are the holder of multiple identity numbers because they<br />

are a citizen of more than one country, enter the identity number on<br />

the card from the country that they are a permanent resident of, or<br />

reside in.<br />

Identity number<br />

Country of issue<br />

How well does he/she communicate<br />

in English?<br />

Better than functional<br />

Functional<br />

Limited<br />

Not at all<br />

Details of their identity card or identity number issued by his/her<br />

government (if applicable) eg. National identity card<br />

Note: If they are the holder of multiple identity numbers because they<br />

are a citizen of more than one country, enter the identity number on<br />

the card from the country that they are a permanent resident of, or<br />

reside in.<br />

Identity number<br />

Country of issue<br />

How well does he/she communicate<br />

in English?<br />

Better than functional<br />

Functional<br />

Limited<br />

Not at all<br />

<strong>1276</strong> (Design date 07/10) - Page 22<br />

© COMMONWEALTH OF AUSTRALIA, 2010

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