1276 - Application for general skilled migration to Australia

Part G – Details of non-migrating dependents
65 Give details of all your and/or your partner’s children under 18 years
of age who are NOT accompanying you to Australia
1.
Family name
4.
Family name
Given names
Given names
Sex Male Female
Sex Male Female
DAY MONTH YEAR
DAY MONTH YEAR
Date of birth
Date of birth
Relationship
to you
Relationship
to you
Country of birth
Country of birth
Country of
residence
Country of
residence
Citizenship
Citizenship
2.
Family name
5.
Family name
Given names
Given names
Sex Male Female
Sex Male Female
DAY MONTH YEAR
DAY MONTH YEAR
Date of birth
Date of birth
Relationship
to you
Relationship
to you
Country of birth
Country of birth
Country of
residence
Country of
residence
Citizenship
Citizenship
3.
Family name
6.
Family name
Given names
Given names
Sex Male Female
Sex Male Female
DAY MONTH YEAR
DAY MONTH YEAR
Date of birth
Date of birth
Relationship
to you
Relationship
to you
Country of birth
Country of birth
Country of
residence
Country of
residence
Citizenship
Citizenship
1276 (Design date 07/10) - Page 26
© COMMONWEALTH OF AUSTRALIA, 2010