KINGDOM OF CAMBODIA PHNOM PENH
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1 KINGDOM OF CAMBODIA PHNOM PENH APPLICATION CHECKLIST Applicant Name: Passport Number: Address: Phone Number: Important Information Please note - the decision on your citizenship application may be decided on the information and documentation that you provide at the time of lodgment. The Citizenship application Charge will not be refunded if a decision is made to refuse to grant Citizenship because the applicant did not satisfy the criteria. Delivery and courier charges You are responsible for all costs of delivering information to the Australian Embassy by mail or courier, including any additional information that may be request by the Australian Embassy. If you give additional information to the Australian Visa Application Centre, you may be charged a courier fee for delivery to the Australian Embassy. For more information See: Home Affairs Website Please ensure the latest versions of the application Form 118 is used. See: Processing time Global processing time for Citizenship by Descent applications is available at How to use the checklist 1. Use the checklist to ensure you have : a. completed all the compulsory sections of the form, and b. included all necessary documentation ie: i. Certified copies of all other supporting documents ii. Official translations of all documents not in English 2. Sign and date your citizenship application form. 3. Attach the completed checklist on the front of your application and all supporting documents Page 1 of 5
2 Form 118 The form must be completed and be signed in the following areas Yes, I have completed/ supplied this item No or Not applicable Official Use Only confirming completion Part C - Proof of Identity (applicants over 16 years only) Part D Identity declaration fully completed, and accompanied by o 2 passport size photographs of applicant endorsed and signed by person completing identity declaration. o Evidence of the identity and occupation of the person completing the declaration. Part E Good Character (applicants over 16 years only) and Consent (all applicants) Part I Declaration (all applicants) Citizenship Application Charge paid Documents Main Applicant Full birth certificate issued by the relevant Ministry or Authority which contains: Birth name, date of birth, place of birth and names of both parents. Please be advised that the Citizenship by descent certificate will reflect the details in the official certificate issued by the Sangat/Commune. If the details in the official certificate issued by the Sangat/Commune is incorrect, please provide an updated/new official certificate issued by the Sangat/Commune.. Birth notice from birth hospital or maternity clinic and hospital discharged letter Certified copy of bio pages of passport held for APPLICANT and movement stamps (if any) A completed and signed Form 54- Family composition Page 2 of 5
3 If you wish to appoint a Migration Agent or authorize another person to communicate with the department on your behalf about this application, complete and attach form 956 The applicant will need to provide Penal clearance certificates from oversea countries they have lived in the last 10 years since the age of 18 years, If: the total time spent overseas added up to 12 months or more; and the time spent in any one country was more than 3 months, or requested to do so by the department Australia should be considered an overseas country. If you live in Phnom Penh, you must provide a police certificate from Ministry of Justice. If you live outside of Phnom Penh, you must provide a police certificate from the Chief of Police of the local police authority. Documents Parents Marriage Certificate, if applicant s parents are married. Divorce decree if applicant s parents are divorce If the applicant s parents are not married, both parents are required to sign Part J Declaration. Therefore submit two Part J Declarations, one signed by each parents. Brief statement outlining the history of, and inception of the parents relationship. If the parents are no longer together the statement should also provide information relating to the cessation of the relationship. Australian parent/s must provide: o Copy of passport including bio page, visas and movement stamps commencing 12 months prior to the birth of the child. o Full birth certificate of Australian parent/s o Australian citizenship certificate (if granted citizenship) o Evidence of support and care the father provided to the applicant and mother before and after birth, such as; financial, emotional, social recognition (eg. photos). Non - Australian parent must provide: o Copy of passport including bio page, visas and movement stamps commencing 12 months prior to the birth of the child (if applicable) o Birth certificate, National ID card, Family Book and Resident book Page 3 of 5
4 If the Australian citizen parent is an Australian citizen by decent, evidence that parent had resided in for 2 years in Australia (such as passport showing entry to Australia, school or employment records, any documents issued by an Australian Government agency) Evidence of pregnancy ( Photos, medical records, ultrasound reports) Evidence of any name changes that have occurred for the child or parent/s, if applicable Family photos before and after the birth, including photographs of the applicant with both parents from birth to present (photocopies of the originals) Other Documents I hereby acknowledge that: I have provided all necessary documentation for a decision to be made on my visa application. or I have not provided all the information requested in the checklist. I am aware that the Department of Home Affairs is not required to contact me to obtain further information. I am aware that a decision may be made based on the information I have provided. Note: This must be signed by parent(s) or guardian if applicant is under 18. Applicant name:.... Visa Application Centre Use Only Signature:.... Date:././. Page 4 of 5
5 Processing officer name: Processing officer signature: Page 5 of 5
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