Application context Current location Is the applicant currently outside Australia? Are all the applicants currently outside Australia? Give the current location of the applicant and their legal status at this location. Current location Legal status (Informar: Citizen / Permanent resident / Visitor / Work Visa / Student / Other / Legal Status) Purpose of stay Has the applicant been invited to participate in specific event(s) by organisation(s) in Australia? Will the applicant receive a payment from an organisation in Australia for their participation in the event? Will the applicant undertake highly specialised non-ongoing work? Will the applicant be performing as an entertainer in Australia or supporting an entertainer or group of entertainers performing in Australia? Will the applicant be directing, producing or taking any other part in a production that will be shown in Australia (including theatre, film, television, radio, concert or recording)? Warning: People working in the entertainment industry should generally apply for the Temporary Work (Entertainment) Subclass 420 visa. Main purpose of stay: Tourism / visit family or friends Sponsored family visitor Business visit for meetings, conferences or negotiations (not for work) List all reasons for visiting Australia (Informar: Business / Tourism / Family Visit / Study / Religious event / Other) Give details of any significant dates on which the applicant needs to be in Australia 1
Group processing Will this application be required to be processed with other applications? Group processing name Further stay Give details of request for further stay. End date of extension Reason for extension Special category of entry Is the applicant: Acting as a representative of a foreign government An amateur participant or assisting an amateur participant or team in a sporting event(s) In a class of persons participating in an activity specified in an instrument ne of the above? Is the applicant a representative of a foreign government or a member of an exempt group? Applicant Information: Entering names incorrectly may result in denial of permission to board an aircraft to Australia, or result in delays in border processing on arrival in Australia, even if the applicant has been granted a visa. Passport details Enter the following details as they appear in the applicant's passport. Family name Given names Sex Male Female Other Date of birth Passport number Country of passport Nationality of passport holder 2
Date of issue Date of expiry Place of issue / issuing authority It is strongly recommended that the passport be valid for at least six months. Place of birth Town / City State / Province Country of birth Relationship status Relationship status (Informar: married / engaged / de facto / separated / divorced / widowed / never married or been in a de facto relationship). Other names / spellings Is this family member currently, or have they ever been known by any other names? Family name Given names Reason Citizenship Is this family member a citizen of the country of passport? Is this family member a citizen of any other country? List countries Other passports Does this applicant have other current passports? Family name Given names Passport number Country of passport 3
National identity documents Does this applicant have national identity documents? Family name Given names RG number Country of RG Health examination Has this applicant undertaken a health examination for an Australian visa in the last 12 months? Give details HAP ID (If available) Additional identity questions Provide further details below, where available. Previous travel to Australia Has this applicant previously travelled to Australia or previously applied for a visa? Other passports Does this applicant have other passports that were previously used to travel to Australia? Family name Given names Passport number Country of passport Grant number Does this applicant have an Australian visa grant number? Australian visa grant number Visa number Does this applicant have an Australian visa label in their current or previous passport? Australian visa label number 4
Travelling companions Are there any other persons travelling with the applicant to Australia? Family Name Given names Date of birth Relationship Contact details Country of residence Usual country of residence Department office The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant s current location? Office Residential address te that a street address is required. A post office address cannot be accepted as a residential address. Country Address Address 2 Suburb / Town State / Territory Postcode Contact telephone numbers Home phone Business phone Mobile / Cell phone 5
Postal address Is the postal address the same as the residential address? Country Address Address 2 Suburb / Town State / Territory Postcode Electronic communication We can communicate about this application more quickly using email and/or fax. Does the applicant agree to this department communicating via email and/or fax? This may include receiving notification of the outcome of the application. We can communicate about this application more quickly using email and/or fax. Does the applicant agree to this department communicating via email and/or fax? This may include receiving notification of the outcome of the application. Email address: Authorised recipient Does the applicant authorise another person to receive written correspondence on their behalf? This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant. Does the applicant authorise another person to receive written correspondence on their behalf? This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant., a migration agent, another person This person is referred to as the 'authorised recipient'. Authorised recipient contact details 6
Authorised person Family name Given names Country Address Address 2 Suburb / Town State / Territory Postcode Postal address Country Address Address 2 Suburb / Town State / Territory Postcode Contact telephone numbers Business phone Mobile / Cell phone Electronic communication We can communicate about this application more quickly using email and/or fax. Does the authorised recipient agree to this department communicating via email and/or fax? This may include receiving notification of the outcome of the application. Email address: 7
If '' is selected, all communication will be sent to the postal address provided for the applicant or their authorised recipient. This may result in delays in receiving communication about the application. Authorisation of health and character information Do all applicants agree that information regarding their health and character may be sent to the authorised person? This may include requests for, or results of, medical examinations and the results of criminal history checks. n-accompanying family members Does the applicant have any family members not travelling to Australia who are not Australian citizens or Australian permanent residents? Family name Given names Date of birth Relationship Entry to Australia Proposed period of stay Give details of the proposed period of stay in Australia. Date from Date to Length of stay in Australia Multiple entries Does the applicant intend to enter Australia on more than one occasion? Reason Date from Date to Study while in Australia Will the applicant undertake a course of study in Australia? Course name Institution name Date from Date to Relatives, friends or contacts in Australia Will the applicant visit any relatives, friends or contacts while in Australia? Family name Given names Date of birth Relationship 8
Current overseas employment Current employment details Employment status (Informar: employed / self-employed / retired / student / other / unemployed) Give details Occupation grouping (Informar: Managers / Professionals / Civil Engineering Draftspersons and Technicians / Community and Personal Service Workers / Clerical and Administrative Workers / Sales Workers / Machinery Operators and Drivers / Labourers / Other) Occupation Organisation Start date with current employer Student course details Give details of the course the applicant is undertaking. Course name Institution name Date from Date to Retirement Retirement date Unemployment Give details of the length of unemployment and the last employment position held. Date from Last employment position 9
Business / organisation details Organisation details Legal registered name Trading name Industry type Business structure Business registration type Business registration ID Organisation website (if available) Give details Date established or commenced trading in Australia Registration identifiers Give details of all registration identifiers for the business / organisation. Business registration type Business registration ID Organisation address te that a street address is required. A post office address cannot be accepted as an organisation address. Country Address Address 2 Suburb / Town State / Territory 10
Postcode Contact person details Give details of the contact person for enquiries. This person is different to any authorised recipient, migration agent or exempt agent. Give details of the contact person within the organisation. Give details of the Australian business contact. Family name Given names Position Contact telephone numbers Business phone Mobile / Cell phone Electronic communication We can communicate about this application more quickly using email and/or fax. Does the contact person agree to this department communicating via email and/or fax? This may include receiving notification of the outcome of the application. Email address Funding for stay Funding details Will the applicant receive payment for undertaking the work or activity in Australia? Give details how the applicant will fund their stay in Australia Give details of how the stay in Australia will be funded. Self funded Supported by current overseas employer Supported by other organisation Supported by other person 11
What funds will the applicant have available to support their stay in Australia? Type of support (Informar: financial / Accommodation / All costs / Other) Relationship to applicant Give details of the person that will provide support to the applicant. Relationship to the applicant Type of support Organisation Give details of the organisation providing payment to the applicant. Organisation (Informar: Current overseas employer / Organisation in Australia to which the applicant provides services / Other organisation) Business activities Principal business activity in Australia Intended business activity (Informar: Meetings / Conferences / Negotiations / Other) Provide details, dates and location of conference or meetings. Activity Location Date from Date to Organisation Organisation address te that a street address is required. A post office address cannot be accepted as an organisation address. Country 12
Address Address 2 Suburb / Town State / Territory Postcode State or Province Contact person details Give details of the contact person for enquiries. This person is different to any authorised recipient, migration agent or exempt agent. Give details of the contact person within the organisation. Give details of the Australian business contact. Family name Given names Position Contact telephone numbers Business phone Mobile / Cell phone Electronic communication We can communicate about this application more quickly using email and/or fax. Does the contact person agree to this department communicating via email and/or fax? This may include receiving notification of the outcome of the application. Email address 13
Health declarations In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include time spent in Australia. Name Country visited Date from Date to Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while in Australia? Name Reason Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia? Name Details Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia? Name Details Does any applicant intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer)? Name Details Has any applicant: ever had, or currently have, tuberculosis? been in close contact with a family member that has active tuberculosis? ever had a chest x-ray which showed an abnormality? Has any applicant: ever had, or currently have, tuberculosis? been in close contact with a family member that has active tuberculosis? ever had a chest x-ray which showed an abnormality? Name Details Does any applicant have any of the following medical conditions that may incur medical costs, require treatment or medical follow up? blood disorder cancer heart disease 14
hepatitis B or C and/or liver disease HIV infection, including AIDS kidney disease, including dialysis mental illness pregnancy respiratory disease that has required hospital admission or oxygen therapy other Does any applicant have any of the following medical conditions that may incur medical costs, require treatment or medical follow up? blood disorder cancer heart disease hepatitis B or C and/or liver disease HIV infection, including AIDS kidney disease, including dialysis mental illness pregnancy respiratory disease that has required hospital admission or oxygen therapy other Name Condition Does any applicant require assistance with mobility or care due to a medical condition? Name Details Has any applicant ever been convicted of a crime or offence in any country (including any conviction which is now removed from official records)? Has any applicant ever been charged with any offence that is currently awaiting legal action? Has any applicant ever been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind? Has any applicant ever been removed or deported from any country (including Australia)? 15
Has any applicant ever left any country to avoid being removed or deported? Has any applicant ever been excluded from or asked to leave any country (including Australia)? Has any applicant ever committed or been involved in the commission of war crimes or crimes against humanity or human rights? Has any applicant ever been involved in any activities that would represent a risk to Australian national security? Has any applicant ever had any outstanding debts to the Australian Government or any public authority in any other country? Has any applicant ever been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? Has any applicant ever: served in a military force or state sponsored or private militia, or undergone any military or paramilitary training, or been trained in weapons or explosives use (however described), other than in the course of compulsory national military service? 16
Warning: Giving false or misleading information is a serious offence. The applicants declare that they: Have read and understood the information provided to them in this application. Have provided complete and correct information in every detail on this form, and on any attachments to it. Understand that if any fraudulent or misleading documents or information is found, this application is likely to be refused and they may become ineligible to be granted a visa for a period of time. Will inform the Department of Immigration and Citizenship in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered. Understand that if a no further stay 8503 condition is imposed on this visa, it will limit the ability to remain in Australia beyond the authorised period of stay of the visa. Agree not to undertake study or training for more than three months. 17
Agree to leave Australia on or before the expiry of the period of stay of the visa. Understand that, if required to provide their fingerprints and facial image, fingerprints and applicant's facial image and biographical information held by the Department of Immigration and Citizenship can be given to Australian law enforcement agencies to help identify and determine the applicant's eligibility to the visa being applied for, and for purposes of law enforcement. Give consent for Australian law enforcement agencies disseminating biometric, biographical and criminal record information from the applicant to the Department of Immigration and Citizenship to help identify the applicant, to determine eligibility for the grant of a visa and for purposes of law enforcement. Give your consent for the Department of Immigration and Citizenship using biometric registration information, biographical and criminal candidate obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007. 18