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1436 1436 - Adding an additional applicant after lodgement - Details and payment form

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1436 (Design date 01/18) - Page 1© COMMONWEALTH OF AUSTRALIA, 2018
Adding an additional applicant
after lodgement
Details and payment form
Form
1436
Department of Home Affairs
Use this form after a visa application has been lodged and
you wish to add an additional applicant to your visa
application. This form can only be used:
• before a decision has been made on your original visa
application; and
• if the visa allows additional applicants to be added after
lodgement.
See www.homeaffairs.gov.au to find out if you can add an
applicant to your visa application. For more information on
who you might be able to add, see
www.homeaffairs.gov.au/trav/visa/incl
Important: If the person who is seeking to be added is not
either a dependent child or partner (spouse or de facto) of
the main applicant who lodged the original visa application,
then generally they will need to complete a separate visa
application form and pay the base application charge and
other applicable charges needed to lodge a visa application.
What documents do I need to include?
You must include documentary evidence about the additional
applicant. Use the document checklist in the original visa
application or follow the links from
www.homeaffairs.gov.au
to find the relevant document checklist for information about
documents that you may need to include.
Where do I send the completed form?
Send this completed form to the address:
• in the original visa application form; or
• in the acknowledgement letter or email that was sent to you
after the original visa application was lodged; or
• of the relevant Australian Processing Centre for your visa, see
www.homeaffairs.gov.au/about/contact/offices-locations
We will contact you if more information is needed.
Important information about privacy
Your personal information is protected by law, including the
Privacy Act 1988. Important information about the collection,
use and disclosure (to other agencies and third parties,
including overseas entities) of your personal information,
including sensitive information, is contained in form 1442i
Privacy notice. Form 1442i is available from the Department
of Home Affairs (the Department) website
www.homeaffairs.gov.au/allforms/ or offices of the
Department. You should ensure that you read and understand
form 1442i before completing this form.
www.homeaffairs.gov.au
Telephone 131 881 during business hours
in Australia to speak to an operator (recorded
information available outside these hours).
If you are outside Australia, please contact
your nearest Australian mission.
Home page
General
enquiry line
Please keep this information page for your reference
This page is intentionally blank
1436 (Design date 01/18) - Page 3© COMMONWEALTH OF AUSTRALIA, 2018
Adding an additional applicant
after lodgement
Details and payment form
Form
1436
Department of Home Affairs
Part A – Original visa application details
Give the following main applicant details as they appear in the
original application
Date of birth
1
Family name
Given names
Passport number
Country of passport
DAY MONTH YEAR
Additional applicant’s place of birth
Town/city
State/province
Country
List countries
No
Yes
Is the additional applicant a citizen of any other country?
10
Give the following details exactly as they appear in the additional
applicant’s passport
It is strongly recommended that the passport be valid for at least 6 months.
Date of birth
7
Family name
Given names
Passport number
Country of passport
Nationality of
passport holder
Date of issue
Date of expiry
Place of issue/
issuing authority
DAY MONTH YEAR
DAY MONTH YEAR
Sex Male Female
Contact telephone numbers
Home
( ) ( )
COUNTRY CODE AREA CODE NUMBER
Office
( ) ( )
Mobile/cell
Give the following original application details
2
Visa subclass
TRN/Application Id
(if known)
File number
(if known)
3
Was the original application lodged online?
Were you in Australia or outside Australia when the original
application was lodged online?
Yes
In Australia
Outside Australia
Where was the original paper application lodged?No
4
Was the additional applicant included as a family member,
who was not applying for a visa, on the original application?
No
Yes
Part B – Additional applicant details
5
What is the relationship of the additional applicant to the main applicant?
Dependent child
Partner
6
Is the additional applicant currently located in Australia or outside
Australia?
In Australia
Outside Australia
No
Yes
Is the additional applicant a citizen of the country of passport?
9
8
3
Tick where applicable
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form
and complete it (in English) using a pen and BLOCK LETTERS.
1436 (Design date 01/18) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2018
Give details as they appear on the document
No
Yes
Does the additional applicant have any national identity documents?
11
Family name
Given names
Type of document
Identity number
Country of issue
12
Additional applicant’s name in Chinese Commercial Code Number
(if applicable)
No
Yes
In the last 5 years, has the
additional applicant
visited or lived outside
their country of passport for more than 3 consecutive months?
Do not include time spent in Australia.
14
Country(s)1.
DAY MONTH YEAR
Date tofrom
DAY MONTH YEAR
Give details
Part C – Additional applicant
health details
Country(s)2.
DAY MONTH YEAR
Date tofrom
DAY MONTH YEAR
Country(s)3.
DAY MONTH YEAR
Date tofrom
DAY MONTH YEAR
15
Does the additional applicant intend to enter a hospital or health care
facility (including nursing homes) while in Australia?
Give details
No
Yes
16
Does the additional applicant intend to work as, or study to be, a
doctor, dentist, nurse or paramedic during their stay in Australia?
Give details
No
Yes
17
Does the additional applicant intend to work, or be a trainee, at a child
care centre (including preschools and creches) while in Australia?
Give details
No
Yes
18
Has the additional 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?
Give details
No
Yes
13
Is the original application an application for a temporary visa or a
permanent visa?
Temporary visa
Permanent visa
Go to Question 14
See the document checklist for the original
application to find out what health documents
you need to include.
Go to Question 19
1436 (Design date 01/18) - Page 5© COMMONWEALTH OF AUSTRALIA, 2018
If you answered ‘Yes’ to any of the questions at Question 19, give ALL
relevant details below.
If the matter relates to a criminal conviction, please give the nature of
the offence, full details of sentence and date of any period of
imprisonment or other detention.
Part D – Additional applicant
character details
19
No
No
Yes
Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
Has the additional applicant ever:
• been charged with any offence that is
currently awaiting legal action?
• been convicted of an offence in any country
(including any conviction which is now
removed from official records)?
• been the subject of an arrest warrant or
Interpol notice?
• been found guilty of a sexually based offence
involving a child (including where no
conviction was recorded)?
• been named on a sex offender register?
• been acquitted of any offence on the grounds
of unsoundness of mind or insanity?
• been found by a court not fit to plead?
• been directly or indirectly involved in, or
associated with, activities which would
represent a risk to national security in
Australia or any other country?
• been charged with, or indicted for: genocide,
war crimes, crimes against humanity, torture,
slavery, or any other crime that is otherwise
of a serious international concern?
• been associated with a person, group or
organisation that has been/is involved in
criminal conduct?
• been associated with an organisation
engaged in violence or engaged in acts of
violence (including war, insurgency, freedom
fighting, terrorism, protest) either overseas or
in Australia?
• served in a military force, police force, state
sponsored/private militia or intelligence
agency (including secret police)?
• undergone any military/paramilitary training,
been trained in weapons/explosives or in the
manufacture of chemical/biological products?
• been involved in people smuggling or people
trafficking offences?
• been removed, deported or excluded from
any country (including Australia)?
• overstayed a visa in any country (including
Australia)?
• had any outstanding debts to the Australian
Government or any public authority in
Australia?
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
1436 (Design date 01/18) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2018
Part E – Additional applicant payment details
20
IMPORTANT: You must refer to the Department’s website at www.homeaffairs.gov.au/trav/visa/fees to complete this part of your
application. The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
21
AUD
AUD
AUD
AUD
You must pay the total amount or your visa application will not be valid.
(1)
(1)
(2)
or
+
=
Additional Applicant Charge aged 18 years or over at the time your application is lodged
Additional Applicant Charge under 18 years of age at the time your application is lodged
Subsequent Temporary Application Charge (if applicable)
Total (1) + (2)
Total
Write the amount shown on the reference table for your visa subclass
Write the amount shown on the reference table for your visa subclass
Write the amount shown on the reference table for your visa subclass
Visa subclass of original application
Method of payment
Payment information, including any applicable surcharges, is available at www.homeaffairs.gov.au/trav/visa/fees/how-to-pay-for-an-application
If lodging outside Australia, you must check with the Australian Government office where you intend to lodge your application as to what methods
of payment and currencies they can accept and to whom the payment should be made payable. A list of offices of the Department is available at
www.homeaffairs.gov.au/about/contact/offices-locations
You can make your payment electronically through the ‘My Payments’ section of ImmiAccount, at www.homeaffairs.gov.au/immiaccount
Lodge your application within 30 days of making your payment online.
How did you make your payment?
Electronically through
the ‘My Payments’
section of ImmiAccount
Payment receipt number
Attach a copy of your printed receipt.
Other
Provide details
Attach copies of your receipt(s) or evidence of payment(s).
1436 (Design date 01/18) - Page 7© COMMONWEALTH OF AUSTRALIA, 2018
22
• I have read and understood the information provided in this form;
• I have provided complete and correct information in every detail on
this form, and on any attachments to it;
• I understand that if any fraudulent or misleading document or
information is provided, it may have consequences for my original
application or the application of the person if added to my
application;
• I will inform the Department in writing immediately as I become
aware of a change in circumstances (including change of address)
or if there is any change relating to information I have provided in or
with this form.
• I have read the information contained in form 1442i Privacy notice.
• I understand the Department may collect, use and disclose my
personal information (including biometric information and other
sensitive information) as outlined in form 1442i Privacy notice.
WARNING: Giving false or misleading information is a serious offence.
Signature
of main
applicant
Date
DAY MONTH YEAR
We strongly advise that you keep a copy of the completed
form and all attachments for your records.
I declare that:
Part F – Declaration and consent
Signature of main applicant who is adding the additional applicant
to the original visa application
23
• Signature of additional applicant if aged 18 years or over
Note: The additional applicant must sign below unless they lack the
legal capacity to sign on their own behalf. Otherwise, both parents
or a person who has parental responsibility (legal custody) must
sign on behalf of the additional applicant.
Signature
of additional
applicant
Date
DAY MONTH YEAR
Signature(s) for additional applicant
Date
DAY MONTH YEAR
Family name
Given names
Date
DAY MONTH YEAR
Family name
Given names
Signature
of parent/
guardian
Signature
of parent/
guardian
OR
• Signature(s) of additional applicant’s parents/guardian if
additional applicant is under 18 years of age or unable to sign on
their own behalf
Note: Both parents or a person who has parental responsibility
(legal custody) must sign on the additional applicant’s behalf.
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Completed 3 April 2020

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