47PT (Design date 01/19) - Page 1© COMMONWEALTH OF AUSTRALIA, 2019
Application for migration to Australia by
a Contributory Parent (Temporary) or
Contributory Aged Parent (Temporary) visa holder
Form
47PT
Department of Home Affairs
The Department of Home Affairs (the Department)
acknowledges that Aboriginal and Torres Strait Islander peoples
are the traditional custodians of the Australian land.
Life in Australia – Australian values
The Australian Government encourages people to gain an
understanding of Australia, its people and their way of life, before
applying for a visa to live in Australia.
This includes understanding that the English language, as the
national language, is an important unifying element of Australian
society. Australian society is also united through the following
shared values:
respect for the freedom and dignity of the individual;
freedom of religion;
commitment to the rule of law;
Parliamentary democracy;
equality of men and women;
a spirit of egalitarianism that embraces mutual respect,
tolerance, fair play and compassion for those in need and
pursuit of the public good;
equality of opportunity for individuals, regardless of their race,
religion or ethnic background.
The Life in Australia booklet provides more information on the
values that Australians share and their way of life. This booklet is
available in a wide range of languages. If you have not already
received a copy then it can be obtained from
www.homeaffairs.gov.au
You must have read the Life in Australia booklet before
completing this application form. If you have difficulty, or are
unable to read the booklet, you may have the content of it
explained to you, for example, by a friend or relative. This form
contains a statement, that you must sign, that confirms you
understand and will respect the values of Australian society (as
explained in the booklet) and will obey the laws of Australia. This
includes acknowledging what would be required if you later
applied for Australian citizenship.
This statement must also be signed by each person aged 18 years
or over, who is included in this form.
About this form
Important – Please read this information carefully before you
complete your application. Once you have completed your
application we strongly advise that you keep a copy for your
records.
This is the approved form for temporary Contributory Parent or
temporary Contributory Aged Parent visa holders to use if they
are applying to migrate to, or remain permanently in Australia.
This application should be read in conjunction with information
available from the Department’s website
www.homeaffairs.gov.au/trav/brin/pare
Persons whose temporary Contributory Parent visa has expired
or who are applying for a parent visa as a retiree must not use
this form to apply for permanent residence (use form 47PA
Application for a parent to migrate to Australia).
The visa you apply for will depend on the Contributory Parent
temporary visa you currently hold.
Offshore visa
If you were an offshore applicant (ie. your temporary visa was
granted when you were outside Australia) you would now hold a
Contributory Parent (Class UT – Temporary) (subclass 173) visa.
You will now be applying for a Contributory Parent (Class CA
– Migrant) (subclass 143).
Onshore visa
If you were an onshore applicant, you would now hold a
Contributory Aged Parent (Class UU – Temporary) (subclass 884)
visa (ie. your temporary visa was granted when you were in
Australia). You will now be applying for a Contributory Aged
Parent (Class DG – Residence) (subclass 864).
The Australian Government allocates only a limited number of
parent visa places each year as part of the annual Migration
Program.
Parent visa applicants will wait in a queue before a visa decision.
Limited application period
Your current temporary Contributory Parent visa has a limited
validity period, which cannot be extended or renewed. For
you to receive the concessions available to those temporary visa
holders who are applying for the corresponding permanent
Contributory Parent visa, you must lodge your application at any
time within 2 years from the date of:
your first entry to Australia on your temporary Contributory
Parent visa (subclass 173); or
the grant of your temporary Contributory Aged Parent visa
(subclass 884).
Concessions
By applying for the corresponding permanent Contributory Parent
visa as the holder of a temporary Contributory Parent visa, you:
pay a substantially reduced first instalment of the Visa
Application Charge (VAC);
can still meet the relationship requirement if your child has died
and you have no other child who is a settled Australian citizen,
Australian permanent resident or eligible New Zealand citizen;
will be taken to have met the sponsorship requirement if
you are lodging this application while you are the holder of a
temporary Contributory Parent visa and your sponsor has died:
before you lodge this application and you have no other
eligible sponsor available; or
after you lodge this permanent Contributory Parent visa
application (along with a completed form 40 Sponsorship for
migration to Australia), but before a decision is made on this
application and there is no other eligible sponsor available
;
are not re-assessed against the Balance of Family test;
generally, are not required to undergo further health checks
unless advised to do so by the Department;
can include in this application a former member of your
family unit, who was previously included in your temporary
Contributory Parent visa application as a member of your
family unit and was granted the temporary visa, even though
they may not currently be a family unit member; and
pay a substantially reduced second instalment of the VAC.
You may need again to satisfy character requirements and an
Assurance of Support (AoS) and AoS bond must be provided.
47PT (Design date 01/19) - Page 2 © COMMONWEALTH OF AUSTRALIA, 2019
If you are not the holder of a temporary Contributory Parent visa
If you are not the holder of a temporary Contributory Parent visa
when you apply for the corresponding permanent visa, there are
circumstances under which you can be regarded as having the
status of the holder of a temporary Contributory Parent visa.
These circumstances are, if you have held a temporary
Contributory Parent visa:
at any time in the 28 days immediately before applying for the
corresponding permanent visa; or
you can demonstrate that compassionate and compelling
circumstances exist as to why you did not apply while your
temporary Contributory Parent visa was still valid.
If you fall within one of the above 2 circumstances, you can use
this visa application form. However, please note that your visa
status in Australia will be affected while your permanent
Contributory Parent visa application is being processed. For more
information about these circumstances, please contact the
nearest office of the Department.
If you do not have the status of a temporary Contributory Parent
visa holder, none of the above concessions will apply to your
permanent Contributory Parent visa application and you will be
allowed to lodge an application for only a very limited number of
visas. However, once you leave Australia, you will be able to apply
for any visa.
The visas for which you can apply if you remain in Australia
include the corresponding permanent Contributory Parent visa.
However, you must not use this application form (use form 47PA
Application for a parent to migrate to Australia). In addition,
you will be required to undergo the full assessment process as if
you had never held a temporary Contributory Parent visa and pay
full charges. If you had previously held an offshore temporary
Contributory Parent visa, you can only apply for an offshore
permanent Contributory Parent visa at the Parent Visa Centre
(PVC) and must depart Australia to be granted the visa.
Sponsors
Your sponsor must complete form 40 Sponsorship for migration
to Australia.
You should lodge the completed form 40 at the same time you
lodge this application, along with all documentation, and
evidence of payment of the first instalment of the Visa
Application Charge.
If your sponsor for your temporary Contributory Parent visa
application cannot sponsor you for this permanent Contributory
Parent application, there are certain sponsorship concessions to
which you have access – for details, see Concessions on page 1.
If you access one of these concessions, you must provide
documentary evidence of your situation to the Department with
this application form.
Assurance of Support
A financial consideration is the Assurance of Support (AoS) and
AoS bond that is provided by an assurer. This is a mandatory
requirement for all permanent parent visas and can not be
waived. Although requested by the Department, an AoS is
managed by the Australian Government Department of Human
Services (Human Services) and the assurance must be lodged
with and approved by, and the AoS bond paid to Human Services.
The AoS is a legal commitment undertaken by the assurer to
repay the Australian Government certain welfare payments,
including unemployment benefits and family payments made by
Human Services to persons granted a parent visa.
Depending on the AoS period for the parent visa and regardless
of circumstances, certain welfare payments paid to a parent
migrant during the relevant period must be repaid to the
Department of Human Services by the person who provides an
AoS. For Contributory Parent category visa holders, this period is
10 years, even if the person becomes an Australian citizen.
Refer to Human Services for details of repayable welfare
payments at www.humanservices.gov.au.
An assurer need not be your sponsor. An assurer can be any
person aged 18 years or older who is an Australian citizen or
Australian permanent resident or eligible New Zealand citizen.
Furthermore, an assurance may be provided jointly by up to
3 persons.
The AoS start date commences on the date a person first enters
Australia on their parent migrant visa or on the date the person
in Australia was granted their permanent residence parent visa.
Who the form covers
This application from covers those persons who were included in
your application for a temporary Contributory Parent visa, who
were subsequently granted the temporary visa, and are now
applying for the corresponding permanent Contributory Parent
visa (within the two-year period that their temporary visa is valid).
In addition, a temporary Contributory Parent visa holder applying
for the corresponding permanent Contributory Parent visa on
this form is able to include members of the family unit who are
not temporary Contributory Parent visa holders in their
application. If the family unit member is not the holder of a
temporary Contributory Parent visa, they must complete a
separate form 47PA. Both application forms 47PT and 47PA
should be lodged together at the same time and place.
Existing applicants
If you are a temporary Contributory Parent visa holder and have
already lodged your visa application for the corresponding
permanent Contributory Parent visa either in or outside of
Australia, you are eligible to add members of your family unit to
your existing application before it is finalised. If the members of
your family unit are not the holders of a temporary Contributory
Parent visa, they will need to complete a separate form 47PA which
must be lodged with the Parent Visa Centre in Perth. For details,
see Lodging your visa application on page 3.
Charges apply for additional applicants. Please refer to
www.homeaffairs.gov.au/trav/visa/fees for a complete and
current list of applicable fees and charges.
If you are a temporary Contributory Parent visa holder and have
already lodged your application for a permanent Contributory
Parent visa while you were physically in Australia, you may also be
able to add other members of your family unit to the application
before it is decided. These family unit members must be in
Australia, able to demonstrate that they are
members of your
family unit
and are able to lodge a valid visa application in
Australia. If your family unit members are the holders of a
temporary Contributory Parent visa, they will need to complete a
separate form 47PT. If they are not the holder of a temporary
Contributory Parent visa, they will need to complete a separate
form 47PA. The completed form should be lodged with the
Parent Visa Centre in Perth.
Your family unit members will need to pay the first instalment of
the Visa Application Charge when they lodge their application.
Each person included in their application will also need to pay
the relevant second instalment of the Visa Application Charge.
Partner’ means your spouse or de facto partner (including
same-sex partners).
47PT (Design date 01/19) - Page 3© COMMONWEALTH OF AUSTRALIA, 2019
Including family members in your application
In your visa application you will be asked for information about
each member of your family unit (such as your partner or
children) even if they do not intend to migrate with you.
Information about which family members are considered to be a
‘member of your family unit’ for migration purposes is available
by referring to form 1496i Including family members in your
application. Form 1496i is available from the Department’s
website www.homeaffairs.gov.au/allforms/ or offices of the
Department. You should ensure that you read and understand
form 1496i before completing this form.
Parental responsibility (custody) requirements (children
under 18 years of age)
The Department will seek to ensure that allowing a child to
migrate is not in contravention of Australia’s international
obligations in relation to the prevention of child abduction. If
your application includes a child under 18 years of age and the
child’s other parent is not migrating with you or there is any
other person who has the legal right to determine where the
child can live, permission for the child to migrate to Australia
must be obtained from that person. This must be in the form of
either a completed form 1229 Consent to grant an Australian
visa to a child under the age if 18 years or a statutory
declaration. Alternatively, the parental responsibility (custody)
requirement will be satisfied if the sponsoring parent is in
possession of a valid court order in relation to the child which
permits them to permanently remove the child from the child’s
home country, or has a valid Australian child order issued by the
Family Court in Australia and the grant of the visa would be
consistent with that order.
Application withdrawal
Before the permanent Contributory Parent visa for which you are
applying can be granted, you and any other person in this
application must withdraw any other parent visa application they
have lodged. The withdrawal requirement also includes any
parent visa application that is subject to merits or judicial review
(of a decision to refuse the grant of a parent visa) or subject to
review proceedings.
Integrity of application
The Department is committed to maintaining the integrity of the
visa and citizenship programs. In relation to this application, if
you or a member of your family unit:
provide, or have provided in a previous application, bogus
documents, or false or misleading information; and/or
fail to satisfy, or have failed to satisfy in a previous application,
the Minister of your or their identity;
this visa application may be refused and you, and any members
of your family unit, may be unable to satisfy the criteria for the
grant of a visa for a specified time, as set out in migration
legislation.
If documents are found to be fraudulent or information to be
incorrect after the grant of a visa, the visa may subsequently be
cancelled.
Making a valid application
To make a valid application for your permanent Contributory
Parent visa before your temporary Contributory Parent visa
ceases, you should:
use this application;
indicate the correct class of visa in Part A of the application;
withdraw any existing parent visa application that has not been
decided by the Department by completing the declaration to
withdraw at Part C of the application;
provide the address of where you intend to live while your
application is being processed. Failure to give your residential
address in this application will result in your application being
invalid. A post office box address will not be accepted as your
residential address;
complete the form in English;
answer all questions truthfully;
provide supporting documents where necessary;
attach a completed form 40 Sponsorship for migration to
Australia (with documentation), which has been completed
by your sponsor;
attach evidence of payment of the first instalment of the Visa
Application Charge; and
lodge your application at the appropriate office of the
Department. For details see Lodging your visa application
below.
If you provide incorrect information or documents, this
may affect whether or not you are granted a visa, or your
visa is subsequently cancelled. Read the notes on each
question. If a question is not applicable write ‘N/A’. Any changes
or corrections you make must be initialled and dated by each
person who signs the form. If you use the page provided in the
form (Part K – Additional information) or any other sheets of
paper for additional information, each sheet must also be signed
and dated by all persons who sign the form.
Supporting documents
The documents you must provide are listed in Part O – Checklist
of your application. Enclose all documents with your application.
You may be asked to provide other documents during
processing. ‘Certified copies’ of documents mean copies
authorised or stamped as being true copies of originals by a
person or agency recognised by the law of your country. In
Australia, they must be certified by a Justice of the Peace or
Commissioner for Declarations or by a person before whom a
statutory declaration may be made. All documents not in English
must be accompanied by a certified English translation of the
original. You may be asked to provide the originals of your
documents at a later stage. Do not provide originals unless you
are asked.
Lodging your visa application
It is important that this application, the completed form 40
Sponsorship for migration to Australia, all relevant
documentation and evidence of payment of the first instalment
of the VAC are submitted at the same time.
All parent visa applications must be lodged with the Parent Visa
Centre (PVC) by mail or courier.
This is regardless of whether or not you are in Australia or
outside Australia at the time. Offshore visa applicants are
encouraged to forward all documentation to their sponsor for
them to send the visa application to the PVC at the following
addresses:
By mail:
PVC
Locked Bag 7
NORTHBRIDGE WA 6865
By courier:
PVC
Wellington Central
Level 3
836 Wellington Street
WEST PERTH WA 6005
AUSTRALIA
Note: Neither the PVC nor the Department’s West Australian
state office in Perth can accept applications over the counter.
47PT (Design date 01/19) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2019
Visa Application Charge
Refer to Part N – Payment details of this form to calculate the
correct charge.
Refer to www.homeaffairs.gov.au/trav/visa/fees for a
complete and current list of applicable fees and charges.
Fees and charges may be subject to change at any time and this
may increase the cost of a visa application.
Generally, Visa Application Charges are reviewed on 1 July each
year, and the exchange rates used to calculate the amount
payable in a foreign country are updated on 1 January and 1 July
each year.
If you do not pay the full Visa Application Charge amount, your
visa application will not be valid.
Charges are generally not refundable, even if the application is
withdrawn or refused.
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
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.
Health
All applicants for permanent visas including the main applicant
and any members of the family unit must be assessed against the
health requirement.
In addition, in certain circumstances, family members who are
not applying for the visa will be assessed against the health
requirement. Further information about the health requirement
is available on the Department’s website
www.homeaffairs.gov.au/trav/visa/heal/meeting-the-health-
requirement/health-examinations
Note: Applicants may have already undertaken a health
assessment for their visa. However, the Department reserves the
right to request additional health examinations as part of this visa
application process.
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’s 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.
Immigration assistance
A person gives immigration assistance to you if he or she uses, or
claims to use, his or her knowledge or experience in migration
procedure to assist you with your visa application, request for
ministerial intervention, cancellation review application,
sponsorship or nomination.
In Australia a person may only lawfully give immigration
assistance if he or she is a registered migration agent or is an
exempt person under section 280 of the Migration Act 1958.
Only registered migration agents may receive a fee or reward for
providing immigration assistance.
If an unregistered person, who is not an exempt person, gives
you immigration assistance they are committing a criminal
offence and may be prosecuted.
Migration agents in Australia
Migration agents in Australia must be registered with the Office
of the Migration Agents Registration Authority (Office of the
MARA) unless they are exempt from registration.
Migration agents outside Australia
Migration agents who operate outside Australia do not have to be
registered. The Department may give some overseas agents an
ID number. This number does not mean that they are registered.
Note: Some Australian registered migration agents operate
overseas.
Migration agent information
A migration agent is someone who can:
advise you on the visa that may best suit you;
tell you the documents you need to submit with your
application;
help you fill in the application and submit it; and
communicate with the Department on your behalf.
If you appoint a migration agent, the Department will assume
that your migration agent will be your authorised recipient,
unless you indicate otherwise.
Your migration agent will be the person with whom the
Department will discuss your application and from whom it will
seek further information when required.
You are not required to use a migration agent. However, if you
use a migration agent, the Department encourages you to use a
registered migration agent. Registered agents are bound by the
Migration Agents Code of Conduct, which requires them to act
professionally in their clients’ lawful best interests.
Information on migration agents, including a list of registered
migration agents, is available on the Office of the MARA website
www.mara.gov.au
You can also access information about migration agents on the
Department’s website www.homeaffairs.gov.au
Exempt persons
The following people do not have to be a registered migration
agent in order to provide immigration assistance, but they must
not charge a fee for their service:
a close family member (spouse, de facto partner, child, parent,
brother or sister);
a member of parliament or their staff;
an official whose duties include providing immigration
assistance (eg. a Legal Aid provider);
a member of a diplomatic mission, consular post or
international organisation.
Appointing a migration agent/exempt person
To appoint a registered migration agent/exempt person you
should complete Part M – Options for receiving written
communications.
Your migration agent/exempt person should complete form 956
Advice by a registered migration agent/exempt person of
providing immigration assistance.
Form 956 is available from the Department’s website
www.homeaffairs.gov.au/allforms/
47PT (Design date 01/19) - Page 5© COMMONWEALTH OF AUSTRALIA, 2019
Options for receiving written communications
If you do not appoint a migration agent/exempt person you may
still authorise another person, in writing, to receive written
communications on your behalf. This person is called the
authorised recipient.
Authorised recipient information
All written communication about your application will be sent to
your authorised recipient, unless you indicate that you wish to
have health and/or character information sent directly to you.
The Department will communicate with the most recently
appointed authorised recipient as you may only appoint one
authorised recipient at any time for a particular application.
You will be taken to have received any documents sent to that
person as if they had been sent to you.
To appoint an authorised recipient you should complete:
Part M – Options for receiving written communications; and
form 956A Appointment or withdrawal of an authorised
recipient.
Note: Registered migration agents/exempt persons do not need
to complete form 956A.
Form 956A is available from the Department’s website
www.homeaffairs.gov.au/allforms/
Consent to communicate electronically
The Department may use a range of means to communicate with
you. However, electronic means such as fax or email will only be
used if you indicate your agreement to receiving communication
in this way.
To process your application the Department may need to
communicate with you about sensitive information, for example,
health, police checks, financial viability and personal
relationships. Electronic communications, unless adequately
encrypted, are not secure and may be viewed by others or
interfered with.
If you agree to the Department communicating with you by
electronic means, the details you provide will only be used by the
Department for the purpose for which you have provided them,
unless there is a legal obligation or necessity to use them for
another purpose, or you have consented to use for another
purpose. They will not be added to any mailing list.
The Australian Government accepts no responsibility for the
security or integrity of any information sent to the Department
over the internet or by other electronic means.
If you authorise another person to receive documents on your
behalf and they wish to be contacted electronically, their
signature is required on form 956 or 956A to indicate their
consent to this form of communication.
Note: Electronic communication is the fastest means of
communication available and the Department prefers to
communicate electronically because this results in faster
processing.
Home page
www.homeaffairs.gov.au
General
enquiry line
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.
Please keep these information pages for your reference
This page is intentionally blank
47PT (Design date 01/19) - Page 7© COMMONWEALTH OF AUSTRALIA, 2019
Application for migration to Australia by
a Contributory Parent (Temporary) or
Contributory Aged Parent (Temporary) visa holder
Form
47PT
Department of Home Affairs
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.
Tick where applicable
3
Part A – Application overview
1 TYPE OF APPLICATION – tick one only
Offshore
Contributory Parent (Class CA – Migrant) (subclass 143)
OR
Onshore
Contributory Aged Parent (Class DG – Residence) (subclass 864)
Limited application period
Your current temporary Contributory Parent visa has a limited validity
period, which cannot be extended or renewed. For you to receive the
concessions available to temporary Contributory Parent visa holders
who are applying for the corresponding permanent Contributory
Parent visa, you must lodge your application at any time within:
2 years from the date of your first entry to Australia on your
temporary Contributory Parent visa (subclass 173); or
2 years from the date of grant of your temporary Contributory
Aged Parent visa (subclass 884).
2 How many FAMILY UNIT MEMBERS (including the main applicant) are
included in this application for migration?
Adults
Children
Note: Do not count any family unit members that are not already
holders of a temporary Contributory Parent visa.
3 Main applicant’s details
Full name (as shown in your passport or travel document)
Family name
Given names
Date of birth
Day Month Year
Part B – Processing details
4
Since you were granted a temporary
Contributory Parent visa:
No Yes Unsure
Have you been issued a new passport?
Has your country of residence changed?
Have you acquired another citizenship?
Have custody arrangements changed for
any members of your family unit?
Have you been paid benefits or received
Social Security services from an Australian
Government agency?
Has your family composition changed?
(eg. have you had another child, have any
of your children died, or have you become
or ceased to be a step-parent)?
If you answered Yesor ‘Unsure’ to any of the above questions,
provide details
If insufficient space, give details at Part K – Additional information
47PT (Design date 01/19) - Page 8 © COMMONWEALTH OF AUSTRALIA, 2019
5 Since you were granted a temporary Contributory Parent visa, have you
and/or any of your family members applying with you travelled to any
country other than Australia for 60 days or more?
Include:
work or study outside your usual country of residence
holiday/leisure trips
business
military deployment
visits back to your own country.
No
Yes
Give details in date order
Country
Travel dates
Reason for travel Who travelled there?
Day Month Year
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
6 Since you were granted a temporary Contributory Parent visa, has the
person sponsoring you changed?
No
Yes
7 Please provide details of the person who will sponsor you and any family
unit members included in this application
Family name
Given names
Date of birth
Day Month Year
Note: Even if your sponsor has not changed since you were sponsored
for a temporary Contributory Parent visa, your sponsor will need to
complete form 40 Sponsorship for migration to Australia and send it to
you. You should lodge the completed form 40 at the same time as you
lodge this application. However, if the person who sponsored you for
your temporary Contributory Parent visa has died and there is no other
sponsor available, you do not need to provide a new form 40.
47PT (Design date 01/19) - Page 9© COMMONWEALTH OF AUSTRALIA, 2019
Part C – Withdrawal of parent visa
application (applicants aged 18 years
and over)
8 Do you have another parent visa application with the Department?
No
Go to Part D
Yes
Give details
File number
Place of lodgement
File number
Place of lodgement
Note: To make a valid application for the Contributory
Parent visa for which you are applying on this form, you
must withdraw all other parent visa applications lodged with
the Department.
Declaration to withdraw
(Please include the class or classes of parent visa where required)
On this application form, I am making an application for a class
Contributory Parent visa.
I understand that, to make a valid application for this class of
Contributory Parent visa, if I have other parent visa applications
lodged with the Department:
a decision to grant or to refuse to grant those other visa
applications must have been made; or
the applications for those other parent visas have been
withdrawn.
I have previously made an application for the following parent visa
class(es):
There has been no decision made by the Department on those
applications.
I hereby withdraw those previous parent visa applications.
I also understand that there is no guarantee that this parent visa
application will result in the grant of a visa.
Signature of
main applicant
-
Date
Day Month Year
Note: In addition to yourself, each member of your family unit who was
included in your other parent visa application(s) should also sign (with
full name printed under the signature) and date the request to withdraw
the other parent visa application(s) that is/are with the Department. This
is because these members of your family unit are also counted as being
parent visa applicants.
However, if there is a member of your family unit who does not
wish to withdraw their other parent visa application(s) and
therefore is not being included in this form as a person applying
with you for this class of parent visa, then that family unit
member must not sign below.
Signature
-
Name (in print)
Date
Day Month Year
Signature
-
Name (in print)
Date
Day Month Year
Signature
-
Name (in print)
Date
Day Month Year
Signature
-
Name (in print)
Date
Day Month Year
Note: Before the Contributory Parent visa for which you are applying on
this form can be granted, any other parent visa application that is
subject to review or review proceedings must also be withdrawn or
finalised. This other parent visa application would be in relation to the
review by one of the following review bodies:
the Administrative Appeals Tribunal (AAT); or
the courts
of a decision to refuse the grant of a parent visa. However, before you
withdraw your review application, if you are in Australia, you should
consider that you may have to leave Australia in order to make a valid
application for another parent visa.
If there are any review-related issues in relation to the parent visa
application you are now making, you should contact the Parent Visa
Centre in Perth.
47PT (Design date 01/19) - Page 10 © COMMONWEALTH OF AUSTRALIA, 2019
Part D – Your details
9 Main applicant’s full name
(as shown in your passport or travel document)
Family name
Given names
Note: The main applicant’s full name must be the same as Question 3.
10 Name in your own language or script (if applicable)
11 Name in Chinese Commercial Code Numbers (if applicable)
12 Sex Male
Female
Indeterminate / Intersex / Unspecified
13 Date of birth
Day Month Year
Note: The main applicant’s date of birth must be the same as Question 3.
14 Place of birth
Town/city
Country
15 Details from your passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in your passport
16 Details of identity card or identity number issued to you by your
government (if applicable) eg. National identity card.
Note: If you are the holder of multiple identity numbers because you are
a citizen of more than one country, you need to enter the identity
number on the card from the country that you live in.
Identity number
Country of issue
17 Where was your temporary Contributory Parent visa granted?
(Name of office of the Department)
Date of grant
Day Month Year
18 Your current residential address
Note: A post office box address is not acceptable as a residential
address. Failure to give a residential address will result in your
application being invalid.
Postcode
19 Address for correspondence
(If the same as your residential address, write ‘AS ABOVE’)
Postcode
20 Your telephone numbers
Office hours
( ) ( )
Country code Area code Number
After hours
( ) ( )
21 Do you agree to the Department communicating with you by fax, email,
or other electronic means?
No
Yes
Give details
Fax number
( ) ( )
Country code Area code Number
Email address
47PT (Design date 01/19) - Page 11© COMMONWEALTH OF AUSTRALIA, 2019
Part E – Details of partner
If your partner is a temporary Contributory Parent category visa
holder, they should be included in this form.
However, if your partner is not a temporary Contributory Parent
category visa holder, they must complete a separate form 47PA. Both
application forms 47PT and 47PA should be lodged together at the
same time and same place.
Note: A partner applying on form 47PA will be required to pay the
full second instalment of the Visa Application Charge.
You can also later add a partner to your application after it has
already been lodged, but before it is decided.
22 Relationship status
Married
Day Month Year
Engaged
Date of intended marriage
De facto
Date relationship began
Separated
Divorced
Widowed
Never married or
been in a de facto
relationship
Go to Question 27
23 Will your partner be migrating with you?
No
If your partner does not intend to migrate with you, attach
a note explaining why and saying whether your partner
intends to join you later.
Note: If you are granted a permanent Contributory Parent
category visa on or after 1 July 2009, there may be
limitations on your being able to sponsor a person for a
partner category visa. For more information, refer to
www.homeaffairs.gov.au/trav/brin/pare
If you are separated, attach a statutory declaration that
gives the name of your partner, date of marriage or date
when de facto relationship commenced and date of
separation, and (if the separation is permanent) state
whether you are getting, or intend getting, a divorce
(if applicable).
Yes
24 Partner’s full name
(as shown in passport or travel document)
Family name
Given names
25 Sex Male
Female
Indeterminate / Intersex / Unspecified
26 Date of birth
Day Month Year
27 Place of birth
Town/city
Country
28 Details from your partner’s passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
29
Have you previously been married or been in a de facto relationship?
No
Yes
Provide details
1. Name of previous partner
Date of birth
Day Month Year
Period of marriage or relationship
Date started
Day Month Year
Date ended
How did it end (eg. divorce)?
Number of children
2. Name of previous partner
Date of birth
Day Month Year
Period of marriage or relationship
Date started
Day Month Year
Date ended
How did it end (eg. divorce)?
Number of children
47PT (Design date 01/19) - Page 12 © COMMONWEALTH OF AUSTRALIA, 2019
Part F – Children under 18 years of age
30 Provide details of ALL your and/or your partner’s children under 18 years
of age – regardless of whether they are migrating with you.
If your child is a temporary Contributory Parent category visa holder, they
should be included in this form.
However, if your child is not a temporary Contributory Parent category
visa holder, they must complete a separate form 47PA. Both application
forms 47PT and 47PA should be lodged together at the same time and
same place.
Note: A child applying on form 47PA will be required to pay the full
second instalment of the Visa Application Charge.
You can also later add a child under 18 years of age to your application
after it has already been lodged, but before it is decided.
Child 1
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Child 2
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Child 3
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
47PT (Design date 01/19) - Page 13© COMMONWEALTH OF AUSTRALIA, 2019
Child 4
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Child 5
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Child 6
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Country of birth
Citizenship
Is this child migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
47PT (Design date 01/19) - Page 14 © COMMONWEALTH OF AUSTRALIA, 2019
Part G – Parental responsibility (custody)
requirements (children under 18 years
of age)
31
Do you have the sole legal right to determine where each child shall live
or to remove each child from their home country?
No
Give details of ALL other people who have custody, access
or guardianship rights in relation to the child(ren)
(You must attach a statutory declaration or a completed
form 1229 from each of these people giving permission for
the child(ren) to migrate)
1. Name
Residential address
Postcode
Telephone number
( ) ( )
Country code Area code Number
Relationship to the child
Nature of the legal right
2. Name
Residential address
Postcode
Telephone number
( ) ( )
Country code Area code Number
Relationship to the child
Nature of the legal right
If insufficient space, give details at Part K – Additional
Information
Yes
Attach a certified copy of the court order giving you the sole
legal right to determine where the child shall live or the
right to remove the child from the country
Part H – Members of the family unit
aged 18 years or over
32 Provide details of ALL your and/or your partner’s family unit members
18 years of age or over – regardless of whether or not they are
migrating with you.
If the members of your family unit 18 years of age or over are temporary
Contributory Parent category visa holders, they should be included in
this form.
However, if the members of your family unit 18 years of age or over are
not temporary Contributory Parent category visa holders, they must each
complete a separate form 47PA. Both application forms 47PT and 47PA
should be lodged together at the same time and same place.
If you hold a temporary Contributory Parent visa and your application for
the corresponding permanent Contributory Parent category visa has
already been lodged, please note that you will only be able to add
members of your family unit if:
you were in Australia when you lodged your application for the
corresponding permanent Contributory Parent category visa; and
the other members of your family unit are in Australia.
Note: Members of your family unit 18 years of age or over applying on
the form 47PA will be required to pay the full second instalment of the
Visa Application Charge.
Each member of your family unit aged 18 years or over listed below,
whether they are migrating or not, must also complete a form 47A
Details of child or other dependent family member aged 18 years or
over. Form 47A is available from the Department’s website
www.homeaffairs.gov.au/allforms/ or from any office of the
Department in Australia or overseas.
47PT (Design date 01/19) - Page 15© COMMONWEALTH OF AUSTRALIA, 2019
Member of the family unit 1
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Member of the family unit 2
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
47PT (Design date 01/19) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2019
Member of the family unit 3
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Member of the family unit 4
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
47PT (Design date 01/19) - Page 17© COMMONWEALTH OF AUSTRALIA, 2019
Member of the family unit 5
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Member of the family unit 6
Family name
Given names
Sex Male Female
Indeterminate /
Intersex / Unspecified
Date of birth
Day Month Year
Relationship status
Married Separated
Never married or
been in a de facto
relationship
Engaged
Divorced
De facto
Widowed
Relationship to you
Country of current residence
Is this member of your family unit migrating with you?
No
Yes
Details from passport
Passport number
Country of passport
Date of issue
Day Month Year
Date of expiry
Issuing authority/place of issue as shown in passport
Part I – Health
33
Have you, or any other person included in this application, undertaken a
health examination for an Australian visa in the last 12 months?
No
Yes
Give details (including HAP ID if available)
47PT (Design date 01/19) - Page 18 © COMMONWEALTH OF AUSTRALIA, 2019
Part J – Character
34 In which countries have you and/or any family unit members included in this application spent a cumulative total of 12 months or more
during the last 10 years?
Country
Dates lived there
Last permanent address in that country Who lived there?
Month Year
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
From
Self Partner Other
To
35
Have you, or any other person included in this
application, ever:
been charged with any offence that is
currently awaiting legal action? No
Yes
been convicted of an offence in any country
(including any conviction which is now
removed from official records)? No
Yes
been the subject of an arrest warrant or
Interpol notice? No Yes
been found guilty of a sexually based offence
involving a child (including where no
conviction was recorded)? No Yes
been named on a sex offender register?
No
Yes
been acquitted of any offence on the grounds
of unsoundness of mind or insanity? No Yes
been found by a court not fit to plead?
No
Yes
been directly or indirectly involved in, or
associated with, activities which would
represent a risk to national security in
Australia or any other country? No
Yes
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? No Yes
been associated with a person, group or
organisation that has been/is involved in
criminal conduct? No Yes
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? No Yes
served in a military force, police force, state
sponsored/private militia or intelligence
agency (including secret police)? No Yes
undergone any military/paramilitary training,
been trained in weapons/explosives or in the
manufacture of chemical/biological products? No Yes
been involved in people smuggling or people
trafficking offences? No
Yes
been removed, deported or excluded from any
country (including Australia)? No
Yes
overstayed a visa in any country (including
Australia)? No Yes
had any outstanding debts to the Australian
Government or any public authority in
Australia? No Yes
If you answered Yes’ to any of the questions at Question 35, you must
state who it applies to and give ALL relevant details. If the matter relates
to a criminal conviction, please give the nature of the offence, full details
of sentence and dates of any period of imprisonment or other detention.
47PT (Design date 01/19) - Page 19© COMMONWEALTH OF AUSTRALIA, 2019
Part K – Additional information
36
Question
number
Additional information
If insufficient space, attach additional details
47PT (Design date 01/19) - Page 20 © COMMONWEALTH OF AUSTRALIA, 2019
Part L – Assistance with this form
37 Did you receive assistance in completing this form?
No
Go to Part M
Yes
Please give details of the person who assisted you
Title: Mr Mrs Miss Ms Other
Family name
Given names
Address
Postcode
Telephone number or daytime contact
Office hours
( ) ( )
Country code Area code Number
Mobile/cell
38 Is the person an agent registered with the Office of the Migration Agents
Registration Authority (Office of the MARA)?
No
Yes
Go to Part M
39 Is the person/agent in Australia?
No
Go to Part M
Yes
40 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
Part M – Options for receiving written
communications
41 All written communications about this application should be sent to:
(Tick one box only)
Myself
OR
Authorised
recipient
OR
You should complete form 956A Appointment
or withdrawal of an authorised recipient
Migration agent
OR
Exempt person
Your migration agent/exempt person should
complete form 956 Advice by a registered
migration agent/exempt person of providing
immigration assistance
47PT (Design date 01/19) - Page 21© COMMONWEALTH OF AUSTRALIA, 2019
Part N – Payment details
42 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.
Visa subclass
you are applying for
Base Application Charge
Write the amount shown on the reference table for your visa subclass AUD
(1)
+
Non-internet Application Charge (if applicable)
AUD
(2)
Additional Applicant Charge aged 18 years or over at the time your application is lodged
+
Write the amount shown on the
reference table for your visa subclass
Number of additional applicants
aged 18 years or over
AUD X (multiplied by)
=
AUD
(3)
Additional Applicant Charge under 18 years of age at the time your application is lodged
+
Write the amount shown on the
reference table for your visa subclass
Number of additional applicants
under 18 years of age
AUD
X (multiplied by)
=
AUD
(4)
Subsequent Temporary Application Charge (if applicable)
+
Write the amount shown on the
reference table for your visa subclass Number of applicants
AUD X (multiplied by)
=
AUD
(5)
=
Total
Total (1) + (2) + (3) + (4) + (5)
AUD
You must pay the total amount or your visa application will not be valid.
Note: A second instalment of the Visa Application Charge must also be
paid before we can grant some visas.
43 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
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).
47PT (Design date 01/19) - Page 22 © COMMONWEALTH OF AUSTRALIA, 2019
Part O – Checklist
44 Indicate the documents you are including in your application
Note: If the documents are in a language other than English,
translations into English must be provided.
It is in your interest to provide all the documents requested with your
valid application. Failure to do so may result in the processing of your
application being delayed or a decision being made to refuse to grant
the visa.
The following documents should be provided in all circumstances:
One recent passport-sized photograph (45mm x 35mm) of
yourself and any other person included in the application.
These should be only of the head and shoulders and should
show the person facing the camera and against a plain
background. You should print the name of the person on the
back of the photograph.
A completed form 4O Sponsorship for migration to Australia
from your sponsor (unless the person who sponsored your
temporary Contributory Parent visa has died and there is no
other sponsor available).
A completed form 47A Details of child or other dependent
family member aged 18 years or older for each member of
the family unit, aged 18 or over, of you and/or your partner.
Evidence of payment of the first instalment of the Visa
Application Charge.
The following documents should be provided if there has been a change
in circumstances since you were granted a temporary Contributory
Parent visa:
Documents to prove your identity – a certified copy of your
birth registration showing both parents’ names. If you do not
have a birth certificate or are unable to get one, you must
provide a certified copy of the identification pages of at least
one of the following documents:
passport
family book showing both parents’ names
identification document issued by the government
document issued by a court that verifies your identity.
If you are unable to provide one of these documents, you
must provide other acceptable evidence that you are who
you claim to be.
If you have arrived in Australia since being granted a
temporary Contributory Parent visa, certified copies of the
passports or travel documents you, your partner and
members of your family unit used to enter Australia, and of
any passports held since then.
Certified copies of birth certificates of all persons included in
the application.
Certified copies of birth certificates of all your children
(showing names of both parents) or the family book (showing
names of both parents).
Certified copies of documents to verify custody and access
arrangements for children under 18 years of age (unless
both parents of the child are included in the application).
Evidence of where all your children reside (eg. passport,
citizenship or residence certificate).
If any child included in the application is adopted, certified
copies of the adoption papers.
If you or anyone included in the application is (or has been)
married, certified copies of the marriage certificate(s).
If anyone included in the application has been divorced or
widowed, a certified copy of the divorce decree absolute or
the death certificate of the deceased person (as appropriate).
If anyone included in the application has changed his or her
name (eg. by marriage or deed poll), a certified copy of
evidence of the name change.
If you or anyone else included in this application have served
in the armed forces of any country, certified copies of
military service record or discharge papers.
Evidence that your sponsor is a settled Australian citizen,
permanent resident or eligible New Zealand citizen.
Evidence of your relationship to your sponsor.
47PT (Design date 01/19) - Page 23© COMMONWEALTH OF AUSTRALIA, 2019
Part P – Signatures
45 ACKNOWLEDGEMENT REGARDING SOCIAL SECURITY PAYMENTS
This acknowledgement must be signed by the main applicant and each
accompanying person aged 16 years or over.
I understand that if granted a visa:
there is up to a 4 year waiting period for certain Australian
Government welfare payments, including unemployment benefits and
family payments, for most newly arrived migrants;
there is a 10 year wait for the age and disability pensions;
I will need to have enough money, even if unemployed, to support
myself for up to the first 4 years and if I run out of money or fail to
get a job in that period, that would not be sufficient reason to make
me eligible for welfare payments;
that my assurer or assurers has/have a legal commitment to repay
to the Commonwealth of Australia any recoverable welfare payments
made by the Department of Human Services. This is for a period of
10 years for any person covered by an AoS relating to a Contributory
Parent (Class CA – Migrant) (subclass 143) or a
Contributory Aged
Parent (Class DG – Residence) (subclass 864) visa;
the cost of living in Australia, compared to many other countries,
is high. As a guide, the Australian Bureau of Statistics Household
Expenditure Survey in 2003–04, reported that the average Australian
household of 2.5 persons spent AUD893 per week. The main items
of expenditure were, food AUD153 per week, housing AUD144 per
week, transport AUD139 per week and recreation AUD115 per week.
Signature of
main applicant
-
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
46 AUSTRALIAN VALUES STATEMENT
This statement must be signed by the main applicant and each person
aged 18 years or over who is included in this application.
I confirm that I have read, or had explained to me, information provided
by the Australian Government on Australian society and values.
I understand:
Australian society values respect for the freedom and dignity of the
individual, freedom of religion, commitment to the rule of law,
Parliamentary democracy, equality of men and women and a spirit of
egalitarianism that embraces mutual respect, tolerance, fair play and
compassion for those in need and pursuit of the public good;
Australian society values equality of opportunity for individuals,
regardless of their race, religion or ethnic background;
the English language, as the national language, is an important
unifying element of Australian society.
I undertake to respect these values of Australian society during my stay
in Australia and to obey the laws of Australia.
I understand that, if I should seek to become an Australian citizen:
Australian citizenship is a shared identity, a common bond which
unites all Australians while respecting their diversity;
Australian citizenship involves reciprocal rights and responsibilities.
The responsibilities of Australian citizenship include obeying
Australian laws, including those relating to voting at elections and
serving on a jury.
If I meet the legal qualifications for becoming an Australian citizen and
my application is approved I understand that I would have to pledge my
loyalty to Australia and its people.
Signature of
main applicant
-
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
47PT (Design date 01/19) - Page 24 © COMMONWEALTH OF AUSTRALIA, 2019
47 DECLARATION
WARNING: Giving false or misleading information or documents is a
serious offence.
This declaration and consent must be signed by the main applicant and
each accompanying person 18 years or over.
I declare that:
I understand that if this application is approved, any person not
included in this application will not have automatic right of entry to
Australia by way of this application and whether they can migrate will
depend on the migration settings at the time they apply, their
circumstances and their ability to meet visa requirements, including
the health requirement.
I will inform the Department of any changes to my personal
circumstances (including change of address) while my application is
being considered.
I authorise the Australian Government to make any enquiries necessary
to determine my eligibility for permanent stay in Australia, and to use
any information supplied in this application for that purpose.
I have read and understood the information supplied to me in this
application.
the information I have supplied in this application is complete, correct
and up-to-date in every detail.
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.
I understand that if any fraudulent documents or false or misleading
information has been provided with this application, or if I fail to
satisfy the Minister of my identity, my application may be refused and
I, and any other member of my family unit, may become unable to be
granted a visa for specified periods of time.
If documents are found to be fraudulent or information to be
incorrect after the grant of a visa, the visa may subsequently be
cancelled.
Signature of
main applicant
-
Date
Day Month Year
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
Signature
-
Name
We strongly advise that you keep a copy of your application
and all attachments for your records.