Fillable Form 1272: for children adopted under full Hague (Department of Home Affairs)

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Form 1272: for children adopted under full Hague (Department of Home Affairs)

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Country of origin: AUSTRALIA
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1272 (Design date 01/21) - Page 1© COMMONWEALTH OF AUSTRALIA, 2021
Form
1272
Application for Australian citizenship
for children adopted under full
Hague Convention or bilateral arrangements
Department of Home Affairs
Please read the information pages carefully. Pre-pay through
ImmiAccount before posting your application to the
Department of Home Affairs (the Department) (see page 12).
We strongly advise that you keep a copy of your application for
your records.
There are 4 steps in the application process.
Step 1 Eligibility – determine if you are eligible
Step 2 Original documents – gather your original
documents
Step 3 Copy and certify your documents
Step 4 Complete this application form, pay online and
lodge your application
Need help?
More detailed information is available from the Department’s
website www.homeaffairs.gov.au/citizenship
In Australia – The Citizenship Information Line provides
recorded information and access to information officers.
Telephone 131 880 Monday to Friday 8.30am – 4.30pm.
Outside Australia – The Department’s website provides
the location, hours of operation and telephone numbers for
offices of the Department outside Australia.
Integrity of application
The Department is committed to maintaining the integrity
of the visa and citizenship programs. If you or a third party
acting on your behalf provide, or have provided in a previous
application, false or misleading information or documents
(either knowingly or otherwise), this application may be
refused. In addition, you may be prosecuted under the
Migration Act 1958 and/or the Australian Citizenship Act 2007.
If information or documents are found to be fraudulent or
misleading after you become an Australian citizen, you may be
prosecuted and may be subject to revocation of your Australian
citizenship.
Overview
On 1 December 1998, Australia became a party to the Hague
Convention on the Protection of Children and Cooperation
in respect of Intercountry Adoption (the Hague Convention).
The Hague Convention establishes principles to ensure that
intercountry adoptions occur only where it is in the best
interest of the child and with respect for his or her fundamental
rights.
Australia has intercountry adoption programs with a number
of countries. These programs are either conducted under
the Hague Convention or through bilateral arrangements. In
Australia, intercountry adoption must be undertaken through
State and Territory Central Authorities (that is, the state or
territory government child welfare authority). These authorities
manage arrangements for adopting children from overseas,
including assessing and approving prospective adoptive
parents.
The Australian Government, through the Attorney-General’s
Department (AGD), has the responsibility for managing
existing programs and negotiating new programs with other
countries. The list of countries is subject to change. Please visit
AGD’s website for an up to date list of Australia’s intercountry
adoption programs at www.ag.gov.au
For the purposes of Australian citizenship and migration
law, a full Hague Convention adoption takes place only if a
valid Adoption Compliance Certificate (ACC) in accordance
with Article 23 of the Hague Convention has been issued
and that ACC has been accepted by the relevant Central
Authority. Therefore, not every adoption undertaken within
a country that is a party to the Hague Convention is a full
Hague Convention adoption. If an adoption is not a full
Hague Convention adoption, further legal recognition of the
adoption may be required following the adopted child’s entry
to Australia.
Australia has bilateral adoption arrangements with 3 countries,
prescribed in Schedule 1 of the Bilateral Arrangements
Regulations. Only 2 of these countries have operational
intercountry adoption programs with Australia – Taiwan and the
Republic of Korea. Children adopted through these programs
are eligible to use this form to apply for Australian citizenship
after finalisation of the adoption in Taiwan or the Republic of
Korea. The program with the Federal Democratic Republic
of Ethiopia was closed in 2012. Children adopted under this
program prior to its closure are eligible to apply for Australian
citizenship using this form.
Step 1 – Eligibility
You may be eligible to apply for citizenship using form 1272 if
you were adopted by Australian citizen parent(s) and:
• the adoption was organised through an Australian State and
Territory Central Authority (Hague Convention countries)
or intercountry adoption authority (bilateral arrangement
countries) under one of Australia’s intercountry adoption
programs, and
• a valid Adoption Compliance Certificate has been issued by
the relevant Central Authority in the country in which the
child was adopted, and
www.homeaffairs.gov.au/citizenship
Telephone 131 880 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
Citizenship
Information
Line
1272 (Design date 01/21) - Page 2 © COMMONWEALTH OF AUSTRALIA, 2021
• the adoption is recognised in Australia under the laws of the
Commonwealth and each state and territory.
You may also be eligible to apply for citizenship using
form 1272 if you were adopted by Australian citizen parent(s)
and:
• the adoption was organised between the relevant Central
Authorities in 2 countries that are party to the Hague
Convention other than Australia, and
• a valid Adoption Compliance Certificate has been issued by
the relevant Central Authority in the country in which the
child was adopted, and
• the receiving Hague Convention country recognises the
adoption as a full Hague Convention adoption so no further
legal recognition of the adoption is required in that country.
If you apply for citizenship for your child using form 1272
while you are outside Australia, you do not need to first apply
for a visa for your child. However, if you return to Australia
prior to applying for citizenship for your child, you will need
to apply for a visa for the child to be able to enter Australia.
Citizenship commences on the date the application is
approved. You do not need to attend a citizenship ceremony.
Note:
• An Adoption Compliance Certificate must comply with
Article 23 of the Hague Convention. We recommend that
before submitting an application using form 1272, you
review the information on the Department’s website
http://www.homeaffairs.gov.au/citizenship or contact
the Citizenship Information line on 131 880 to confirm
whether the documentation provided is a valid Adoption
Compliance Certificate for the purposes of an application
for Australian citizenship. If the incorrect form is used, the
application will be refused and the application fee will not
be refunded.
• For a number of reasons to do with documentation, not all
Hague Convention countries provide Adoption Compliance
Certificates that meet Article 23 requirements. Bilateral
arrangement adoptions must be made with a country that
is prescribed in Schedule 1 of the Bilateral Arrangements
Regulations (the Federal Democratic Republic of Ethiopia,
the Republic of Korea, and Taiwan). Where an Adoption
Compliance Certificate does not meet requirements or a
bilateral arrangement country has not been prescribed,
the child will not be eligible to apply for citizenship using
form 1272. The child will need to apply for and be granted
a permanent resident visa, and enter Australia on that visa,
before they will be eligible to apply for Australian citizenship
using form 1290 Application for Australian citizenship –
Other situations.
• Some of Australia’s intercountry adoption programs require
the adoption to be completed in Australia after the child
enters Australia. As part of the adoption process, the child
will have entered Australia on an Adoption (subclass 102)
visa. The child will automatically acquire Australian
citizenship on the day the adoption order is made by the
Australian court.
• For adoptions made under other arrangements (such as
private or expatriate adoptions) – your child will need to
apply for, and be granted, an Adoption (subclass 102) visa
in order to enter Australia. Once your child has entered
Australia on that visa, they may then be eligible to apply
for citizenship using form 1290 Application for Australian
citizenship – Other situations.
Children
Applications for children under 16 years of age must be made
by a responsible parent.
The Australian Citizenship Act 2007 defines responsible
parent in relation to a child as:
• a parent, unless that parent does not have parental
responsibility because of orders made by the Family Court
of Australia, or
• any person having responsibility over the child because of
an order made by the Family Court, or
• any person who has guardianship or custody of the child
under an Australian law or a foreign law, whether because of
adoption, operation of law, an order of a court or otherwise.
Step 2 – Original documents
You will need to provide the Department with a range of
documents to prove that you are who you say you are and to
establish you have not had any serious criminal convictions.
These documents are called identity documents and good
character documents.
You will also need to provide additional documents regarding
your adoption. These are called supporting documents
and include an Adoption Compliance Certificate.
Depending whether the adoption is a Hague Convention or
bilateral arrangement adoption, an Adoption Compliance
Certificate may comprise of more than one document. For
a Hague Convention adoption, the Adoption Compliance
Certificate is issued by the country’s central authority and
names the receiving country’s central authority. For a bilateral
arrangement adoption from a prescribed country (the Federal
Democratic Republic of Ethiopia, the Republic of Korea, and
Taiwan) an Adoption Compliance Certificate is issued by that
country’s intercountry adoption authority and may include
the court adoption order or a letter from a government
Department.
If you have to get documents from overseas, this can take
time. You will not be able to complete the application process
without these documents.
Translations and certified copies
If your documents are not in English, you must provide
official translations. In Australia, you must use translators
accredited by the National Accreditation Authority of
Translators and Interpreters. For more information,
see www.naati.com.au
Unless specified that original documents are required,
certified copies of original documents must be attached to
your application. These copies must be certified by a person
with the correct authority. See Identity declarations – list of
professions on page 6 for people who can certify documents.
Further information on certifying documents is available on
the Department’s website
https://immi.homeaffairs.gov.au/help-support/applying-
online-or-on-paper/on-paper/certified-copy
If you are outside Australia when applying, contact the
Australian diplomatic mission in the country who issued the
documents for advice on acceptable translators, and who can
certify your original documents.
If you need to provide overseas penal clearance certificates
with your application, you must provide certified copies of the
certificates.
1272 (Design date 01/21) - Page 3© COMMONWEALTH OF AUSTRALIA, 2021
Identity documents
Applicants 16 years of age or over
You must provide the following identity documents.
1. Three original documents that collectively show your:
• photograph
• signature
• current residential address
• birth name, date of birth and gender.
2. Proof of change of name if applicable.
3. Part D – Identity declaration completed by a person with
the correct authority.
If you do not provide these documents, your
application will not be accepted and will be returned
to you.
Children
If you are an applicant under 16 years of age, you must
provide the following:
1. Identity documents that show a:
• birth name and date of birth
• photograph and current name, if available.
2. Proof of change of name, if applicable.
3. Part D – Identity declaration completed by a person with
the correct authority.
The checklist below will help you identify suitable documents.
If you have difficulty finding suitable documents please call the
Citizenship Information Line or, if outside Australia call your
nearest Australian diplomatic mission, before you complete
and lodge your application.
Identity document checklist
Applicants 16 years of age or over
A current document with your photograph and
signature
A driver’s licence, or
A passport, or
A United Nations High Commissioner for Refugees
(UNHCR) document, or
A national identity card, or
Another document containing a signature and
photograph, eg. an air crew identity document,
seafarer identity document, military identity
document or student card
Evidence of your current residential address
A utilities notice eg. electricity, gas or water bill,
bank notice, or
Rental contracts or rates notice
Evidence of your date of birth, birth name and any
changes of name
A full birth certificate, and
Evidence of links between present and previous
names, for example an official marriage or divorce
certificate, if applicable, or
A certificate issued by an Australian Registry of
Births, Deaths and Marriages as evidence of other
changes of name, if applicable
Evidence of your identity in the community
One passport-sized photograph and identity
declaration signed by an Australian citizen with the
correct authority
Children
The following documents are required if the applicant is a
child under 16 years of age.
A full birth certificate or family register
Evidence of links between birth name and current
name, if applicable
A passport or other travel documents, if any
One passport-sized photograph and identity
declaration signed by an Australian citizen with the
correct authority
Identity declaration
Applicants 16 years of age or over
As well as your identity documents, you will need to provide
an identity declaration and an endorsed passport-sized
photograph of yourself.
The identity declaration must be completed and signed by
an Australian citizen who:
• has known you for at least one year and belongs to a
profession on the list on page 6, and
• is not related to you by birth, marriage or de facto
relationship, and
• is easy to contact by telephone during normal working
hours.
The person who signs the declaration must also write on the
back of your photograph the words: This is a true photograph
of (your full name) and sign the back of the photograph
using the same signature as on the declaration.
The photograph should be carefully attached to the front of
the application form without obscuring the image, or you
can place the photograph in a plastic sleeve or envelope and
staple it to the form.
The photograph must be:
• no more than 6 months old
• a full-face view of your head and shoulders (untinted
prescription glasses can be worn – a photograph that shows
facial features only is acceptable if you wear a head covering
for religious reasons)
• of good quality, in colour, against a plain, light coloured
background (laser copies are not acceptable).
1272 (Design date 01/21) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2021
Note: If you are outside Australia when applying you can have
the identity declaration completed by a citizen of your country
of residence who has known you for at least one year and
belongs to a profession on the list on page 6.
Children
The same conditions (see above) apply to the Australian
citizen who signs the child’s identity declaration and
photograph, except in the case of children under 6 years of
age. If no Australian citizen has known them for at least one
year, the declaration can be signed by a person who belongs
to a profession on the list on page 6 who has known the child
for less than one year.
Good character
If you are 18 years of age or over, the Department will request
a National Police check from the National Police Checking
Service (NPCS).
You must tell the Department about any convictions you may
have had in Australia or overseas. A conviction is a criminal
charge leading to a guilty verdict in a court of law resulting
in imprisonment, a fine or good behaviour bond. A traffic
infringement, such as an on-the-spot speeding or parking fine,
is not considered a conviction.
Spent convictions
You must declare spent convictions in your application.
The spent convictions law allows people with minor
convictions to disregard those convictions after a certain
period of time. A conviction may be considered spent if:
• it is 10 years since the date of the conviction (or 5 years for
juvenile offenders), and
• the person was not sentenced to imprisonment for more
than 30 months, and
• the person has not re-offended during the 10 year period
(or 5 years for juveniles), and
• a statutory or prescribed exclusion does not apply.
The Department is allowed to ask you for this information for
the purpose of assessing your application. Please refer to and
read the information regarding spent convictions at
https://immi.homeaffairs.gov.au/help-support/meeting-
our-requirements/character/character-requirements-
for-australian-citizenship
Overseas penal clearance certificates
Overseas penal clearance certificates, or police checks as they
are known in some countries, show whether a person has a
criminal record.
You may need to provide an overseas penal clearance
certificate as part of your documentation if you are 18 years of
age or over.
When to provide overseas penal clearance certificates
Penal clearance certificates from overseas countries are
required if, in the last 10 years:
• you lived or travelled outside Australia and were aged
18 years or over, and
• the total time spent outside Australia added up to
12 months or more, and
• the time spent in any one country was more than 90 days,
or
• if requested by the Department.
You will need to provide certified copies of all overseas penal
clearance certificates from each country where you spent
more than 90 days.
Information about where to obtain an overseas penal
clearance certificate by country can be obtained from the
Department’s website.
Supporting documents
To support your application for Australian citizenship you will
also need to provide:
For a Hague Convention adoption, an Adoption
Compliance Certificate issued in accordance with
the Hague Convention showing when and by whom
the adoption was agreed to and the name of the
central authority of both convention countries
For a bilateral arrangement adoption from a
prescribed country (the Federal Democratic
Republic of Ethiopia, the Republic of Korea, and
Taiwan) an Adoption Compliance Certificate issued
by that country’s intercountry adoption authority
Evidence of your adoptive parent’s Australian
citizenship at the time of your adoption, for
example:
• full Australian birth certificate, or
• Australian citizenship certificate or naturalisation
certificate
Your adoptive parent’s full birth certificate if they
were not born in Australia
Evidence of links between your adoptive parent’s
present and previous names for example a marriage
or divorce certificate, if applicable
A certificate issued by an Australian Registry
of Births, Deaths and Marriages as evidence of
other changes of name of your adoptive parent, if
applicable
Documents relating to the responsible parent applying
on behalf of a child under 16 years of age
Proof of identification documents that collectively
show a signature, photograph, and a current
residential address, for example:
• a passport
• driver’s licence
• credit card or utilities bill
Any orders relating to the custody, guardianship or
parental responsibility for this child, if applicable
You may be required to provide additional documents to
those listed.
1272 (Design date 01/21) - Page 5© COMMONWEALTH OF AUSTRALIA, 2021
Step 3 – Copy and certify your documents
Certified copies of all of your required documents must be
attached to your application. A ‘certified copy’ is a copy of an
original document that has been authorised (or stamped) as
being a true copy of the original document.
The copies must be certified by a person with the correct
authority. See Identity declarations – list of professions on
page 6 for people who may certify documents.
If you need to provide overseas penal clearance certificates,
you must provide certified copies of the document.
Do not post original documents to the Department,
unless specified otherwise.
Step 4 – Complete and lodge your
application form
Please use a pen, and write neatly in English using BLOCK
LETTERS. Corrections made with liquid paper are not
acceptable.
Part A – Your details – Part A requires you to provide your
personal details.
If you change address during the application process
you must tell the Department your new address. See
form 929 Change of address and/or passport details.
Part B – Your adoptive parents – Part B requires you to provide
details of at least one of your Australian citizen adoptive parents.
Part C – Identity documents – Part C requires you to list your
identity documents. See page 3 for information about this part
of the application.
Part D – Identity declaration – Part D is not to be completed by
the applicant. See page 3 for information about who should
complete the Identity declaration and sign the back of the
photograph.
Part E – Good character – If you are 18 years of age or over,
you will be assessed against the good character requirement.
Complete this section to assist with this assessment. See
page 4 for information about this part of the application.
Part F – Supporting documents – Part F requires you to list
the supporting documents you are providing with your
application. See page 4 for information about this part of the
application.
Part G – Nomination of representative – Part G allows you to
nominate another person who can make enquiries about
your application on your behalf. Make sure you sign the
authorisation at Part G if you want this to happen.
Part H – Method of payment – Make your payment electronically
through the ‘My Payments’ section of ImmiAccount.
Sign into, or create, your ImmiAccount and select My
Payments>Manage Payments>Pre-Pay Paper Service, at
www.homeaffairs.gov.au/immiaccount
If you are outside Australia and cannot pay online in
ImmiAccount, check the Department’s website for alternative
payment methods for your location
www.homeaffairs.gov.au/locations
Part I – Declaration – Carefully read and make sure you
understand the terms of this declaration before signing it.
If the applicant is under 16 years of age, the responsible parent
must sign the declaration on page 13 on behalf of the child.
Lodging your application
If the applicant is in Australia, send the application, certified
copies of documents and the payment receipt to:
Citizenship Section
Department of Home Affairs
GPO Box 794
HOBART TAS 7001
If the applicant is outside Australia, email is the preferred
lodgement method for this application. You must email
scanned copies of all the following:
• your original documents
• an endorsed photo
• the completed paper application form, and
• application payment receipt to:
citizenship.adoption@homeaffairs.gov.au
Note: Emailing your application, where possible, and
providing all the documents listed for your application type,
helps us to finalise your application more quickly.
Documents must be scanned at 400dpi in full colour. For facial
images (e.g. passport photos, passport bio-data pages), these
must be scanned at 600dpi.
or
Send the application, certified copies of documents and the
payment receipt to:
Citizenship Section
Department of Home Affairs
GPO Box 2399
ADELAIDE SA 5001
AUSTRALIA
Pre-lodgement checklist
Completed application form
Identity documents
One passport-sized photograph and identity
declaration signed by an Australian citizen with
the correct authority for yourself and each child
included in your application
Adoption Compliance Certificate
Certified copies of overseas penal clearance
certificates, if applicable
Supporting documents as required
The application payment receipt
1272 (Design date 01/21) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2021
Notification
If your application is approved you will be notified in
writing. You will become an Australian citizen on the day
your application is approved. You will also receive an extract
recording your registration as a citizen by adoption.
The extract is not formal evidence of citizenship. If you wish
to obtain legal evidence of your Australian citizenship, you can
apply for evidence on form 119 Application for evidence of
Australian citizenship.
If your application is refused
If your application is refused you have the right to ask for the
decision to be reviewed by the Administrative Appeals Tribunal
(AAT). Your letter of notification will advise you where you
can lodge an application for review. You should lodge your
application with the AAT as soon as possible.
Identity declarations – list of professions
People currently working in a profession or occupation
listed below can complete identity declarations and endorse
photographs.
They must:
• be an Australian citizen, or
• if applying from outside Australia, a citizen of your country
of residence if no Australian citizen is known to you
AND
• have known you for at least one year
• not be related to you by birth, marriage or de facto
relationship
• be easy to contact by telephone during normal working
hours.
1. Australian Consular Officer or Australian Diplomatic
Officer (within the meaning of the Consular Fees
Act 1955)
2. Bailiff
3. Bank officer with 5 or more years of continuous service
4. Building society officer with 5 or more years of continuous
service
5. Chiropractor (licensed or registered)
6. Clerk of court
7. Commissioner for Affidavits
8. Commissioner for Declarations
9. Credit union officer with 5 or more years of continuous
service
10. Dentist (licensed or registered)
11. Fellow of the National Tax Accountants’ Association
12. Finance company officer with 5 or more years of
continuous service
13. Judge of a court
14. Justice of the peace
15. Legal practitioner (licensed or registered)
16. Magistrate
17. Marriage celebrant licensed or registered under Sub-
division C of Division 1 of Part IV of the Marriage Act 1961
18. Master of a court
19. Medical practitioner (licensed or registered)
20. Member of Chartered Secretaries Australia
Please keep these information pages for your reference
21. Member of Engineers Australia, other than at the grade of
student
22. Member of the Association of Taxation and Management
Accountants
23. Member of the Australian Defence Force with 5 or more
years of continuous service
24. Member of the Institute of Chartered Accountants in
Australia, the Australian Society of Certified Practicing
Accountants or the Institute of Public Accountants
25. Member of the Parliament of the Commonwealth, a State,
a Territory Legislature, or a local government authority of
a State or Territory
26. Minister of religion licensed or registered under
Subdivision A of Division 1 of Part IV of the Marriage
Act 1961
27. Nurse (licensed or registered)
28. Optometrist (licensed or registered)
29. Permanent employee of Commonwealth, State or local
government authority with at least 5 or more years of
continuous service
30. Permanent employee of the Australian Postal Corporation
with 5 or more years of continuous service
31. Pharmacist (licensed or registered)
32. Physiotherapist (licensed or registered)
33. Police officer
34. Psychologist (licensed or registered)
35. Registrar, or Deputy Registrar, of a court
36. Sheriff
37. Teacher employed on a full-time basis at a school or
tertiary education institution
38. Veterinary surgeon (licensed or registered).
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/privacy You should
ensure that you read and understand form 1442i before
completing this form.
Personal identifiers collected under the Australian Citizenship
Act 2007 are photographs and signatures. The Department
and the Department of Foreign Affairs and Trade (DFAT) have
signed an arrangement in accordance with the Australian
Citizenship Act 2007 that permits disclosure of your personal
identifiers for the purposes of administering the Australian
Passport Act 2005. If your application for Australian citizenship
is approved, your photograph, client number, name, date of
birth and gender will be provided to DFAT.
Consent to communicate electronically
The Department may need to convey sensitive information
about your application to you. Electronic communication,
unless adequately encrypted, is not secure and may be viewed
by others or interfered with. 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.
1272 (Design date 01/21) - Page 7© COMMONWEALTH OF AUSTRALIA, 2021
Form
1272
Application for Australian citizenship
for children adopted under full
Hague Convention or bilateral arrangements
Department of Home Affairs
Please read the information pages before completing this application.
ICSE
Client ID
Box File
Number
1
Part A – Your details
Family name
Given names
(including all
middle names)
2
3
Your full name
Preferred title
Mr Mrs Miss Ms
Other
Have you been known by any other names?
(including name at birth, previous married names, aliases,
alternative spellings or full spelling of all names)
No
Yes Give details
Family name
Given names
4
5
Date of birth
DAY MONTH YEAR
Reason for
change of
name
If you have been known by more than one other name,
attach additional details on a separate sheet.
6
Place of birth
Town/city
Country
8
Current postal address
(If the same as your residential address, write
‘AS ABOVE’)
Note: You must tell the Department if your address
changes after you lodge this form.
PHOTOGRAPH
You must attach the endorsed
photograph of the applicant to
this page.
Attach the photo by placing it
in a plastic sleeve and stapling
the sleeve to this page.
Do not apply tape, glue or
staples directly to the photo.
To be completed by an applicant aged 16 years or over
or by a responsible parent on behalf of an applicant
under 16 years of age.
7
Residential addresses over the last 5 years
If insufficient space, attach a separate signed sheet with details
Current address
Note: You must tell the Department if your address
changes after you lodge this form.
Date tofrom
DAY MONTH YEAR DAY MONTH YEAR
POSTCODE
Previous address 1 (if applicable)
POSTCODE
Date tofrom
DAY MONTH YEAR DAY MONTH YEAR
Previous address 2 (if applicable)
POSTCODE
POSTCODE
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.
Sex Male
Female
Indeterminate /
Intersex / Unspecified
1272 (Design date 01/21) - Page 8 © COMMONWEALTH OF AUSTRALIA, 2021
Part B – Your adoptive parents
Provide details of one adoptive parent at Question 15
and the other adoptive parent at Question 16
9
Telephone numbers
Work
Home
(AREA CODE )
(AREA CODE )
Mobile/cell
Give details
No
Yes
Email address
10
11
Present country of citizenship
12
Details from your passport
Passport number
Country of passport
DAY MONTH YEAR
Date of issue
Date of expiry
Issuing authority/
Place of issue as
shown in passport
Government UN Refugee PrivatePassport type:
13
Do you have an Australian driver licence?
Give details
No
Yes
Australian driver
licence number
Issuing state/territory
14
Do you have an Australian firearms licence?
Give details
No
Yes
Firearms
licence number
Issuing state/territory
How did this adoptive parent acquire their Australian
citizenship?
No
Yes
Was this adoptive parent an Australian citizen at the time of your adoption?
If this adoptive parent was an Australian citizen by descent at the time
of your adoption, give details of the period or periods totalling at least
2 years that this parent has lawfully been in Australia
If insufficient space, attach additional details
From
DAY MONTH YEARDAY MONTH YEAR
to
From
to
Birth
Conferral/grant
Descent
Adoption
Born in Papua prior
to independence
Naturalisation
Other
Date of birth
DAY MONTH YEAR
Place of birth
Town/city
Country
Has this adoptive parent been known by any other names?
(including name at birth, previous married names, aliases)
No
Yes Give details
Family name
Given names
If known by other names, attach additional details
Go to Question 16
DAY MONTH YEAR
Date acquired
(if known)
Place acquired
(if known)
Does this adoptive parent hold the citizenship of any countries other
than Australia, or if this adoptive parent is deceased, did they hold the
citizenship of any countries other than Australia when they died?
Give details
No
Yes
Country
DAY MONTH YEAR
Date acquired
Method of acquiring this citizenship (eg. birth, descent, naturalisation/grant)
If insufficient space, attach additional details
Family name
Given names
15
Adoptive parent
Adoptive parent’s full name
To be answered ONLY if this adoptive parent was born outside Australia
and registered or naturalised before 8 October 1951.
Was this adoptive parent absent from Australia for a continuous period
of 7 years or more between 26 January 1949 and 8 October 1958?
Show period absent
No
Yes
From
DAY MONTH YEARDAY MONTH YEAR
to
Sex Male Female
Indeterminate /
Intersex / Unspecified
Do you agree to the Department communicating with you by email or
other electronic means?
Note: If consent to use electronic communication is not provided, delays
will occur including notification of the outcome of this application.
1272 (Design date 01/21) - Page 9© COMMONWEALTH OF AUSTRALIA, 2021
How did this adoptive parent acquire their Australian
citizenship?
No
Yes
Was this adoptive parent an Australian citizen at the time of your adoption?
If this adoptive parent was an Australian citizen by descent at the time
of your adoption, give details of the period or periods totalling at least
2 years that this parent has lawfully been in Australia
If insufficient space, attach additional details
From
DAY MONTH YEARDAY MONTH YEAR
to
From
to
Birth
Conferral/grant
Descent
Adoption
Born in Papua prior
to independence
Naturalisation
Other
To be answered ONLY if this adoptive parent was born outside Australia
and registered or naturalised before 8 October 1951.
Was this adoptive parent absent from Australia for a continuous period
of 7 years or more between 26 January 1949 and 8 October 1958?
Show period absent
No
Yes
16
Date of birth
DAY MONTH YEAR
Place of birth
Town/city
Country
Adoptive parent
Has this adoptive parent been known by any other names?
(including name at birth, previous married names, aliases)
No
Yes Give details
Family name
Given names
If known by other names, attach additional details
Go to Question 17
DAY MONTH YEAR
Date acquired
(if known)
Place acquired
(if known)
Part C – Identity documents
17
If you are 16 years of age or over, you must provide at least
3 documents which collectively contain your:
• photograph
• signature
• current address
• date of birth, birth name and gender.
You must also provide proof of any changes of name, if applicable, and
a completed Part D – Identity declaration.
If you do not provide these documents your application will not
be accepted and will be returned to you.
Do not post original documents to the Department. If you are
posting your application attach certified copies.
Please list the identity documents you are providing (see Step 2 –
Original documents on page 2)
Evidence of the child’s identity in the community
Part D – Identity declaration
Evidence of the child’s date of birth and birth name
Children
Evidence to show the link between the child and the adoptive
Australian citizen parent
A document with the child’s photograph and current name
Evidence of any changes of name, if applicable
A current document with your photograph and signature
Evidence of your current residential address
Evidence of your date of birth, birth name and any changes of name
Evidence of your identity in the community
Part D – Identity declaration
Applicants 16 years of age or over
Does this adoptive parent hold the citizenship of any countries other
than Australia, or if this adoptive parent is deceased, did they hold the
citizenship of any countries other than Australia when they died?
Give details
No
Yes
Country
DAY MONTH YEAR
Date acquired
Method of acquiring this citizenship (eg. birth, descent, naturalisation/grant)
If insufficient space, attach additional details
From
DAY MONTH YEARDAY MONTH YEAR
to
Family name
Given names
Adoptive parent
Adoptive parent’s full name
Sex Male Female
Indeterminate /
Intersex / Unspecified
1272 (Design date 01/21) - Page 10 © COMMONWEALTH OF AUSTRALIA, 2021
Part E – Good character
19
No
In the last 10 years, have you lived or travelled outside Australia for periods
totalling 12 months or more and were aged 18 years or over at the time?
Yes List overseas countries where you have spent more than
90 days and attach certified copies of all your penal
clearance certificates from those countries
(See Overseas penal clearance certificates on page 4)
Please answer the following questions
20
(a) Have you been convicted of, or found
guilty of, ANY offences overseas or in
Australia (include all traffic offences
which went to court, including offences
declared in your permanent residence
application, and any ‘spent’ convictions)?
(b) Have you been confined in a prison or
in a psychiatric institution by order of a
court made in connection with criminal
proceedings overseas or in Australia?
(c) Have you committed, or been involved
in the commission of war crimes or
crimes against humanity or human rights
overseas or in Australia?
(d) Are you presently under a probation
order, good behaviour bond, on parole,
released on licence or subject to periodic
detention overseas or in Australia?
(e) Are you aware of any proceedings
pending against you overseas or in
Australia for an offence, including
proceedings by way of appeal or review?
(f) Have you ever been involved in any
activity, or been convicted of any offence,
relating to the illegal movement of people
to any country (including Australia)?
(g) Have you ever been charged with any
offence overseas or in Australia that is
currently awaiting legal action?
(h) Have you ever been associated with
terrorist organisations or involved in acts
of terrorism overseas or in Australia?
(i) Have you ever been removed or deported
from any country (including Australia)?
(j) Have you ever been involved in activities
that would represent a risk to Australian
national security?
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
Part D – Identity declaration
18
This part is NOT to be completed by the applicant
See Identity declaration on page 3 for more information including
photograph requirements.
“This is a true
photograph of”
JOHN CITIZEN
(full name of applicant)
PSmith
(signature)
PHOTOGRAPH BACK
SIZE
Max 36mm
Min 32mm
PHOTOGRAPH FRONT
Example
I declare that I have known (full name of the applicant)
Family name
Given names
for year(s) and vouch for his/her identity.
I have endorsed the back of his/her photograph
Signature
of person
making this
declaration
Date
DAY MONTH YEAR
Family name
Given names
Details of person making this declaration
Telephone numbers
Work
Home
Mobile/cell
What is your profession or occupation group number from
page 6?
(AREA CODE )
(AREA CODE )
-
Are you an Australian citizen? No Yes
This part is to be completed by a person who:
• is an Australian citizen, and
• has known the applicant for at least one year, and
• is currently working in a profession or occupation listed on
page 6, and
• is not related to the applicant by birth, marriage, or de facto
relationship, and
• is easy to contact by telephone during normal working hours,
should we need to make contact.
The person who completes this declaration must also endorse the
applicant’s photograph, which must be no more than 6 months old.
1272 (Design date 01/21) - Page 11© COMMONWEALTH OF AUSTRALIA, 2021
Consent
• I consent to my personal and identifying information being provided
to the Australian Criminal Intelligence Commission’s National Police
Checking Service (NPCS) and Australian police agencies for the
purpose of conducting a nationally coordinated criminal history
check (NCCHC) in relation to me as part of my application for
Australian citizenship.
• I consent to a NCCHC being undertaken on all names I am known by
and have been known by.
• I understand that this is for the purposes of assessing whether I am
of good character and whether the Offences provision, as defined in
section 24(6) of the Australian Citizenship Act 2007, applies to me.
• I understand that the NCCHC may also be used for the purpose of
considering whether my visa may be subject to cancellation under
the Migration Act 1958.
• I understand that more than one NCCHC may be requested by the
Department, including a further check that may be undertaken if I
am not approved as an Australian citizen and I seek a review of that
decision.
• I acknowledge that my personal and identifying information may also
be used by Australian police agencies for general law enforcement
purposes including those purposes set out in the Australian Crime
Commission Act 2002.
• I acknowledge that my personal information provided will not
be used without my prior consent for any other purpose, unless
otherwise authorised by law.
• I consent to Australian police agencies disclosing my personal
information in relation to spent convictions of specific offences
(10 years from the date of conviction for adults) and pending
charges to the Department for the purposes outlined above.
• I acknowledge that I have read the National Police Checking Service –
General Information and understand the spent convictions legislation.
See https://immi.homeaffairs.gov.au/help-support/meeting-
our-requirements/character/character-requirements-for-
australian-citizenship for information about good character, the
Offences provision, spent convictions and the National Police Checking
Service – General Information.
See information form 1243i Your personal identifying information for
information regarding the Department’s authority to collect personal
identifiers and form 1442i Privacy notice for general information on the
collection, use and disclosure of personal information. The forms are
available from the Department’s website
www.homeaffairs.gov.au/allforms
Signature of
applicant
-
DAY MONTH YEAR
Date
21
If you answered ‘Yes’ to any of the questions at Question 20, you
must 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.
1272 (Design date 01/21) - Page 12 © COMMONWEALTH OF AUSTRALIA, 2021
Part G – Nomination of representative
23
Do you want to nominate a person to make enquiries about your
application on your behalf?
Give details below
No
Yes
Nominated person
Family name
Given names
Relationship to
main applicant
DAY MONTH YEAR
Date of birth
Telephone numbers
Mobile/cell
Home
Work
Authority to disclose information
I hereby authorise the Department of Home Affairs to release
information about my application to the person named above.
I understand that the authority will remain effective until my
application is finalised and should I wish to cancel or change this
authorisation I may do so by advising the Department in writing.
Signature of
applicant
Date
DAY MONTH YEAR
(AREA CODE )
(AREA CODE )
-
24
Go to Part H
Part H – Payment details
25
Payment details
Make your payment electronically through the ‘My Payments’ section of
ImmiAccount. Sign into, or create, your ImmiAccount and select
My Payments>Manage Payments>Pre-Pay Paper Service, at
www.homeaffairs.gov.au/immiaccount
Do not provide credit card details on this form. Make your credit
card payment electronically through the ‘My Payments’ section of
ImmiAccount.
If you are outside Australia and cannot pay online in ImmiAccount,
check the Department’s website for alternative payment methods for
your location www.homeaffairs.gov.au/locations
Payment receipt number from the ‘My Payments’ section of ImmiAccount
Attach a copy of your printed receipt.
Part F – Supporting documents
You are required to provide supporting documents with your application
(See Supporting documents on page 4)
22
What type of document are you attaching?
Adoption Compliance Certificate
Evidence that the adoptive parent was an Australian
citizen at the time of the adoption
Australian adoptive parent’s full birth certificate
Evidence of the adoptive parent’s name change and links
between names, if applicable
Passports held, if any
Documents to be provided by the applicant
Proof of identification documents for responsible parent
applying on behalf of the child
Any orders relating to the custody, guardianship or
parental responsibility for the child, if applicable
Documents relating to a responsible parent
applying on behalf of a child under 16 years of age
1272 (Design date 01/21) - Page 13© COMMONWEALTH OF AUSTRALIA, 2021
Children under 16 years of age
The responsible parent is to complete the following declaration.
• I declare that I am the responsible parent of the applicant.
• I declare that the information I have supplied in this form is
complete, truthful and correct in every detail.
• I consent to the registration of Australian citizenship by adoption
for my child with my full acceptance of the consequences resulting
from citizenship status under law.
• I have read the information contained in form 1442i Privacy notice.
• I understand the Department may collect, use and disclose the
applicant’s personal information (including biometric information and
other sensitive information) as outlined in form 1442i Privacy notice.
Signature of
responsible
parent
Date
DAY MONTH YEAR
Full name of responsible parent
Telephone numbers
Work
Home
( ) ( )
( ) ( )
COUNTRY CODE AREA CODE NUMBER
Mobile/cell
-
Date
DAY MONTH YEAR
Office use only
Signature of
decision maker
Name of
decision maker
Approved
Not approved
We strongly advise that you keep a copy of your application
and all attachments for your records.
Part I – Declaration
Please read the following carefully before signing.
Complete this declaration if you are the main applicant and are aged
16 years or over.
• I declare that the information I have supplied in this form is
complete, truthful and correct in every detail.
• I recognise that by becoming an Australian citizen I will become a
formal member of the community of the Commonwealth of Australia.
• I understand that Australian citizenship is a shared identity, a
common bond which unites all Australians while respecting their
diversity.
• I understand that Australian society values:
– respect for the freedom and dignity of the individual;
– freedom of religion (including the freedom not to follow
a particular religion), freedom of speech, and freedom of
association;
– commitment to the rule of law, which means that all people are
subject to the law and should obey it;
– parliamentary democracy whereby our laws are determined by
parliaments elected by the people, those laws being paramount
and overriding any other inconsistent religious or secular ‘laws’;
– equality of opportunity for all people, regardless of their gender,
sexual orientation, age, disability, race, or national or ethnic
origin;
– a ‘fair go’ for all that embraces:
– mutual respect;
– tolerance;
– compassion for those in need;
– equality of opportunity for all;
– the English language as the national language, and as an
important unifying element of Australian society.
• I accept that Australian citizenship involves reciprocal rights and
responsibilities. The responsibilities of citizenship include obeying
Australian laws, including those relating to voting at elections and
serving on a jury.
• In seeking to become an Australian citizen, I undertake to
accept these responsibilities and undertake to conduct myself in
accordance with these values of Australian society, and to obey the
laws of Australia.
• I undertake to make reasonable efforts to learn the English
language, if it is not my native language.
• I recognise that a prosperous, successful and peaceful Australia
depends upon the support of all Australians, including me, for those
things that we value and share.
• 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.
Date
DAY MONTH YEAR
Signature of
applicant
-
WARNING: It is an offence under section 50 of the Australian
Citizenship Act 2007 to deliberately make, or cause to make,
a false or misleading statement, or conceal circumstances in
relation to an application.
26
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Form 1272: for children adopted under full Hague (Department of Home Affairs)

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Completed 6 February 2021

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