Fillable Form 1359: Request for international movement records (Services Australia)

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Form 1359: Request for international movement records (Services Australia)

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The Form 1359: Request for international movement records (Services Australia) form is 5 pages long and contains:

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  • 4 check-boxes
  • 87 other fields

Country of origin: AUSTRALIA
File type: PDF

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Services Australia, (previously DHS - Department of Human Services) is responsible for delivering services relating to health and welfare of Australian citizens. It processes payment of child support other services.

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1359 (Design date 07/18) - Page 1© COMMONWEALTH OF AUSTRALIA, 2018
Request for international movement records
Form
1359
Department of Home Affairs
Important – Please read this information carefully before you
complete your request. Once you have completed your request
we strongly advise that you keep a copy for your records.
Who should complete this request
Complete this request if you are seeking:
• your own international movements record(s) (where the
request includes records after 1981);
• another person’s international movements record(s)
(where the request includes records after 1981) AND you
have their written authorisation.
If you require movements records prior to 1981 please contact
the National Australian Archives www.naa.gov.au
Proof of identity
All requests should attach a scanned colour copy or a certified
copy of a photographic identity document, such as a passport
or drivers licence. Certified copies are stamped as being true
copies of the original by an authorised person.
An authorised person includes a solicitor, migration agent,
Justice of the Peace or a Commonwealth Public Servant with
5 years service.
Can another person make a request on your behalf?
If you ask another person, such as a solicitor or migration agent
to make a request on your behalf, you will need to provide
written authority, by completing Part C, allowing that person
to act on your behalf. The Department of Home Affairs (the
Department) can contact that person about your request and
send that person your documents.
If you change your solicitor or migration agent, it is important
that you advise the Department. If you nominate a solicitor or
migration agent to act on your behalf, the documents will be
sent to that person.
Are you seeking information about another person?
To assist the Department in providing information about
another person to you, you should seek that person’s written
consent at Part C. As the applicant your details will need to
be provided at Part A, and Part B should be completed with
details of the movement information you are seeking for the
named person at Part C. Both parties must provide scanned
colour copies or certified copies of the photographic identity.
Where to submit the request
Requests should be emailed to
request.movement@homeaffairs.gov.au for records
after 1981.
If you are living overseas, send it to the closest Australian
mission. These offices will arrange for your request to be
processed. For international movement records before 1981,
please contact the National Australian Archives
www.naa.gov.au
Document checklist
Please ensure all required documents are submitted with your
request. See Part E – Checklist.
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.
Compliments and complaints
Your compliments, complaints and suggestions are valuable to
the Department and will improve our products and services.
To provide compliments or complaints about any of the
Department’s services, telephone the Global Feedback Unit
on 133 177 (toll free in Australia) during business hours,
visit the Department’s website www.homeaffairs.gov.au
or contact the Department directly at your nearest office or
Australian mission overseas.
The Ombudsman
If you are not happy with how the Department has handled
your complaint you can contact the Commonwealth
Ombudsman:
Telephone 1300 362 072 (local call charge) 9am to 5pm,
Monday to Friday
Email ombudsman@ombudsman.gov.au
www.homeaffairs.gov.au
Telephone 131 881 during business hours
in Australia to speak to an operator (recorded
information available outside these hours).
If you are outside Australia, please contact
your nearest Australian mission.
Home page
General
enquiry line
Please keep this information page for your reference
This page is intentionally blank
1359 (Design date 07/18) - Page 3© COMMONWEALTH OF AUSTRALIA, 2018
Request for international movement records
Form
1359
Department of Home Affairs
Part A – Your details
Request details
3
Family name
Full name
Given names
Title Mr Mrs Miss Ms
Other
2
4
Your postal address (within Australia only)
POSTCODE
5
Your telephone numbers
(AREA CODE )
Office hours
After hours
(AREA CODE )
Mobile/cell
Do you agree to the Department communicating with you by fax or email?
What type of request is this?
6
1
Give details
Complete Part A, Part B and
Part E
Complete Part A with your details,
Part B and Part C with details of
the person whose movements you
are seeking, and Part E
Complete Part A with your details,
Part D with your child’s details,
and Part E
No
Personal application
Third party seeking another
person’s information
Parent requesting
movement records for your
child under 18 years of age
Yes
Fax number
Email address
(AREA CODE )
We strongly advise that you keep a copy of your request and
all attachments for your records.
Your
signature
Date
DAY MONTH YEAR
7
Note: You must attach a scanned colour copy or certified proof of
identity.
-
The information given in Part A should contain details of the person
making the request.
Part B – Details of movement records
The information given in Part B should contain details of whom the
international movement request is for. That is either the applicant at
Part A or the third party named at Part C.
Have you been known by any other names?
(including name at birth, previous married names, aliases)
10
Give details
No
Yes
Family name
Given names
Sex Male Female
DAY MONTH YEAR
Date of birth
9
Details from passport
Passport number
Country of
passport
DAY MONTH YEAR
Date of issue
Date of expiry
Issuing authority/
Place of issue as
shown in your
passport
DAY MONTH YEAR
Date of name
change
Family name
Given names
Details of whom the international movement request is for
8
3
Tick where applicable
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form
and complete it (in English) using a pen and BLOCK LETTERS.
1359 (Design date 07/18) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2018
Information about arrival/departure
11
from
DAY MONTH YEAR
Date range of movements required
to
DAY MONTH YEAR
Did you arrive in Australia as a child with your parent(s)/family
members?
13
Give details
No
Yes
DAY MONTH YEAR
1. Family name
Given names
Date of birth
12
14
Were you born in Australia?
Why do you require the movement records?
DAY MONTH YEAR
DAY MONTH YEAR
2. Family name
Given names
Date of birth
No
Yes
Date of first international
movement
Date of first arrival
DAY MONTH YEAR
Part C – Consent for agent/third party
to act
Are you requesting movement records for another person (person
described in Part B)?
15
Please have them complete the authorisation below
No
Yes
whose signature appears below, authorise the person whose
details appear in Part A to obtain access to the document(s)
described in Part B.
Address
POSTCODE
( ) ( )
COUNTRY CODE AREA CODE NUMBER
Telephone
Signature
of person in
Part B
Date
DAY MONTH YEAR
Signature
of person in
Part A
Date
DAY MONTH YEAR
Go to Part D
DAY MONTH YEAR
Date of birth
Family name
Given names
Note: Both parties must attach a scanned colour copy or certified proof
of identity.
-
-
1359 (Design date 07/18) - Page 5© COMMONWEALTH OF AUSTRALIA, 2018
Part D – Children under the age of 18 years
Are you requesting documents about child(ren), under the age of
18 years, in your role as parent or guardian?
16
Provide details of the child (read and sign the statement
below if applicable)
No
Yes
DAY MONTH YEAR
Family name
Given names
Date of birth
Child’s full name
If there is insufficient space, attach details on a separate sheet
Information about arrival/departure
17
from
DAY MONTH YEAR
Date range of movements required
to
DAY MONTH YEAR
OR
Your
signature
Date
DAY MONTH YEAR
19
WARNING: Giving false or misleading information is a serious offence.
I certify that there are no orders:
• restricting my access to these documents; or
• giving parental responsibility for the child named in this request to
another person.
Date of arrival/
departure (if known)
DAY MONTH YEAR
1.
Name of ship/airline
Port of arrival/departure
DAY MONTH YEAR
2.
Name of ship/airline
DAY MONTH YEAR
3.
Name of ship/airline
If there is insufficient space, attach details on a separate sheet
Date of arrival/
departure (if known)
Date of arrival/
departure (if known)
Port of arrival/departure
Port of arrival/departure
Note: Parent/Guardian must provide a scanned colour copy or
certified copy of birth certificate for child/children.
-
18
Why do you require the movement records?
Office use only
Copy and certify client’s photo identification
Documents located and issued to client (letter attached)
Documents not located, client advised (letter attached)
Request sent to MR & Pax Cards for action
Name of client
service officer
Contact details
Address
POSTCODE
Telephone number
Email address
(AREA CODE )
Date
DAY MONTH YEAR
Additional comments (ie. priority or known urgency)
Request note created in ICSE
Part E – Checklist
20
Please attach a scanned colour copy or certified copy of the
following documents to this request.
Question Document Attached
7 Proof of your identity
10 Change of name document (if applicable)
15 Proof of identity for the other person
(if applicable)
17
Birth certificate(s) of child(ren) under
18 years of age (if applicable)
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Form 1359: Request for international movement records (Services Australia)

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Completed 27 October 2020

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