Fillable Form 1399: Declaration of Service Part A General (Department of Home Affairs)

Fill Online, Printable, Fillable, Blank Form 1399: Declaration of Service Part A General (Department of Home Affairs) Form

Use Fill to complete blank online DEPARTMENT OF HOME AFFAIRS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 1399: Declaration of Service Part A General (Department of Home Affairs)

On average this form takes 228 minutes to complete

The Form 1399: Declaration of Service Part A General (Department of Home Affairs) form is 19 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 910 other fields

Country of origin: AUSTRALIA
File type: PDF

Use our library of forms to quickly fill and sign your Department of Home Affairs forms online.

BROWSE DEPARTMENT OF HOME AFFAIRS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Form
1399
Department of Home Affairs
Please read the following information
• The Department of Home Affairs (the Department) has
authority under the Migration Act 1958 and the Australian
Citizenship Act 2007 and other legislation it administers, to
collect personal information to carry out its functions,
including administration of applications for citizenship or visas
for entry and/or stay in Australia.
• This form seeks information from you that will be used by the
Department to assess your visa or citizenship application.
Applications for visas or citizenship may require the applicant
to satisfy a character test or show that they are of good
character.
• Please answer the questions as completely as possible. If you
do not provide sufficient information in your responses, we
may request clarification from you which will delay the
processing of your application.
• If we request clarification and do not receive a response from
you within the set timeframe, a decision on your application
may be made without taking any further action to obtain the
additional information.
• Documents to support your statements such as military service
or exemption papers (along with translations) must be
submitted as indicated in the relevant questions.
• If you require more space for your answers, use the space
provided at Part E – Additional details or attach additional
pages.
Important information about privacy
The Privacy Act 1988 contains 13 Australian Privacy Principles
which regulate the way that the Department collects and handles
personal information. Information about how the Department
collects, uses and discloses personal information for its key
functions can be found in form 1442i Privacy notice. More
information about the Department’s general information
handling practices (including form 1442i) can be found in the
Department’s Privacy policy at
https://www.homeaffairs.gov.au/access-and-accountability/
our-commitments/privacy
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 – General information
1 Your full name
Family name
Given names
2 Have you been known by any other names (including name at birth,
previous married names, aliases)?
No
Yes
Give details
Family name
Given names
3 Sex Male
Female
Indeterminate /
Intersex / Unspecified
4 Date of birth
Day Month Year
5 Place of birth
Town/city
Country
Province/region/state
6 Your present country of citizenship
7 Do you hold any other citizenship?
No
Yes
Which countries?
8 What is your religion?
9 What is your ethnic group?
10 What social/kinship structures do you belong to (eg. tribe, clan,
chiefdom, or equivalent)?
Form
1399
Declaration of Service
1399 (Design date 09/20) - Page 1© COMMONWEALTH OF AUSTRALIA, 2020
11 Your family details
Your spouse/partner
Family name Given name(s) Country of birth Province/region/state Country of residence
Date of birth
Date death
(if deceased)
Day Month Year Day Month Year
Your parents (include biological and adoptive parents)
Your siblings (include half, step and adoptive brothers and sisters)
If insufficient space, give details at Part E
1399 (Design date 09/20) - Page 2
© COMMONWEALTH OF AUSTRALIA, 2020
12 Give details of your family members’ employment history in a military, police, judicial, or government position
Given name
Date of birth
Position name Job description/role Name of employer Address of employer
Years
served
Highest rank/role/level
achieved
Day Month Year
If insufficient space, give details at Part E
1399 (Design date 09/20) - Page 3
© COMMONWEALTH OF AUSTRALIA, 2020
13 Give details of all places where you have lived outside Australia for 6 months or longer
List all countries, including your country of origin and explain the circumstances that led to each move
Date from Date to
Region/City/Village Country Reason for move
Month Year Month Year
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
If insufficient space, give details at Part E
14 Give details of your entire education history, including primary school, middle school, high school, and vocational education
Date from Date to
Country Name of institution Name of course Graduated
Not
completed
Month Year Month Year
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
If insufficient space, give details at Part E
1399 (Design date 09/20) - Page 4
© COMMONWEALTH OF AUSTRALIA, 2020
15 Give details of your entire employment history, including overseas employment, periods of unemployment and military service
Date from Date to
Job description Name of employer Address of employer
Day Month Year Day Month Year
If insufficient space, give details at Part E
© COMMONWEALTH OF AUSTRALIA, 2020
1399 (Design date 09/20) - Page 5
16 Give details of any medals/accolades/awards you have received in the table below
Date awarded
Name of medal/accolade/award Reason for award (eg. for participation in a specific operation) Name of person who presented you with the award
Day Month Year
If insufficient space, give details at Part E
1399 (Design date 09/20) - Page 6
© COMMONWEALTH OF AUSTRALIA, 2020
17 Please answer the following questions. If you answer ‘Yes’ to any of these questions, you must give full details in the table below.
• Have you ever been a member or supporter of a liberation or militia group?
No
Yes
• Are you still a member or supporter of a liberation or militia group?
No
Yes
• Have you ever been a government official (eg. mayor, judge, hospital administrator)?
No
Yes
• Have you ever held a senior religious or cultural position in your community?
Do not include positions held in Australia. No Yes
• Have you ever been associated with or held membership of a political organisation?
No
Yes
If you answered ‘Yes’ to any of the questions at Question 17, give full details of your roles or membership in the groups you indicated
Date from Date to
Name of your position/title Name of group/organisation Location (address)
Your specific duties/role/job
description
Direct Supervisor/
Commanding officer/
How did your involvement
or membership in this role
end?
Day Month Year Day Month Year
If insufficient space, give details at Part E
© COMMONWEALTH OF AUSTRALIA, 2020
1399 (Design date 09/20) - Page 7
18 Have you ever been a witness of war crimes or crime against humanity?
No
Yes
Give details, including knowledge you may have of
perpetrators, relevant groups involved, when and where the
crimes took place.
19 Have you ever participated in a war or armed conflict in any way?
No
Yes
Give details, including date, location and how you were
involved
20 Have you ever participated in:
• the crime of genocide
• a crime against humanity, or
• a war crime?
No
Yes
Give reasons for your involvement, including details of who
issued orders to commit these crimes, likely punishments if
you did not participate, and actions you may have taken to
avoid committing these crimes
21 Have you ever participated in any physical or psychological abuse
against prisoners or civilians?
No
Yes
Give details, including a description of the situation, dates,
location(s) and how you were involved
22 Have you ever participated in the capture of civilians in a war or armed
conflict?
No
Yes
Give details, including a description of the situation, dates,
location(s) and how you were involved
23 Have you ever been detained or arrested during a war or armed conflict?
No
Yes
Give details, including by whom, when, where and details of
your release
1399 (Design date 09/20) - Page 8
© COMMONWEALTH OF AUSTRALIA, 2020
Part B Service history
24 Have you ever undertaken any military service?
No
• Conscription did not exist
• Conscription existed but I was exempted
(Please explain how)
• Conscription existed but I did not serve
(Please explain how)
Yes
• It was compulsory
• I joined voluntarily
25 Have you ever undertaken any other military, paramilitary, security,
intelligence, police or secret police service?
No
Yes
26 Have you ever been a guard/official at a detention centre, prison or
transit camp?
No
Yes
27 Did you answer ‘Yes’ to any of Questions 24, 25 and/or 26?
No
Go to Part C
Yes
Go to Question 28
1399 (Design date 09/20) - Page 9
© COMMONWEALTH OF AUSTRALIA, 2020
28 If you answered ‘Yes’ to Questions 24, 25 and/or 26, give full details of your service history in the table below.
Note: You must attach documentation (and translations if applicable) to support your answers (military book, service papers, discharge papers etc).
Date from Date to
Your position/title Rank
Location(s) where you were
deployed/posted
Name of group/organisation
Name of direct supervisor/
Commanding officer and their
rank
Unit name and number –
include your Unit, Battalion,
Brigade, Division, and Corps.
Day Month Year Day Month Year
If insufficient space, give details at Part E
29 Give full details of your training history during your career, including military training.
Date from Date to
Name of group/organisation that
provided the training
Name of course
Course details
(content/skills acquired)
Qualification received
(if applicable)
Day Month Year Day Month Year
If insufficient space, give details at Part E
1399 (Design date 09/20) - Page 10
© COMMONWEALTH OF AUSTRALIA, 2020
30 Have you ever been discharged from your service in the military, paramilitary, security, detention centre, prison or transit camp, intelligence, police or secret police service?
No
• I am still serving/employed by this organisation
• I left the organisation without official discharge
(Give details including why you left)
Yes
• Date discharged
Day Month Year
Rank/Position when discharged
31 What specific operations did you take part in?
Date from Date to
Name of operation
Unit name and number –
include your Unit, Battalion,
Brigade, Division, and Corps
Name of group/organisation
(eg. Army, Air Force)
Location(s) of operation Your position/role/duties
Name of direct supervisor/
Commanding officer and their
rank
Day Month Year Day Month Year
If insufficient space, give details at Part E
© COMMONWEALTH OF AUSTRALIA, 2020
1399 (Design date 09/20) - Page 11
Part C – Assistance with this form
32 Did you receive assistance in completing this form?
No
Go to Part D
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
33 Is the person an agent registered with the Office of the Migration Agents
Registration Authority (Office of the MARA)?
No
Yes
Go to Part D
34 Is the person/agent in Australia?
No
Go to Part D
Yes
35 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
Part D – Declarations
WARNING: Giving false or misleading information is a serious offence.
36 I declare that:
• the information I have supplied in or with this form is complete,
correct and up-to-date in every detail.
• I have read and understand this document.
• I am aware that the Department may share information and/or
documents that I have provided with other Australian agencies or
foreign agencies.
• I have attached documentation to support the answers provided to
Question 28 (if applicable).
• 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.
• For visa applicants:
– I understand that any information that is false or misleading may
result in the consideration of refusal of my visa application or, if I
hold a visa, the consideration of cancellation of my visa.
– I understand that if my visa is cancelled after entry to Australia I
may be required to leave.
– I further understand that visa refusal, cancellation and removal
from Australia may extend to anyone applying for a visa with me,
or anyone granted a visa as a result of the grant of a visa to me.
• For Citizenship applicants:
– I understand that any false statements or representations (as
referred to in section 50 of the
Australian Citizenship Act 2007)
may result in my committing a criminal offence, the consideration
of refusal of my citizenship application or, if citizenship has been
subsequently granted, the consideration of revocation of my
citizenship.
Signature of
applicant
-
Date
Day Month Year
We strongly advise that you keep a copy of this form and all
attachments for your records.
1399 (Design date 09/20) - Page 12
© COMMONWEALTH OF AUSTRALIA, 2020
Part E – Additional details
37
Question
number
Additional information
If insufficient space, attach additional details
1399 (Design date 09/20) - Page 13
© COMMONWEALTH OF AUSTRALIA, 2020
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 1399: Declaration of Service Part A General (Department of Home Affairs)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 January 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document