Fillable Form 1409: Temporary Graduate visa Application for a (Australian National University)

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Form 1409: Temporary Graduate visa Application for a (Australian National University)

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1409 (Design date 11/19) - Page 1© COMMONWEALTH OF AUSTRALIA, 2019

Application for a

Temporary Graduate visa

Form

1409

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.

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.

Who should use this form?

You should use this form if you are eligible to apply for a

Temporary Graduate visa (subclass 485).

A summary of the streams has been provided on page 3 of this

form. Further information about the Temporary Graduate visa

is available on the Department’s website

https://immi.homeaffairs.gov.au/visas/getting-a-visa/

visa-listing/temporary-graduate-485

Applying online

The Department encourages applicants to apply online.

Applications lodged online have quicker processing

times. For information on how to apply online go to the

Department’s website www.homeaffairs.gov.au/trav/visa/onli

Before completing this form

Please read carefully the information below, and the information

on the Temporary Graduate visa available on the Department’s

website https://immi.homeaffairs.gov.au/visas/getting-a-

visa/visa-listing/temporary-graduate-485

Integrity of application

The Department is committed to maintaining the integrity of

the visa and citizenship programmes. In relation to this

application, if you or a member of your family unit:

• provide, or have provided in a previous application,

fraudulent documents or false or misleading information

(knowingly or not); 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 become unable to be

granted a visa for specified periods of 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.

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. As part of this

application every person aged 18 years or over must declare

that they will respect Australian values, as outlined below and

obey the laws of Australia.

Australian values include 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 also values equality of opportunity

for individuals, regardless of their race, religion or

ethnic background.

It is also important to understand that English is the national

language.

Further information is contained in the Life in Australia

booklet, however, you are not required to read the booklet.

The booklet is available in a wide range of languages. If you

would like a copy of the booklet it can be obtained from

www.homeaffairs.gov.au/trav/life/aust/life-in-australia-

book

Students and the skilled migration programme

Australia has a well-deserved reputation for high-quality

education and training. We continue to welcome overseas

students, and appreciate the contribution they make to both

academic life and the communities in which they live.

People who wish to study in Australia may be granted a

Student visa that entitles them to come to Australia on a

temporary basis for a specified period to undertake study at an

Australian educational institution. While many overseas

students make a decision to apply for a permanent visa upon

completing their studies, this is an entirely separate process

and there is no guarantee that, on the basis of having held a

Student visa, a person will meet the requirements to be

granted a permanent visa at the end of their studies.

Visa Application Charge

A Temporary Graduate visa application is subject to a charge.

To check the Visa Application Charge, refer to the Department’s

website https://immi.homeaffairs.gov.au/visas/visa-

pricing-estimator

Fees may be subject to adjustment at any time. Visa

Application Charges may be subject to adjustment on 1 July

each year. This may increase the cost of a visa.

1409 (Design date 11/19) - Page 2 © COMMONWEALTH OF AUSTRALIA, 2019

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

Lodging your application

All applications for a Temporary Graduate visa from both

outside Australia and in Australia must be lodged online or

sent by post or courier to the address specified at

https://immi.homeaffairs.gov.au/visas/getting-a-visa/

visa-listing/temporary-graduate-485

Important note: Any application made on this form and not

lodged at the address specified at

https://immi.homeaffairs.gov.au/visas/getting-a-visa/

visa-listing/temporary-graduate-485

cannot be accepted. It will not be a valid application and will

not be processed. Please note that your nearest office of the

Department in Australia may not be the specified address.

For further information

For more details on the Temporary Graduate visa, visit the

Department’s website

https://immi.homeaffairs.gov.au/visas/getting-a-visa/

visa-listing/temporary-graduate-485 or call 131 881.

If you are outside Australia, please contact your nearest

Australian mission.

1409 (Design date 11/19) - Page 3© COMMONWEALTH OF AUSTRALIA, 2019

Temporary Graduate visa (subclass 485)

PURPOSE APPLICATION REQUIREMENTS

Graduate Work stream

This stream is for overseas students who have met the

Australian study requirement in the last 6 months and have

skills and qualifications in certain skilled occupations.

The visa is valid for 18 months and has unrestricted work

and study conditions.

Graduate Work stream

At the time you apply for this visa you must:

• be in Australia;

• be under 50 years of age;

• hold a valid visa;

• hold or have held an eligible Student visa in the last 6 months;

• have met the Australian study requirement in the last 6 months;

• have applied for a skills assessment in your nominated

occupation from the Skilled Occupation List (SOL);

• have evidence that you, and all persons included in this

application, have adequate health insurance;

• have evidence you have applied for a check of criminal records

with the Australian Federal Police for you and all persons

included in this application who are aged 16 years or over; and

• have evidence of the required level of English at the time you

apply for your visa.

Information regarding these requirements is available on the

Department’s website https://immi.homeaffairs.gov.au/visas/

getting-a-visa/visa-listing/temporary-graduate-485

Post-Study Work stream

This stream is for overseas students who have completed

an eligible qualification in Australia and have met the

Australian study requirement in the last 6 months.

For example, the visa is valid for:

• 2 years for students who complete a Bachelor degree

(including honours) or Masters by Coursework degree

or Masters (extended) degree;

• 3 years for students who complete a Masters by

Research degree;

• 4 years for students who complete a Doctoral degree.

This visa has unrestricted work and study conditions.

Post-Study Work stream

At the time you apply for this visa you must:

• be in Australia;

• be under 50 years of age;

• hold a valid visa;

• hold or have held an eligible Student visa in the last 6 months;

• have met the Australian study requirement in the last 6 months;

• have applied for and subsequently been granted your first

Student visa on or after 5 November 2011;

• have completed an eligible qualification at an eligible

institution in the last 6 months;

• have evidence that you, and all persons included in this

application, have adequate health insurance;

• have evidence you have applied for a check of criminal records

with the Australian Federal Police for you and all persons

included in this application who are aged 16 years or over; and

• have evidence of the required level of English at the time you

apply for your visa.

Information regarding these requirements is available on the

Department’s website https://immi.homeaffairs.gov.au/visas/

getting-a-visa/visa-listing/temporary-graduate-485

Subsequent entrant

This form may be filled in for members of the family unit of

current Temporary Graduate (subclass 485) visa holders

who wish to join the main applicant in Australia.

The main applicant must already have been granted a

subclass 485 visa before the subsequent entrant can apply

for this visa.

The subsequent entrant’s visa is valid for the same

duration as specified for the main applicant.

Subsequent entrant

At the time you apply for this visa you must:

• have evidence that you, and all persons included in this

application, have adequate health insurance.

Note: Subsequent entrants may be in or outside Australia at the

time they apply to be added to a subclass 485 visa, and in or

outside Australia when their visa is granted.

Information regarding these requirements is available on the

Department’s website

https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-

listing/temporary-graduate-485

Further information about this visa

• You must not have previously held a subclass 476 or a

subclass 485 visa that was granted on the basis that you

satisfied the primary criteria for the grant of the visa.

• The visa is valid only between the date it is granted and the

date of expiry. Once granted, the timing of the visa may not

be altered or deferred.

1409 (Design date 11/19) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2019

Making a valid application and supporting documents

To make a valid application you must provide certain

supporting documents with your application. The documents

required are different for each type of application. If you do

not provide the required documents your application may not

be valid and may be returned to you.

You will find the checklist of the documents you must provide

in support of your application on the Department’s website

https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-

listing/temporary-graduate-485

You must complete the appropriate checklist from this website

if you are sending your application by mail or courier. If you are

applying online, the electronic form has an in-built checklist.

In either case, enclose/attach copies of all documents listed on

the relevant checklist with your application.

You may be asked to provide other documents during

processing. ‘Certified copies’ of documents means authorised

or stamped true copies of originals by a person or agency

recognised by 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. The Department also accepts

documents certified by a registered migration agent.

Documents in languages other than English should be

accompanied by an English translation. If the applicant is

onshore, the translation should be undertaken by a translator

accredited by the National Accreditation Authority for

Translators and Interpreters (NAATI). Failure to do so may

significantly affect the processing of your application.

Translations provided by non-accredited translators overseas

should be endorsed by the translator with their full name,

address, telephone number, and details of their qualifications

and experience in the language being translated.

Note: You must include both a certified copy of the original

language document and a certified copy of the translated

document with your application. Do not supply any original

documents with your application, unless you have been asked

to do so.

Character requirements – Australian Federal Police

clearance

You must provide evidence of having applied for an Australian

Federal Police (AFP) ‘National Police Check’ in the 12 months

before you apply for the Temporary Graduate (subclass 485)

visa. This also applies to all family members listed in your

application who are aged 16 years or older.

The AFP ‘National Police Check’ is the only acceptable police

certificate. This certificate will have the words ‘Complete

Disclosure’ in the heading. Under the sub-heading ‘Purpose for

check’, you must select Immigration/Citizenship (Code 33).

Fingerprints are not required.

The AFP National Police Check Application Form is available

from the AFP website www.afp.gov.au/what-we-do/police-

checks/national-police-checks.aspx

Health requirements

All applicants must meet Australia’s health requirements. You

and any family members included in this application may be

required to undergo a chest x-ray and medical examination.

Before you apply, you can use the Department’s ‘My Health

Declarations’ service to determine whether health examinations

are required and then proceed to complete any health

examinations. To use the ‘My Health Declarations’ service, go to

the Department’s website https://immi.homeaffairs.gov.au/

help-support/meeting-our-requirements/health/when-to-

have-health-examinations

Health insurance requirements

You are required to hold adequate private medical and hospital

health insurance cover for the entire time you are in Australia

on a Temporary Graduate visa.

To meet this requirement you should attach to this application

evidence of adequate health insurance, which states the level

of health care provided by the insurance policy. A copy of the

suggested certification letter and further information on the

minimum level of coverage is available from

https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-

listing/temporary-graduate-485

The above does not apply if you have enrolled with Medicare

(Australia’s national health cover). Information on entitlements

to Medicare is available from www.humanservices.gov.au

Skills assessment validity period

Skills assessments are valid for 3 years, or a shorter period if

specified, from the date of issue of the skills assessment.

Who is covered by this form?

The application form covers the main applicant and, if

applicable, secondary applicants. Applicants seeking to meet

the criteria as a subsequent applicant can also use this form.

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 travel with you.

Information about which family members are considered to

be a ‘member of your family unit’ for travel 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/.

You should ensure that you read and understand form 1496i

before completing this form.

Custody requirements

The Department will seek to ensure that allowing a child to

reside temporarily in Australia 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

accompanying you or there is any other person who has the

legal right to determine where the child can live, you will need

to provide a Statutory Declaration from each of them giving

permission for the child to accompany you in Australia.

Alternatively, you can provide a certified copy of a valid court

order showing that you, or your partner, has the legal right to

remove the child from the country.

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/. You should

ensure that you read and understand form 1442i before

completing this form.

1409 (Design date 11/19) - Page 5© COMMONWEALTH OF AUSTRALIA, 2019

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

exempt from being registered. Only registered migration

agents may receive a fee or reward for providing immigration

assistance.

If an unregistered person in Australia, who is not exempt from

registration, 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 migration agent/exempt person you should

complete Question 80 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/

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:

• Question 80 Options for receiving written

communications; and

• form 956A Appointment or withdrawal of an authorised

recipient.

Note: 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.

1409 (Design date 11/19) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2019

How to fill in this form?

You must:

• 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;

• answer all questions truthfully and completely; and

• provide supporting documents where necessary.

Read the notes for 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 any other sheets of paper for providing

additional information, each page must also be signed and

dated by all persons who sign the form.

If there is not enough space on the form to answer any questions

in full, please give details at Question 84 Additional information

or attach additional sheets of paper with the details.

If you provide incorrect information or documents, it

may affect whether you are granted a visa or not, or

whether your visa may be subsequently cancelled.

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 these information pages for your reference

1409 (Design date 11/19) - Page 7© COMMONWEALTH OF AUSTRALIA, 2019

Application for a

Temporary Graduate visa

Form

1409

Department of Home Affairs

Graduate (main applicant)

Complete ALL Parts

Subsequent entrant Complete Parts A, C and D

How many people are included in this application?

Visa conditions 8534 and 8503

TYPE OF APPLICATION

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.

When lodging your application do NOT place the application

in a binder, folder or plastic sleeve.

Before you fill in the form, it is very important that you read and

understand all the information outlined on pages 1 to 6.

IMPORTANT INFORMATION FOR APPLICANTS WHO HOLD A VISA

APPLYING FOR A TEMPORARY GRADUATE VISA WHILE IN

AUSTRALIA

Applicants with either condition 8534 or 8503 on their visa cannot

apply for a Temporary Graduate visa while in Australia without applying

for those conditions to be waived.

Do you have condition 8534 on your visa?

Would you like to apply to have that condition waived

to allow you to apply for a Temporary Graduate visa in

Australia?

Yes

By ticking this box you are applying for a

waiver of this condition.

Yes

Do you have condition 8503 on your visa?

Would you like to apply to have that condition waived

to allow you to apply for a Temporary Graduate visa in

Australia?

Yes

By ticking this box you are applying for a

waiver of this condition.

Yes

Application overview

Are you applying for:

(Tick one box only)

Note: Before submitting your application, you should assess your

eligibility against all of the visa requirements. Check the Department’s

website

https://immi.homeaffairs.gov.au/visas/getting-a-

visa/visa-listing/temporary-graduate-485

Graduate Work stream

(18 months visa validity)

Post-Study Work stream

(2, 3 or 4 years visa validity)

Family name

Given names

Give details of the main

visa holder below

Date of birth

DAY MONTH YEAR

Sex

Current visa (Note: Must be a subclass 485)

Visa stream

File number (if known)

Part A – To be completed by

all applicants

Temporary Graduate visa as a

subsequent entrant

(Note: The main applicant must

have already been granted their visa)

Go to Question 4

Passport number

Male

Indeterminate /

Intersex / Unspecified

Female

1409 (Design date 11/19) - Page 8 © COMMONWEALTH OF AUSTRALIA, 2019

Your present country of citizenship

Do you hold any other citizenship?

Which countries?

Yes

Other names you are, or have been, known by

(including name at birth, previous married names, aliases)

Family name

Given names

Reason for change

Place of birth

Town/city

Country

Date of birth

Name in Chinese Commercial Code Numbers (if applicable)

Answer only if you are a subsequent entrant applying outside Australia

Country of current residence

Give details

Yes

Do you have a passport?

Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Note: Most visa applicants will be required to hold a valid passport

before they can be granted a visa. It is strongly recommended that the

passport be valid for at least 6 months.

If you change your passport after you have been granted the visa you

must notify the nearest Australian mission or office of the Department.

1. Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Go to Question 17

2. Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Your details

Name in your own language or script (if applicable)

Your full name

(as shown in your passport or travel document)

Family name

Given names

Other ways you spell your name

Family name

Given names

Give details of all other passports

Yes

Do you hold more than one passport?

If more than one other name, give details at Question 84 ‘Additional

information’

This section must be completed by all primary applicants and

subsequent entrants as a subsequent entrant is considered the main

applicant for the purposes of this application form.

Sex

Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR

1409 (Design date 11/19) - Page 9© COMMONWEALTH OF AUSTRALIA, 2019

Details of ALL countries of residence

For persons aged 16 years or older, provide details of ALL countries in which you have lived for a total of 12 months or more during the last 10 years.

Give details

Yes

Do you hold an identity card or identity number issued to you by your

government (eg. National identity card) (if applicable)?

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 are a permanent

resident of, or reside in.

Identity number

Country of issue

Do you agree to the Department communicating with you by

electronic means?

Give details

Yes

Fax number

Email address

( ) ( )

COUNTRY CODE AREA CODE NUMBER

Your current residential address

Note: A post office box address is not acceptable as a residential

address. Failure to give your residential address will result in this

application being invalid.

Address for correspondence

(If the same as your residential address, write

‘AS ABOVE’)

Note: It is your responsibility to advise the Department of any change

to your address for correspondence during the application process.

Contact telephone numbers

Office hours

( ) ( )

COUNTRY CODE AREA CODE NUMBER

After hours

( ) ( )

Mobile/cell

POSTCODE

( )

COUNTRY CODE NUMBER

Mobile/cell

POSTCODE

Country

Dates lived there

Last permanent address in that country

(include suburb/town/city and state/province)

MONTH YEAR

FROM

1409 (Design date 11/19) - Page 10 © COMMONWEALTH OF AUSTRALIA, 2019

Relationship status

Married

De facto

Engaged

Divorced

Separated

Widowed

Never married or

been in a de facto

relationship

Date of marriage

Date of intended marriage

Date relationship began

DAY MONTH YEAR

Go to Question 25

Yes

Is your partner included in this application?

Yes

Do you have any dependants (other than a partner) included in this

visa application?

Yes

Important – You will need to hold health insurance before

this visa application is lodged. This visa application may not

be approved without adequate health insurance

arrangements for all applicants.

Health insurance

Do you and all applicants included in this application hold health

insurance?

Attach evidence of health insurance for all applicants.

This may include:

• copy of health insurance policy;

• copy of Medicare card(s).

Australian Federal Police check

Have you, and any other person included in this application who is

aged 16 years or over, applied for an Australian Federal Police ‘National

Police Check’?

For more information see Character requirements – Australian Federal

Police clearance on page 4.

Give details

List the main applicant details first.

Yes

Important – If you, and any other person included in this

application who is aged 16 years or over, have not requested

an Australian Federal Police ‘National Police Check’, you

cannot meet the criteria for the grant of this visa.

1. Full name

Reference number

Date of request

DAY MONTH YEAR

2. Full name

Reference number

Date of request

3. Full name

Reference number

Date of request

4. Full name

Reference number

Date of request

5. Full name

Reference number

Date of request

Attach a certified copy of the Australian Federal Police ‘National Police

Check’ for each person listed above if held at the time of lodgement of

this application.

1409 (Design date 11/19) - Page 11© COMMONWEALTH OF AUSTRALIA, 2019

Part B – To be completed by the main

applicant

If you are applying as a ‘Subsequent entrant’, Go to Part C

Go to Question 30

Yes

Language requirements

Do you hold a valid passport from the USA, UK, Canada, New Zealand

or the Republic of Ireland (to meet English language requirements)?

Go to Question 29

Give details of your English test

Yes

Have you undertaken an English test within the last 36 months that

demonstrates that you have achieved the minimum English language

test scores required for your visa?

For information on the minimum English language test scores required

as evidence of your English language ability, go to the Department’s

website

www.homeaffairs.gov.au/trav/visa-1/485-

Test location (country where test was taken)

Date of test

Important – If you answered ‘No’ to both Questions 28 and

29, you cannot meet the criteria for the grant of this visa.

Educational qualification details

Provide details of your Australian and/or overseas post-secondary qualifications.

List the most recent first.

Attach certified copies of your academic transcripts with your application.

Qualification Course name Institution name City/Country

Postcode

of campus

Dates of enrolment

MONTH YEAR

FROM

Occupational English Test (OET)

International English Language Testing System (IELTS)

Pearson Test of English Academic (PTE Academic)

Test of English as a Foreign Language

internet-Based Test (TOEFL iBT)

Test reference number – Depending on the test you

have taken, this may also be known as a Reference

Number, Test Report Form Number, Registration ID or

Registration Number.

Cambridge English: Advanced (CAE) test (also known as

Certiﬁcate in Advanced English)

(Note: CAE results must be from a test taken on or after

1 January 2015)

DAY MONTH YEAR

1409 (Design date 11/19) - Page 12 © COMMONWEALTH OF AUSTRALIA, 2019

Provide details of Australian and/or overseas post-secondary qualifications held by any dependent applicants.

List the most recent first.

Attach certified copies of your academic transcripts with your application.

Qualification Course name Institution name City/Country

Postcode

of campus

Dates of enrolment

MONTH YEAR

FROM

Applicant skills

What is your nominated occupation?

(Your occupation must be on the Skilled Occupations List which is

available from the Department’s website

www.homeaffairs.gov.au/trav/work/work/skills-assessment-

and-assessing-authorities/skilled-occupations-lists)

What is the Australian and New Zealand Standard Classification of

Occupations (ANZSCO) code for your nominated occupation?

–

Skills assessment

Have you applied for a skills assessment from the relevant assessing

authority for your nominated occupation?

Name of assessing authority

Reference or

receipt number

Date of skills assessment application

DAY MONTH YEAR

Give details

Yes

Have you obtained a skills assessment from the relevant assessing

authority for your nominated occupation which confirms that your skills

have been assessed as suitable for your nominated occupation?

Name of assessing authority

Reference or

receipt number

Date of skills assessment

DAY MONTH YEAR

Important – If you have not applied for

a skills assessment, you cannot meet the

criteria for the grant of this visa.

Yes

Are you applying for the Graduate Work stream (18 months visa validity)?

Go to Part C

Yes

Give details of your skills assessment

Expiry date of skills assessment (if applicable)

1409 (Design date 11/19) - Page 13© COMMONWEALTH OF AUSTRALIA, 2019

Other names your partner is, or has been, known by

(including name at birth, previous married names, aliases)

Family name

Given names

Reason for change

Date of birth

DAY MONTH YEAR

Details of family members

About your partner

Name in Chinese Commercial Code Numbers (if applicable)

Name in his/her own language or script (if applicable)

Partner’s full name

(as shown in passport or travel document)

Family name

Given names

Other ways your partner spells his/her name

Family name

Given names

Give details of all members of your family unit whether or not they

intend to accompany you to Australia.

Please attach evidence of your relationship to each family member

(eg. certified copies of birth certificates or marriage certificate).

If you are in a de facto relationship, please attach evidence that you

have been in cohabitation with your partner for at least 12 months

(eg. joint account statements and utility billing accounts).

Complete all applicable questions.

Part C – To be completed by

all applicants

Place of birth

Town/city

Country

Give details of the passport that your partner will use to enter Australia

(Enter these details exactly how they appear in their passport)

Note: It is strongly recommended that the passport be valid for at least

6 months.

Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

1. Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

2. Passport number

Country of passport

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Give details of all other passports

Yes

Does your partner have other passports?

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR

1409 (Design date 11/19) - Page 14 © COMMONWEALTH OF AUSTRALIA, 2019

Details of your partner’s countries of residence

For persons aged 16 years or older, provide details of all countries in which your partner has lived for a total of 12 months or more during the last 10 years.

Country

Dates lived there

Last permanent address in that country

(include suburb/town/city and state/province)

MONTH YEAR

FROM

Give details

Yes

Does your partner hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If your partner is the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a permanent

resident of, or reside in.

Identity number

Country of issue

Partner’s country of current residence

Partner’s residential address

Partner’s telephone numbers (if different from main applicant)

Office hours

( ) ( )

COUNTRY CODE AREA CODE NUMBER

After hours

( ) ( )

Mobile/cell

( )

COUNTRY CODE NUMBER

POSTCODE

1409 (Design date 11/19) - Page 15© COMMONWEALTH OF AUSTRALIA, 2019

Give details of ALL members of your family unit aged under 18 years

who are INCLUDED in this application

Details of accompanying members of

family unit

Relationship

to you

Relationship

to you

Family name

Given names

Date of birth

DAY MONTH YEAR

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

residence

Country of

passport

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

2. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Sex Male

Indeterminate /

Intersex / Unspecified

Female

1409 (Design date 11/19) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2019

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

4. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

3. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR DAY MONTH YEAR

1409 (Design date 11/19) - Page 17© COMMONWEALTH OF AUSTRALIA, 2019

If you have more than 6 children aged under 18 years who are

included in this application, give details at Question 84

‘Additional information’

Are all the children aged under 18 years in your care and legal custody?

Does any other person have custodial, access or guardianship rights

to any of these children?

Give detailsNo

Yes

Give details

Yes

Relationship

to you

Relationship

to you

Given names Given names

Date of birth Date of birth

Country of birth Country of birth

Date of issue Date of issue

Date of expiry Date of expiry

Passport place

of issue/issuing

authority

Passport place

of issue/issuing

authority

Citizenship Citizenship

Country of

residence

Country of

residence

Country of

passport

Country of

passport

Identity number Identity number

Country of issue Country of issue

Passport number Passport number

No No

Yes Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

5. 6.Family name Family name

Given names Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR DAY MONTH YEAR

1409 (Design date 11/19) - Page 18 © COMMONWEALTH OF AUSTRALIA, 2019

Are there any legal impediments to the removal of any of these

children from their home country?

Give details

Yes

Give details of ALL members of your family unit, other than your partner,

aged 18 years or over who are INCLUDED in this application

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

1. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

2. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR

1409 (Design date 11/19) - Page 19© COMMONWEALTH OF AUSTRALIA, 2019

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

4. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

3. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR DAY MONTH YEAR

If you have more than 6 members of your family unit aged

18 years or over who are included in this application,

give details at Question 84 ‘Additional information’

Are any of your and/or your partner’s children married, engaged to be

married or in a de facto relationship?

Give details

Yes

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

6. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

Relationship

to you

Given names

Date of birth

Country of birth

Date of issue

Date of expiry

Passport place

of issue/issuing

authority

Citizenship

Country of

residence

Country of

passport

Identity number

Country of issue

Passport number

Yes

Does this person hold an identity card or identity number issued to

them by their government (eg. National identity card) (if applicable)?

Note: If they are the holder of multiple identity numbers because

they are a citizen of more than one country they need to enter the

identity number on the card from the country that they are a

permanent resident of, or reside in.

5. Family name

Given names

Sex Male

Indeterminate /

Intersex / Unspecified

Female

DAY MONTH YEAR DAY MONTH YEAR

For accompanying members of your family unit aged 16 years or over, provide details of all countries in which they have lived for a total of 12 months or

more during the last 10 years.

Country

Dates lived there

Last permanent address in that country

(include suburb/town/city and state/province)

Who lived there?

(Provide full name)

MONTH YEAR

FROM

Details of non-accompanying members of family unit

Give details of ALL

members of your family unit

, not accompanying you to Australia

(If not living, write ‘DECEASED’ in ‘Country of current residence’ column)

Full name

Sex * Date of birth

Relationship

status

(use codes below)

Country of current residence

M/F/X DAY MONTH YEAR

‘Relationship status’ codes

M = Married

E = Engaged

F = De facto

S = Separated

D = Divorced

W = Widowed

N = Never married or been in

a de facto relationship

* M = Male, F = Female, X = Indeterminate / Intersex / Unspecified

Select

Yes

In the last 5 years, have you, or any other person included in this

application, visited or lived outside your country of passport for more

than 3 consecutive months?

Country(s)

DAY MONTH YEAR

Full name

Date tofrom

DAY MONTH YEAR

Give details

Country(s)

2. Full name

Date tofrom

Country(s)

Full name

Date tofrom

Do you, or any other person included in this application, intend to

enter a hospital or a health care facility (including nursing homes)

while in Australia?

Give details

Yes

Do you, or any other person included in this application, intend to

work as, or study to be, a doctor, dentist, nurse or paramedic during

your stay in Australia?

Give details

Yes

Health requirements

Part D – To be completed by all

applicants

Do you, or any other person included in this application, intend to work,

or be a trainee, at a child care centre (including preschools and creches)

while in Australia?

Give details

Yes

During your proposed visit to Australia, do you, or any other person

included in this application, expect to incur medical costs, or require

treatment or medical follow up for:

• blood disorder;

• cancer;

• heart disease;

• hepatitis B or C and/or liver disease;

• HIV Infection, including AIDS;

• kidney disease, including dialysis;

• mental illness;

• pregnancy;

• respiratory disease that has required

hospital admission or oxygen therapy;

• other?

Give details

Yes

Have you, or any other person included in this application:

• ever had, or currently have, tuberculosis?

• been in close contact with a family member that has active

tuberculosis?

• ever had a chest x-ray which showed an abnormality?

Give details

Yes

Do you, or any other person included in this application, intend to be

in a classroom situation for more than 3 months (eg. as either a

student, teacher, lecturer or observer)?

Give details

Yes

Do you, or any other person included in this application, require

assistance with mobility or care due to a medical condition?

Give details

Yes

Have you, or any other person included in this application, undertaken

a health examination for an Australian visa in the last 12 months?

Yes

Give details

List the main applicant details first.

Full name

Date of medical

examination

City of examination HAP ID (if available)

DAY MONTH YEAR

No Yes

If you answered ‘Yes’ to any of the above questions, you must state

who it applies to and give ALL relevant details.

• Have you, or any other person included in

this application, ever been refused an entry

permit or visa to Australia?

• Have you, or any other person included in

this application, ever had an entry permit

or visa cancelled in Australia?

• Are you, or any other person included in

this application, waiting on a decision on

any other visa application?

Character declarations

Note: All relevant information must be disclosed regardless of age,

minor nature of offence and whether or not the offences are considered

to have expired in home country.

Have you, or any person included in this application, ever:

Character requirements

If you answered ‘Yes’ to any of the questions at Question 69, 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.

Yes

No Yes

• been charged with any offence that is

currently awaiting legal action?

• been convicted of an offence in any country

(including any conviction which is now

removed from official records)?

• been the subject of an arrest warrant or

Interpol notice?

• been found guilty of a sexually based offence

involving a child (including where no

conviction was recorded)?

• been named on a sex offender register?

• been acquitted of any offence on the grounds

of unsoundness of mind or insanity?

• been found by a court not fit to plead?

• been directly or indirectly involved in, or

associated with, activities which would

represent a risk to national security in

Australia or any other country?

• been charged with, or indicted for: genocide,

war crimes, crimes against humanity, torture,

slavery, or any other crime that is otherwise

of a serious international concern?

• been associated with a person, group or

organisation that has been/is involved in

criminal conduct?

• been associated with an organisation

engaged in violence or engaged in acts of

violence (including war, insurgency, freedom

fighting, terrorism, protest) either overseas or

in Australia?

• served in a military force, police force, state

sponsored/private militia or intelligence

agency (including secret police)?

• undergone any military/paramilitary training,

been trained in weapons/explosives or in the

manufacture of chemical/biological products?

• been involved in people smuggling or people

trafficking offences?

• been removed, deported or excluded from

any country (including Australia)?

• overstayed a visa in any country (including

Australia)?

• had any outstanding debts to the Australian

Government or any public authority in

Australia?

No Yes

Details of previous visa(s)

Give details of any Australian visa applications that you, or any person accompanying you, are awaiting a decision on (not including this one)

Full name Type of visa

Date applied

Office applied at

DAY MONTH YEAR

Give details of any previous visits to Australia by you or any person accompanying you

Yes

Warning: In general, a person can only hold one visa at a time. If you are granted a visa while you already have another,

the first visa will cease automatically when the new visa is granted.

Have you, or any person accompanying you, previously been to Australia, held or currently hold a visa for travel to Australia?

Full name Type of visa Visa number

Purpose and details of

previous stay in Australia

Date of arrival and departure

DAY MONTH YEAR

FROM

Have you/your partner or any

members of your family unit

(accompanying you or not) ever served in the armed forces?

Give full names, and enclose evidence of service, discharge

and rank on discharge

Yes

Please give details of the person who assisted you

Yes

Did you receive assistance in completing this form?

Assistance with this form

Go to Question 80

Family name

Given names

Title: Mr Mrs Miss Ms Other

POSTCODE

Address

Telephone number or daytime contact

( ) ( )

COUNTRY CODE AREA CODE NUMBER

Office hours

Mobile/cell

Is the person an agent registered with the Office of the Migration

Agents Registration Authority (Office of the MARA)?

Yes

Go to Question 80

Yes

Go to Question 80

Is the person/agent in Australia?

Did you pay the person/agent and/or give a gift for this assistance?

Yes

Options for receiving written

communications

All written communications about this application should be sent to:

(Tick one box only)

Myself

You should complete form 956A Appointment

or withdrawal of an authorised recipient

Authorised

recipient

Migration agent

Exempt person

Your migration agent/exempt person should

complete form 956 Advice by a registered

migration agent/exempt person of providing

immigration assistance

Give details of any Australian entry permit or visa that you, or any other person accompanying you, have had refused

Full name Type of visa refused

Date refused

Office applied at

DAY MONTH YEAR

Give details of any Australian entry permit or visa that you, or any other person accompanying you, had cancelled

Full name Type of visa cancelled

Date cancelled

Office applied at

DAY MONTH YEAR

IMPORTANT: You must refer to the Department’s website at https://immi.homeaffairs.gov.au/visas/visa-pricing-estimator to complete this

part of your application. The website shows reference tables with the Visa Application Charges applicable to each visa subclass.

Payment details

AUD

Visa subclass you are applying for

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.

Base Application Charge

Write the amount shown on the reference table for your visa subclass

Non-internet Application Charge (if applicable)

(1)

(2)

(3)

(4)

(5)

Additional Applicant Charge aged 18 years or over at the time your application is lodged

Additional Applicant Charge under 18 years of age at the time your application is lodged

Subsequent Temporary Application Charge (if applicable)

Total (1) + (2) + (3) + (4) + (5)

Total

(multiplied by)

X (multiplied by)

Write the amount shown on the

reference table for your visa subclass

Write the amount shown on the

reference table for your visa subclass

Write the amount shown on the

reference table for your visa subclass

Number of additional applicants

aged 18 years or over

Number of additional applicants

under 18 years of age

Number of applicants

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

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.

I declare that:

• I declare that the information I have supplied in this application is

complete, correct and up-to-date in every detail.

• I have made adequate health insurance arrangements for the period

of my stay in Australia and I acknowledge that I am required to

maintain these arrangements while in Australia as the holder of a

Temporary Graduate visa.

• 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.

• 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 temporary stay in Australia, and to use

any information supplied in this application for that purpose. The

agencies/organisations to which information may be disclosed include:

– federal, state or territory government agencies;

– federal, state or territory law enforcement agencies;

– state or territory housing authorities (including private landlords);

– local government authorities;

– financial institutions;

– educational institutions; and

– private businesses (including telecommunication and internet

service providers, insurance companies).

• I have read and understood the information supplied to me in this

application.

• I understand that a Temporary Graduate visa is a temporary visa,

and that being granted a Temporary Graduate visa will not guarantee

that I will be eligible for the grant of a further visa to remain in

Australia, including a skilled migration visa.

• I understand that if I cannot obtain a further visa that I must depart

Australia on or before the cease date of the Temporary Graduate visa.

• I will respect Australian values during my stay in Australia and will

obey the laws of Australia.

• 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.

• I have read and understood that I am liable for the cost of any health

related services that I receive while in Australia. This does not

include costs otherwise covered, such as by health insurance,

Medicare (if eligible), or treatment for certain community health risks

such as tuberculosis.

• I understand that if my visa ceases to be in effect and I do not hold

another visa to remain in Australia at that time, I will be an unlawful

non-citizen under the Migration Act 1958. As such, I will be

expected to depart from Australia, and be subject to removal under

the Migration Act 1958.

DECLARATION FOR ALL APPLICANTS

WARNING: Giving false or misleading information or documents is a

serious offence.

Yes

Include it with your application

Please complete the checklist

Have you completed the visa specific checklist from the Department’s

website www.homeaffairs.gov.au/trav/visa-1/485-/temporary-

graduate-visa-(subclass-485)-document-checklist

The declaration and consent must be signed and dated by all

people aged 18 years or older included in this application.

Both parents or any person who has legal custody must complete

the declaration and consent on behalf of any children aged under

18 years or any person who lacks the legal capacity to sign on

their own behalf.

Signature

of primary

applicant

Date

DAY MONTH YEAR

Signature

Family name

Given names

Date

Declaration and consent

Signature

Family name

Given names

Date

When lodging your application do NOT place the application in

any binder, folder or plastic sleeve.

Signature

Family name

Given names

Date

DAY MONTH YEAR

We strongly advise that you keep a copy of your application

and all attachments for your records.

Additional information

Question number Additional information

If insufficient space, attach additional details.

Sign the document

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Form 1409: Temporary Graduate visa Application for a (Australian National University)

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Completed 21 December 2020

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