1023 (Design date 03/18) - Page 1© COMMONWEALTH OF AUSTRALIA, 2018
Notification of incorrect answer(s)
Form
1023
Department of Home Affairs
Important – Please read this information carefully before you
complete this form. Once you have completed this form we
strongly advise that you keep a copy for your records.
Several provisions of the Migration Act 1958 require you to
inform the Department of Home Affairs (the Department) of any
incorrect information that you may have given:
in your visa application;
on a passenger card; or
in response to a notice given to you by the Department
inviting you to comment on possible non-compliance with an
obligation to correct incorrect information.
This obligation remains even if you are subsequently granted a
visa.
This form should be used to inform the Department of
incorrect information that you may have provided in one of
the situations outlined above. Should you wish to notify the
Department of any change in your circumstances, which
means that information you have previously provided to the
Department in a application is no longer correct, you should use
form 1022 Notification of changes in circumstances.
You must answer all questions on this form.
WARNING:
If you do not comply with requirements to advise the
Department of incorrect information and give correct answers,
your visa is liable to be cancelled under the Migration Act 1958.
If you have been granted a visa, the information you provide
on this form will be taken into account in deciding whether
you should continue to hold that visa.
If you are an applicant for a visa which has not yet been
granted, the information you provide on this form will be
taken into account when assessing your visa application.
If your visa is cancelled and you are in Australia, you will
become an unlawful non-citizen. Unless you are granted a
further visa, you will be detained and removed from Australia.
If your visa is cancelled and you are outside Australia, and
you subsequently travel to Australia, you will be refused
immigration clearance and will be removed from Australia.
Cancellation of a visa that already has been granted is
not automatic. If you are in Australia, you will be given
an opportunity to comment on the grounds for possible
cancellation before a final decision on cancellation is made.
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.
Home page www.homeaffairs.gov.au
General Telephone 131 881 during business hours
enquiry line in Australia to speak to an operator (recorded
information available outside these hours).
If you are outside Australia, please contact
your nearest Australian mission.
Please keep this information page for your reference
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1023 (Design date 03/18) - Page 3© COMMONWEALTH OF AUSTRALIA, 2018
Notification of incorrect answer(s)
Form
1023
Department of Home Affairs
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form
and complete it (in English) using a pen and BLOCK LETTERS.
Tick where applicable
3
Your details
1 Your full name
Family name
Given names
2 Date of birth
Day Month Year
3 Place of birth
Town/city
Country
4 Relationship status
Married Separated
Never married or
Engaged
Divorced
been in a de facto
De facto
Widowed
relationship
5 Details from your passport
Passport number
Country of passport
6 Details of identity card or identity number issued to you by your
government (if applicable) eg. National identity card.
Note: If you are the holder of multiple identity numbers because you
are a citizen of more than one country, you need to enter the identity
number on the card from the country that you live in.
Identity number
Country of issue
7 Your present country of citizenship
8 Your current residential address
Note: A post office box address is not acceptable as a residential address.
Postcode
9 Address for correspondence
(If the same as your residential address, write ‘AS ABOVE’)
Postcode
10 Client number or file number issued to you by the Department (if known)
Details of other applicants
11 Do you have a partner (spouse or de facto partner) and/or any
dependants who are/were included in your application?
No
Yes
Provide details below
1. Family name
Given names
Date of birth
Day Month Year
Country of birth
Passport number
Country of passport
Residential address
Postcode
2. Family name
Given names
Date of birth
Day Month Year
Country of birth
Passport number
Country of passport
Residential address
Postcode
3. Family name
Given names
Date of birth
Day Month Year
Country of birth
Passport number
Country of passport
Residential address
Postcode
If insufficient space, attach additional details
1023 (Design date 03/18) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2018
Details of incorrect information
12 The incorrect information provided was on:
visa application
passenger card
form 1022 Notification of changes in circumstances
13 List details of the information provided which was incorrect and provide
the correct information
1. Information which was incorrect
Correct details
2. Information which was incorrect
Correct details
If insufficient space, attach additional details
14 Why was incorrect information provided?
If insufficient space, attach additional details
Your visa and application details
15 Visa details (if known)
Date granted
Day Month Year
Stay period
Visa class
16 Application details (if known)
Date of application
Day Month Year
Stay period
Visa class
Declaration
WARNING: Giving false or misleading information is a serious offence.
17 I declare that:
the information provided on or with this form is true and correct in
every detail.
I have read the information contained in form 1442i Privacy notice.
I understand the Department may collect, use and disclose my
personal information (including biometric information and other
sensitive information) as outlined in form 1442i Privacy notice.
Signature of applicant
-
Date
Day Month Year
Signature of other applicant (aged 18 years or over)
-
Date
Day Month Year
Signature of other applicant (aged 18 years or over)
-
Date
Day Month Year
Signature of other applicant (aged 18 years or over)
-
Date
Day Month Year
We strongly advise that you keep a copy of this form and all
attachments for your records.