Family composition
54
Form
Are you applying for a:
1. You must complete this form in English only.
2. You must give details of all your family members living in your home country and abroad including half, step and adopted brothers, sisters and children (if not living, write
‘Deceased’ in Home address column. If whereabouts unknown, write ‘Unknown’ in Home address column).
3. If you have been assisted in completing this form, you should only sign the Declaration if the information is true and correct and has been included with your full knowledge,
consent and understanding.
Visitor visa (600)
Other
Home address Previous visits to Australia
Given names Date of birth
DAY MONTH YEAR
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Family name
Yourself
Spouse
Father/Mother
Father/Mother
Brother/sister
Brother/sister
Brother/sister
Son/daughter
Son/daughter
Son/daughter
Relationship status
(use codes below)
54 (Design date 04/20)© COMMONWEALTH OF AUSTRALIA, 2020
DAY MONTH YEAR
Note:
Family
composition
/ /
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De facto
‘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
DAY MONTH YEAR
Signature of applicant
DAY MONTH YEAR
Signature of witness
Declaration
I declare that:
• the information I have given on this form is complete and correct.
• in any section of this form which has been completed with the
assistance of another person, the information as set down is
true and correct and has been included with my full knowledge,
consent and understanding.
Department of Home Affairs
