1195 (Design date 06/18) - Page 1© COMMONWEALTH OF AUSTRALIA, 2018
Form
1195
Identity declaration
Department of Home Affairs
What the photograph requirements are
You will need to submit a passport-size photograph with this
form. The person who completes Questions 2 and 3 must also
write on the back of your photograph the words:
This is a true photograph of [your full name]
and sign the back of the photograph using the same signature
as at Question 3.
The photograph must be:
• no more than 6 months old, and
• a full-face view of your head and shoulders (untinted
prescription glasses can be worn – a photograph that shows
facial features only is acceptable if you wear a head covering
for religious reasons), and
• of good quality, in colour, against a plain, light coloured
background (laser copies are not acceptable).
“This is a true
photograph of”
JOHN CITIZEN
(full name of applicant)
PSmith
(signature)
PHOTOGRAPH BACK
SIZE
Max 36mm
Min 32mm
PHOTOGRAPH FRONT
Example of photograph
Photograph to be no more than 6 months old
How to submit this form and photograph
If you are applying online for citizenship or evidence of
citizenship, pages 3 and 4 of this form must be scanned and
attached to your online application. The front and back of
your endorsed photograph must also be separately scanned, in
colour, and attached to your online application.
If you are applying for citizenship on a paper form, submit this
form with your paper form. Place the endorsed photograph in
a plastic sleeve or envelope and staple it to this form.
List of professions and occupations
1. Australian Consular Officer or Australian Diplomatic Officer
(within the meaning of the Consular Fees Act 1955)
2. Bailiff
3. Bank officer with 5 or more years of continuous service
4. Building society officer with 5 or more years of continuous
service
5. Chiropractor (licensed or registered)
6. Clerk of court
7. Commissioner for Affidavits
8. Commissioner for Declarations
9. Credit union officer with 5 or more years of continuous
service
10. Dentist (licensed or registered)
Who should use this form
Form 1195 Identity declaration is to be completed
and provided to the Department of Home Affairs (the
Department) if:
• you are applying online for citizenship or evidence of
citizenship – a separate form 1195 must be completed for
yourself and each person included in the online application,
or
• you are applying for citizenship on a paper form and have
more children than the space on your application form
allows – a separate form 1195 must be completed for each
additional child.
An application for Australian citizenship or evidence of
citizenship cannot be approved where a person’s identity is
not able to be verified.
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.
Integrity of application
The Department is committed to maintaining the integrity
of the visa and citizenship programs. If you or a third
party acting on your behalf provide, or have provided in
a previous application, false or misleading information or
documents (either knowingly or otherwise), this application
may be refused. In addition, you may be prosecuted under
the Migration Act 1958 and/or the Australian Citizenship
Act 2007. If information or documents are found to be
fraudulent or misleading after you become an Australian
citizen, you may be prosecuted and may be subject to
revocation of your Australian citizenship.
Who can complete the Identity declaration
Questions 1 and 4 of this form must be completed by
the person who is applying for citizenship or evidence of
citizenship (the applicant).
Questions 2 and 3 of this form must be completed, and the
photograph endorsed and signed, by a person who:
• is an Australian citizen, and
• has known you for at least one year, and
• is currently working in a profession or occupation listed on
pages 1 and 2, and
• is not related to you by birth, marriage or de facto
relationship, and
• is easy to contact by telephone during normal working hours.
Note: If you are applying from outside Australia and do
not know an Australian citizen, Questions 2 and 3 can be
completed, and the photograph endorsed and signed by
a citizen of your country of residence who has known you
for at least one year, is currently working in a profession or
occupation listed on pages 1–2, and is not related to you by
birth, marriage or de facto relationship.
For children under 6 years of age, Questions 2 and 3 can be
completed by an Australian citizen (or citizen of the child’s
country of residence if applying from outside Australia) who
has known the child for less than 12 months, is currently
working in a profession or occupation listed on pages 1–2, and
is not related by birth, marriage or de facto relationship.
