eandcorrectandhasbeenincludedwithyourfullknowledge,consentandunderstanding.positionFamilynameGivennamesDateofbirthRelationshipstatus(usecodesbelow)HomeaddressPreviousvisitstoAustraliaDAYMONTHYEARDAYMONTHYEARYourself//NNO//SpouseNO//Defacto////Father/Mother//MNO//Father/Mother//MNO//Brother/sister////Brother/sister////Brother/sister////Son/daughter//Son/daughter////Son/daughter////Form‘Relationshipstatus’codesM=MarriedE=EngagedF=DefactoS=SeparatedD=DivorcedW=WidowedN=NevermarriedorbeeninadefactorelationshipDeclarationIdeclarethat:*pleteandcorrect.*pletedwiththeassistanceofanotherperson,theinformationassetdownistrueandcorrectandhasbeenincludedwithmyfullknowledge,consentandunderstanding.SignatureofapplicantDAY?MONTH?YEARSignatureofwitnessDAY?MONTH?MONWEALTHOFAUSTRALIA,2015?54(Designdate10/15)
全文预览
