10 Are you or have you been known by any other name? (including name at birth, previous married names, aliases)
No
Yes Give details
11 Do you currently hold an Australian visa? No
Yes Note: If this visa application is approved, your current visa may cease.
12 Have you applied for a Parent (subclass 103) visa?
18 What is your legal status in your current location? Citizen
Permanent resident Visitor Student Work visa No legal status
Other Give details
19 What is the purpose of your stay in your current location and what is your visa status?
20 Your current residential address
Note: A street address is required as a post office box address cannot be accepted.
Country
21 Address for correspondence
(If the same as your residential address, write ‘AS ABOVE’)
No
Yes Please provide your queue date
DAY MONTH YEAR
13 Do you currently hold, or have you applied for, an APEC Business Travel Card (ABTC)?
No
Yes Note: If this visa application is approved, the Australian visa
associated with your ABTC will cease.
14 Are you a citizen of any other country? No
Yes List countries
15 Do you have other current passports? No
Yes Give details Passport number Country of passport
16 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 live in.
No
Yes Give details
Family name Given names
Type of document Identity number Country of issue
17 In what country are you currently located?
Country
22 Contact telephone numbers COUNTRY CODE
Home Office Mobile/cell
AREA CODE
NUMBER
POSTCODE
POSTCODE
()()
()()
23 Do you agree to the department communicating with you by email and/or fax?
This may include receiving notification of the outcome of this application.
Note: We can communicate about this application more quickly using email and/or fax.
No
Yes Give details
Email address Fax number
COUNTRY CODE
AREA CODE
NUMBER
(
) (
)
10 Are you or have you been known by any other name? (including name at birth, previous married names, aliases)NoYes Give details11 Do you currently hold an Australian visa? NoYes Note: If this visa application is approved, your current visa may cease.12 Have you applied for a Parent (subclass 103) visa?18 What is your legal status in your current location? CitizenPermanent resident Visitor Student Work visa No legal statusOther Give details19 What is the purpose of your stay in your current location and what is your visa status?20 Your current residential addressNote: A street address is required as a post office box address cannot be accepted.Country21 Address for correspondence(If the same as your residential address, write ‘AS ABOVE’)NoYes Please provide your queue dateDAY MONTH YEAR13 Do you currently hold, or have you applied for, an APEC Business Travel Card (ABTC)?NoYes Note: If this visa application is approved, the Australian visaassociated with your ABTC will cease.14 Are you a citizen of any other country? NoYes List countries15 Do you have other current passports? NoYes Give details Passport number Country of passport16 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 live in.NoYes Give detailsFamily name Given namesType of document Identity number Country of issue17 In what country are you currently located?Country22 Contact telephone numbers COUNTRY CODEHome Office Mobile/cellAREA CODENUMBERPOSTCODEPOSTCODE()()()()23 Do you agree to the department communicating with you by email and/or fax?This may include receiving notification of the outcome of this application.Note: We can communicate about this application more quickly using email and/or fax.NoYes Give detailsEmail address Fax numberCOUNTRY CODEAREA CODENUMBER() ()
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