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Application for Bridging visa E – subclass 050
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Application for Bridging visa E – subclass 050
Application for Bridging visa E – subclass 050
Michael
2020-12-29T16:13:44+11:00
Application for Bridging visa E — subclass 050
Part A – Personal details
Your full name
Family name
Given names
Date of birth
Day
Month
Year
Are you currently in immigration detention?
No
Yes
Are the other applicants included in this application (if any) also being held in immigration detention?
No
Yes
Your current residential address in Australia
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Note: A post office box address is not acceptable as a residential address. Failure to provide your residential address will result in this application being invalid.
Part B – Contact details
Address for correspondence (If the same as your residential address in Question 4, write ‘AS ABOVE’
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
If any other applicants are included in this application (see Question 16), is this the address at which the Department may correspond with those other applicants?
No
Yes
Your telephone numbers
Office hours
After hours
Do you, and the other applicants included in this application (if any), agree to the Department communicating with you by fax, email or other electronic means?
No
Yes
Fax number
Email address
Part C – Details from your passport
Details from your passport
Passport number
Country of passport
Date of issue
Day
Month
Year
Date of expiry
Day
Month
Year
Issuing authority/place of issue as shown in your passport
Part D – Application details
Please select the section that is most appropriate to your circumstances: (Additional information may be provided at Question 15 to support your application.)
Applicant for a substantive visa
Ministerial intervention
Judicial review
Review of a decision to cancel a visa
Making arrangements to depart Australia
Applicant for a substantive visa
Are you waiting for a decision from the Department or the tribunal on an application for a substantive visa?
No
Yes
Do you intend to apply for a substantive visa (ie. a visa other than a bridging visa)?
No
Yes
Ministerial intervention
Have you requested the exercise of the Minister’s powers to intervene to substitute a more favourable decision for a decision of the Administrative Appeals Tribunal?
No
Yes
Judicial review
Have you commenced judicial proceedings (eg. in the Federal Court) in relation to a decision to refuse or cancel a substantive visa (ie. proceedings in relation to the refusal or cancellation of a visa other than a bridging visa)?
No
Yes
Have those proceedings been completed or withdrawn?
No
Yes
Are you a party to any other proceedings concerning your immigration status?
No
Yes
Has a member of your family unit commenced judicial proceedings in relation to the refusal of an application for a substantive visa (ie. proceedings in relation to the refusal of a visa other than a bridging visa)?
No
Yes
Have those proceedings been completed or withdrawn?
No
Yes
Note: To be eligible for the grant of a bridging visa in association with such proceedings you must have made an application that was combined with the substantive visa application made by the member of your family unit.
Review of a decision to cancel a visa
Did you hold a visa that has been cancelled?
No
Yes
Have you applied for, or are you applying for, revocation or review of a decision in relation to the cancellation of a visa?
No
Yes
Did you hold a visa that was cancelled because of the cancellation of a visa held by another person?
No
Yes
Has that other person applied for, or is that other person intending to apply for, review of the decision to cancel his or her visa?
No
Yes
Are you making, or are you the subject of, arrangements to depart Australia?
No
Yes
Date of intended departure
Day
Month
Year
Method of departure
Intended destination
What arrangements have been made for your departure?
Hold a passport
Hold a ticket
Other
Give details
Give details
Give details
Do you currently have any matters before an Australian court or tribunal?
No
Yes
Give details
Are you seeking the waiver of a condition imposed on a previous visa, or a restriction, which currently prevents you from applying for a visa in Australia?
No
Yes
Give details
Have you been granted a bridging visa previously on the basis that you were making arrangements to depart Australia?
No
Yes
Why did you not depart?
Additional information Please provide any additional information that may be relevant to your application, including details of any outstanding visa application(s), merits review proceedings, judicial review proceedings, ministerial intervention requests and any other steps you are taking to resolve your immigration status. (If necessary, please attach additional pages.) Note: In order to satisfy the criteria for the grant of a Bridging visa E, an applicant must satisfy the Department that he or she will abide by any conditions to be imposed on the visa if granted and, if requested, lodge a security for compliance with those conditions.
Part E – Additional applicants
Give details of members of your family who are seeking to satisfy the same criteria for the grant of a Bridging visa E (see Questions 10–14). (If any members of your family are seeking to satisfy different criteria for the grant of a Bridging visa E, they will need to complete a separate form 1008 Application for Bridging visa E – subclass 050.) Note: • A post office box address is not acceptable as a residential address. Failure to give a residential address will result in your application being invalid. • Unless otherwise advised in writing or on form 929 Change of address and/or passport details, the Department will communicate with the additional applicants in the same manner, and at the same address, as has been requested by the main applicant (see Questions 6, 8 and 21).
Applicant
Family name
Given names
Date of birth
Current residential address in Australia
Part F – Assistance with this form
Did you receive assistance in completing this form?
No
Yes
Title:
Mr
Mrs
Miss
Ms
Other
Family name
Given names
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Telephone number or daytime contact
Office hours
Mobile/cell
Is the person/agent in Australia?
No
Yes
s the person/agent in Australia?
No
Yes
Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
Part G – Options for receiving written communications
All written communications about this application should be sent to: (Tick one box only)
Myself
Authorised recipient
You should complete form 956A Appointment or withdrawal of an authorised recipient
Migration agent
Exempt person
You should complete form 956A Appointment or withdrawal of an authorised recipient
Part H – Character
Have you, or any other person included in this application, ever:
been charged with any offence that is currently awaiting legal action?
No
Yes
been convicted of an offence in any country (including any conviction which is now removed from official records)?
No
Yes
been charged or convicted of a family or domestic violence offence or any similar related offence?
No
Yes
been the subject of a domestic or family violence order, or any other order, of a tribunal or court or other similar authority, for the personal protection of another person?
No
Yes
been the subject of an arrest warrant or Interpol notice?
No
Yes
been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?
No
Yes
been named on a sex offender register?
No
Yes
been acquitted of any offence on the grounds of unsoundness of mind or insanity?
No
Yes
been found by a court not fit to plead?
No
Yes
been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?
No
Yes
been charged with, or indicted for: genocide, war crimes, crimes against humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?
No
Yes
been associated with a person, group or organisation that has been/is involved in criminal conduct?
No
Yes
been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia?
No
Yes
served in a military force, police force, state sponsored/private militia or intelligence agency (including secret police)?
No
Yes
undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?
No
Yes
been involved in people smuggling or people trafficking offences?
No
Yes
been removed, deported or excluded from any country (including Australia)?
No
Yes
overstayed a visa in any country (including Australia)?
No
Yes
had any outstanding debts to the Australian Government or any public authority in Australia?
No
Yes
If you answered ‘Yes’ to any question at Question 22, give details, including the date of the charge, the outcome and any penalty imposed. Also attach court documents (for example sentencing remarks or court transcripts). Where relevant, provide a copy of all declared orders (for example, any domestic or family violence orders, child protection orders, or orders that prohibit the applicant from having contact with another person for their personal protection). You are only requested to declare an order where the applicant is the respondent or subject of the order. You are not asked to declare an order where the applicant is the person requiring personal protection.
Part I – Declaration
The following declaration must be signed and dated by all applicants aged 18 or over included in this application
WARNING: Giving false or misleading information is a serious offence. If a Bridging visa E is granted to me I understand that conditions may apply to the visa and that if I fail to abide by these conditions my visa may be cancelled and any security lodged for compliance with the conditions may be forfeited. I declare that: • the information supplied on this application is complete, correct and up-to-date 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. • I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such, I will be expected to depart from Australia, and be subject to removal under the Migration Act 1958.
Signature
Date
Day
Month
Year
Signature
Date
Day
Month
Year
Signature
Date
Day
Month
Year
Signature
Date
Day
Month
Year
Signature
Date
Day
Month
Year
Office use only
Form 1211 may be completed as the decision record for this application. Form 1212 may be completed to advise applicant of conditions of grant
If the applicant is in detention, has a Detention Review Officer been informed of the application?
No
Yes