Skip to content
+1 407 360 2925
|
info@educli.com
Search for:
Subsequent Entrant Visa
Home
/
Subsequent Entrant Visa
Subsequent Entrant Visa
Michael
2020-04-03T23:26:15+11:00
Subsequent Entrant Visa
Step
1
of
11
9%
Application Context
Agent Email Address
*
Student Email Address
*
Agent Id
Student Id
Quote Id
Primary applicant's date of birth
DD slash MM slash YYYY
Commonwealth funded student
Is the related student applicant receiving partial or full funding under a training scheme approved by the Commonwealth government of Australia?
Yes
No
Accompanying members of the family unit
Give details of all members of the family unit who will accompany the primary visa application/ holder in Australia.
Relationship to primary applicant
Child
Spose/ De Facto Partner
Step Child
Passport details
Enter the following details as they appear in the family member's personal passport.
Family Name
Given Names
Sex
Female
Male
Other
Date of Birth
DD slash MM slash YYYY
Passport Number
Country of Passport
Nationality of passport holder
Place of issue/ issuing authority
Date of issue
DD slash MM slash YYYY
Date of expire
DD slash MM slash YYYY
National identify card
Does this family member have a national identify card?
Yes
No
Enter details exactly as show on the national identity card
Family name
Given names
Identification number
Country of issue
Note: If the National identify card does not have a Date of issue or a Date of expiry, do not enter a date. Leave the field/s blank
Date of issue
DD slash MM slash YYYY
Date of expiry
MM slash DD slash YYYY
Place of birth
Town/ City
State/ Province
Country of birth
Relationship status
De Facto
Divorced
Engaged
Married
Never Married
Separated
Widowed
Other names/ spellings
Is this family member currently, or have they ever been known by any other names?
Yes
No
Other names/ spellings
Family name
Given names
Reason for name change
Deep Poll
Marriage
Other
Citizenship
Is this family member a citizen of the selected country of passport?
Yes
No
Is this family member a citizen of any other country?
Yes
No
List countries
Is this family member currently stateless?
Yes
No
Give details
The responses to the questions above indicate that this family member holds no citizenship and is not stateless. If this is not correct, then amend the answers above. If this is correct, give details as to why the family member is not citizen of any country and is not stateless.
Other passports
Does this family member have other current passport?
Yes
No
Enter details exactly as shown on the passport
Family name
Given names
Sex
Female
Male
Other
Date of birth
DD slash MM slash YYYY
Passport number
Country of passport
Nationality of passport holder
Place of issue/ issuing authority
Date of issue
MM slash DD slash YYYY
Date of expiry
MM slash DD slash YYYY
Other identity documents
Does this family member have other identity documents?
Yes
No
Enter details exactly as shown on the identity document.
Family name
Given names
Type os document
Identification number
Country of issue
Birth certificate
Drivers licence
Marriage certificate
Other
Health examination
Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
Yes
No
Give details
HAP ID (if available)
Child custody details
Is this family member a child under 18 years of age?
Yes
No
Is this child in the primary applicant's care and legal custody?
Yes
No
Give details
Does any other person have custodial, access or guardianship rights to this child?
Yes
No
Give details
Are there any legal impediments to this child's travel?
Yes
No
Give details
Contact details
Department office
The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant's current location?
Argentina, Buenos Aires
Australia, ACT Regional Office
Australia, Adelaide Regional Office
Australia, Brisbane Regional Office
Australia, Cairns Regional Office
Australia, Dandenong Regional Office
Australia, Darwin Regional Office
Australia, Hobart Regional Office
Australia, Melbourne Regional Office
Australia, Parramatta Regional Office
Australia, Perth Regional Office
Australia, Sydney City Office
Australia, Thursday Island Office
Austria, Vienna
Bangladesh, Dhaka
Brazil, Brasilia
Cambodia, Phnom Penh
Canada, Ottawa
Chile, Santiago de Chile
China, Beijing
China, Guangzhou
China, Hong Kong
China, Shanghai
Egypt, Cairo
Fiji, Suva
Germany, Berlin
India, New Delhi
Indonesia, Jakarta
Iran, Tehran
Israel, Tel Aviv
Japan, Tokyo
Jordan, Amman
Kenya, Nairobi
Lebanon, Beirut
Malaysia, Kuala Lumpur
Mauritius, Port Louis
Mexico, Mexico City
Myanmar, Yangon
New Zealand, Auckland
Pakistan, Islamabad
Papua New Guinea, Port Moresby
Philippines, Manila
Republic of Turkey, Ankara
Russia, Moscow
Serbia, Belgrade
Singapore
South Africa, Pretoria
South Korea, Seoul
Spain, Madrid
Sri Lanka, Colombo
Thailand, Bangkok
Timor-Leste, Dili
United Arab Emirates, Dubai
United Kingdom, London
United States, Washinton
Vietnam, Hanoi
Vietnam, Ho Chi Minh City
Country of residence
Residential address in usual country of residence
Street Address
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
Ã…land Islands
Country
The term 'usual country of residence' refers to the applicant's home country.
Contact telephone numbers in usual country of residence
Business phone
Home phone
Mobile/ Cell phone
Residential address in Australia
Street Address
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
Ã…land Islands
Country
Contact telephone numbers in Australia
Business phone
Home phone
Mobile/ Cell phone
Postal address for correspondence
Is the postal address for correspondence the same as the applicant's residential address in their usual country of residence?
Yes
No
Is the postal address for correspondence the same as the applicant's residential address in Australia?
Yes
No
Postal address for correspondence
Street Address
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
Ã…land Islands
Country
Email address
Funding for stay
Do all applicants in this application confirm that they each have access to sufficient funds to support themselves for the total period of stay in Australia and understand that further evidence or funds may also be requested?
Yes
No
Show how each applicant included in the application will support themselves in Australia to meet living, tuition and school costs. Select any that apply.
Government scholarship/ financial support
Other organisation scholarship/ financial support
Financial support from an individual
Other financial support
Give details
Government scholarship
Sponsoring organisation type
Australian Commonwealth government
Australian State and Territory government
Foreign government
Other
Sponsoring organisation type
Education provider
International organisation
Foreign country organisation
Non-profit organisation
Other
Sponsoring organisation name
Scholarship/ Award name
Country
Organisation address
Street Address
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
Ã…land Islands
Country
Contact Person details
Family Name
Given names
Position
Business phone
Mobile/ Cell phone
Give details
Financial support from an individual
Will the funds be provided by an individual other than the applicant?
Yes
No
Relationship to the applicant
Other
Parent
Spouse/ De Facto Partner
Other relationship
Funding type
Deposit in financial institution
Loan from financial institution
Ongoing income
Other
Give details
Value in Australian dollars (whole dollars only)
Financial Institution
Language
Dependent main language
Countries visited
Have any of the applicants visited any countries in the past 10 years?
Yes
No
Include: - Work or study outside your usual country of residence - Holidays/ leisure trips - Business - Military deployment - Visits back to your usual country of residence if living away
Name
Country
Date From
Date to
Reason for visit
Visa History
Has the applicant, or any person included in this application, held or currently hold a visa to Australia or any other country?
Yes
No
Give details
Has the applicant, or any person included in this application, ever been in Australia or any other country and not complied with visa conditions or departed outside their authorised period of stay?
Yes
No
Give details
Has the applicant, or any person included in this application, ever had an application for entry or further stay in Australia or any other country refused, or had a visa cancelled?
Yes
No
Give details
Health declarations
In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include time spent in Australia.
Yes
No
Visit to other countries
Name
Country
Date from
Date to
Does the applicant intend to enter a hospital or a health care facility(including nursing homes) while in Australia?
Yes
No
Intention to enter hospitals or health care facilities
Name
Reason
Give Details
Work
Training
Treatment
Visiting
Give birth
Give details off all applications that intend to enter a hospital or a health care facility (including nursing homes) while in Australia.
Does the applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia?
Yes
No
Intention to work or study in health care
Name
Give details
Give details of all applicants that intend to work as, or study to be, a doctor, dentist, nurse or paramedic during their stay in Australia.
Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia?
Yes
No
Intention to work or be a trainee in child care
Name
Give details
Give details of all applicants that intend to work, or be a trainee in child care (including preschools and creches) while in Australia.
Has any applicant:
Ever had, or currently have, tuberculosis? Been in close contact with a family member that has active tuberculosis? Ever had a chest x-ray which showed an abnormality?
Yes
No
Contact with tuberculosis
Give details of all applicants that have: Ever had, or currently have, tuberculosis/ Been in close contact with a family member that has active tuberculosis/ Ever had a chest x-ray that showed an abnormality.
Name
Give details
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require treatment or medical follow up for:
Blood disorder/ Cancer/ Heart disease/ Hepatitis B or C or liver disease/ HIV Infection, including dialysis/ Mental illness/ Pregnancy/ Respiratory disease that has required hospital admission or oxygen therapy/ Other?
Yes
No
Expect to incur medical costs or treatment
Name
Conditions
Give details
Blood disorder
Cancer
Heart disease
Hepatitis B or C and/or liver disease
HIV infection, including AIDS
Kidney disease, including dialysis
Mental illness
Pregnancy
Respiratory disease that has required hospital admission or oxygen therapy
Other
Give details of the medical condition for which the applicant expects to incur costs, require treatment or medical follow up:
Does any applicant require assistance with mobility or care due to a medical conditions?
Yes
No
Require assistance due to a medical condition
Name
Give details
Give details of all applicants that require assistance with mobility or care due to a medical condition.
Character declaration
Has any applicant ever been charged with any offence that is currently awaiting legal action?
Yes
No
Give details
Has any applicant ever been convicted of an offence in any country (including any conviction which is now removed from official records)?
Yes
No
Give details
Has any applicant ever been the subject of an arrest warrant or interpol notice?
Yes
No
Give details
Has any applicant ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?
Yes
No
Give details
Has any applicant ever been named on sex offencer register?
Yes
No
Give details
Has any applicant ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?
Yes
No
Give details
Has any applicant ever been found by a court not fit to plead?
Yes
No
Give details
Has any applicant ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?
Yes
No
Give details
Has any applicant ever 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?
Yes
No
Give details
Has any applicant ever been associated with a person, group or organisation that has been or is involved in criminal conduct?
Yes
No
Give details
Has any applicant ever 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?
Yes
No
Give details
Has any applicant ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?
Yes
No
Details of military service
Name
Country of service
Date from
Date to
Give details
Give details, including a description of the duties performed.
Has any applicant ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?
Yes
No
Details of military training
Name
Country of training
Date from
Date to
Give details
Give details, including a description of any specialist training received.
Has any applicant ever been involved in people smuggling or people trafficking offences?
Yes
No
Give details
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
Yes
No
Give details
Has any applicant ever overstayed a visa in any country (including Australia)?
Yes
No
Give details
Has any applicant ever had any outstanding debts to the Australian Government or any public authority in Australia?
Yes
No
Give details
Student declarations
Warning: Giving false or misleading information is a serious offence. The applicants declare that they:
Have read and understood the information provided on the website (www.studyinaustralia.gov.au) regarding living and studying in Australia.
Yes
No
Have made adequate arrangements for health insurance for the period of their stay in Australia and acknowledge they are required to maintain these arrangements while in Australia as the holder of a student visa.
Yes
No
Understand that a student visa is a temporary visa and that being granted a student visa will not guarantee that they will be eligible for the grant of a further visa to stay in Australia, including a skilled migration visa.
Yes
No
Understand that if they cannot obtain a further visa they must depart Australia on or before the cease date of the student visa.
Yes
No
Acknowledge that if granted a student visa, they are required to understand and abide by its conditions.
Yes
No
Understand that if the 8534 visa condition is imposed on the student visa, it will be indicated by the condition code 8534 and by the short description No Further Stay.They acknowledge that this means the 8534 condition has been imposed on their visa and while in Australia they will only be entitled to the grant of limited visas including: A subclass 485 (Temporary Graduate) visa ,or A subclass 590 (Student Guardian) visa.
Yes
No
Understand that the effect of 8534 visa condition is that it will not be possible to apply to remain in Australia beyond the date authorised on the student visa and that they will be required to depart Australia on or before that date.
Yes
No
Declarations
Warning: Giving false or misleading information is a serious offence. The applicants declare that they:
Have read and understood the information provided to them in this application.
Yes
No
Have provided complete and correct information in every detail on this form, and on any attachments to it.
Yes
No
Understand that if any fraudulent documents or false or misleading information has been provided with this application, or if any of the applicants fail to satisfy the Minister of their identity, the application may be refused and the applicant(s), and any member of their family unit, may become unable to be granted a visa for a specified period of time.
Yes
No
Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.
Yes
No
Understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia.
Yes
No
Will inform the Department of Immigration and Border Protection in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.
Yes
No
Have read the information contained in the Privacy Notice (Form 1442i) .
Yes
No
https://www.homeaffairs.gov.au/forms/Documents/1442i.pdf
Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i) .
Yes
No
https://www.homeaffairs.gov.au/forms/Documents/1442i.pdf
Give consent to the collection of their fingerprints and facial image.
Yes
No
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical information held by the Department of Immigration and Border Protection may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being applied for, and for law enforcement purposes.
Yes
No
Give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the Department of Immigration and Border Protection to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes.
Yes
No
Give consent to the Department of Immigration and Border Protection using the applicant's biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.
Yes
No
Australian values
Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian society and values, and agrees to the Australian values statement.
Yes
No
https://www.homeaffairs.gov.au/Trav/Life/Aust/Short-statement