Application for a Resident Return visa (RRV) Application for a Resident Return visa (RRV) Step 1 of 4 25% Part A – Your detailsAre you an Australian citizen? No Yes This is not the correct form. If you are an Australian Citizen you have an automatic right of entry to Australia when presenting a valid Australian passport. Further information is available from www.passports.gov.auTYPE OF APPLICATION RRV (called a Return (Residence) (Class BB) visa) Provisional RRV (called a Resident Return (Temporary) (Class TP) visa) Note: A Provisional RRV is for persons who claim, but are unable to prove, that immediately before going overseas they were an Australian permanent resident or citizen who was usually resident in Australia.Your full name Family name Given names Have you been known by any other names?(including name at birth, previous married names, aliases) No Yes Give details Family name Given names Reason for change Deed Poll Marriage Other If you have changed your name since your first arrival in Australia, please provide documents to evidence your name change (eg. marriage certificate, deed poll or other official documents showing use of the name).Sex Male Female Indeterminate / Intersex / Unspecified Date of Birth Day Month Year Place of Birth Town/City AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relationship status Married Engaged De facto Separated Divorced Widowed Never married or been in a de facto relationship Current residential address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 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.Address for correspondence - Is the same as your residential address ? Yes No Address for correspondence Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your telephone numbersOffice hoursAfter hoursDo you agree to the Department communicating with you by email or other electronic means? No Yes Give Details - Email Address Are you presently in Australia? No Yes Date you last departed Australia Day Month Year Date of expected departure from Australia Day Month Year Details from your passportNote: If you do not have a valid passport at the time of decision, your application may be refused.Passport numberCountry of passport AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of issue Day Month Year Date of expiry Day Month Year Issuing authority/place of issue as shown in your passportDetails of identity card or identity number issued to you by your government (if applicable) eg. National identity card.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 inIdentity numberCountry of issue AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Have you ever been charged with any offence that is currently awaiting legal action? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been convicted of an offence in any country (including any conviction which is now removed from official records)? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been charged or convicted of family or domestic violence offences or similar related offences? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever 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 Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been the subject of an arrest warrant or Interpol notice? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been named on a sex offender register? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been acquitted of any offence on the grounds of unsoundness of mind or insanity? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been found by a court not fit to plead? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you 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? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you 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? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been associated with a person, group or organisation that has been/is involved in criminal conduct? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you 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? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever served in a military force, police force, state sponsored/private militia or intelligence agency (including secret police)? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever sundergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been involved in people smuggling or people trafficking offences? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever had any outstanding debts to the Australian Government or any public authority in Australia? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever been removed, deported or excluded from any country (including Australia)? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Have you ever overstayed a visa in any country (including Australia)? No Yes Give detailsDate of chargeOutcomePenalty imposed 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. Attach court documents (for example sentencing remarks or court transcripts). Drop files here or Select files Max. file size: 256 MB. Part B – Visa detailsWere you granted your first permanent visa while in Australia? No Yes Date you first arrived in Australia on a permanent visa Day Month Year Date of grant Day Month Year If you arrived in Australia prior to 1981, and you have not travelled overseas since your arrival, you should provide supporting evidence such as: • a statutory declaration stating: – that you have been resident since your first arrival – the means of travel (eg. ship or airplane) – the vessel (eg. ship name or flight number if available) – the port at which your arrival was processed (may be a seaport or an airport) – the full names and dates of birth of any accompanying family members • a copy of your original travel document including all pages with stamps or labels affixed • a copy of a National Archives record regarding your first arrival • other documentation that indicates the time you have spent in Australia such as: – letters or other documentation from employers – school records – bank records – taxation assessment notices.Max. file size: 256 MB. Do you currently hold a permanent visa (including an RRV)? No Yes Date your last permanent visa ceased Day Month Year Date you were last granted a permanent vis Day Month Year Have you previously been an Australian citizen? No Yes Date you became an Australian citizen Day Month Year You will need to show evidence that you were an Australian citizen,such as a citizen certificate or an Australian passportDate you ceased to be an Australian citizen Day Month Year Have you ever had an Australian entry permit or visa cancelled? No Yes Give detailsHave you ever been deported from Australia? No Yes Give detailsHave you been present in Australia as a permanent resident or Australian citizen for periods totalling at least 2 years in the last 5 years? No Yes Are you the partner or immediate family member of a person who has already applied for or holds an RRV? No Yes Give DetailsPerson’s nameTheir passport numberTheir visa numberExpiry date of their visa Day Month Year Are you the partner or immediate family member of a person who is already a permanent visa holder or an Australian citizen? No Yes Give DetailsPerson’s nameTheir passport numberTheir visa numberExpiry date of their visa Day Month Year Do you have substantial business, cultural, employment or personal ties with Australia which are of benefit to Australia? No Yes Describe the nature of these ties and how they are of benefit to Australia, together with evidence to support your claimsAre you applying while inside Australia? No Yes Were you a permanent resident or citizen of Australia when you last departed Australia? No Yes Have you been absent from Australia for a continuous period of 5 years or more immediately before lodging this application? No Yes Do you have compelling reasons for the absence? No Yes Describe these reasons, together with evidence to support your claimHave you been an Australian citizen or permanent resident in the last 10 years? No Yes Have you been absent from Australia for a period or periods that total more than 5 years since you last departed Australia as an Australian citizen or permanent resident? No Yes Do you have compelling reasons for the absence? No Yes Describe these reasons, together with evidence to support your claimHave you been absent from Australia for a continuous period of 5 years or since the date you were granted your most recent permanent visa or since the date you ceased to be a citizen? No Yes Do you have compelling reasons for the absence? No Yes Describe these reasons, together with evidence to support your claimAre you applying while inside Australia? No Yes Did you have a compelling and compassionate reason for last departing Australia? No Yes Describe these reasons, together with evidence to support your claimHave you been absent from Australia for a continuous period of more than 3 months immediately before lodging this application? No Yes Do you have compelling reasons for the absence? No Yes Describe these reasons, together with evidence to support your claimHave you got a compelling and compassionate reason for departing Australia? No Yes Describe these reasons, together with evidence to support your claim Part C – Assistance with this formDid you receive assistance in completing this form? No Yes Title Mr Mrs Miss Ms Other Name Family Name Given Names Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Telephone number or daytime contact - Office HoursTelephone number or daytime contact - Mobile/CellIs the person an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA)? No Yes Is the person/agent in Australia? No Yes Did you pay the person/agent and/or give a gift for this assistance? No Yes Part D – Options for receiving written communicationsAll written communications about this application should be sent to: Myself Authorised recipient Migration agent Exempt person Part E – Payment detailsNote: You can make a combined application if the additional applicant is included in the passport of another applicant.IMPORTANT: You must refer to the Department’s website at www.homeaffairs.gov.au/trav/visa/fees to complete this part of your application.The website shows reference tables with the Visa Application Charges applicable to each visa subclass.Visa subclass you are applying for1. Base Application Charge AUDWrite the amount shown on the reference table for your visa subclass2.Non-internet Application Charge(if applicable) AUDAdditional Applicant Charge aged 18 years or over at the time your application is lodgedWrite the amount shown on the reference table for your visa subclass AUDNumber of additional applicants aged 18 years or over3. Total AUDAdditional Applicant Charge under 18 years of age at the time your application is lodgedWrite the amount shown on the reference table for your visa subclass AUDNumber of additional applicants under 18 years of age4. Total AUDSubsequent Temporary Application Charge (if applicable)Write the amount shown on the reference table for your visa subclass AUDNumber of applicants5. Total AUDTotal (1) + (2) + (3) + (4) + (5) AUDYou must pay the total amount or your visa application will not be valid. Note: A second instalment of the Visa Application Charge must also be paid before we can grant some visas.Make your payment electronically through the ‘My Payments’ section of ImmiAccount. Sign into, or create, your ImmiAccount and selectMy Payments>Manage Payments>Pre-Pay Paper Service, at www.homeaffairs.gov.au/immiaccountDo not provide credit card details on this form. Make your credit card payment electronically through the ‘My Payments’ section of ImmiAccount.If you are outside Australia and cannot pay online in ImmiAccount check the Department’s website for alternative payment methods for your location www.homeaffairs.gov.au/locationsPayment receipt number from the ‘My Payments’ section of ImmiAccountAttach a copy of your printed receiptMax. file size: 256 MB. Part F – DeclarationWARNING: Giving false or misleading information is a serious offence.I declare that: I have read and understood the information provided in this application. I have provided complete and correct information in every detail on this form, and on all documents attached to it. I understand that if any bogus document or false or misleading information has been provided with this application, or if I fail to satisfy the Minister of my identity, my application may be refused and I may become unable to be granted a visa for specified periods of time. I understand that if documents are found to be bogus or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled. I will immediately inform the Department in writing of any change in circumstances (including change of address) or if there is any change relating to information provided in or with this application (such as your criminal history), while this application is being considered. I authorise the Australian Government to make any enquiries necessary to determine my eligibility for permanent stay in Australia, and to use any information supplied in this application for that purpose. 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. Signature of primary applicantDate Day Month Year Agent Email