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 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 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

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:

Family name Given names

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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

Agent Email

Application for Bridging visa E – subclass 050

Application for Bridging visa E – subclass 050