New Zealand Citizen Family Relationship 147 (subclass 461 ... · The New Zealand Citizen Family...
Transcript of New Zealand Citizen Family Relationship 147 (subclass 461 ... · The New Zealand Citizen Family...
147 (Design date 10/15) - Page 1
The Department of Immigration and Border Protection (thedepartment) acknowledges that Aboriginal and Torres StraitIslander peoples are the traditional custodians of the Australianland.
Important – Please read this information carefully before youcomplete your application. Once you have completed yourapplication we strongly advise that you keep a copy for yourrecords.
Life in Australia – Australian valuesThe Australian Government encourages people to gain anunderstanding of Australia, its people and their way of life,before applying for a visa to live in Australia. As part of thisevery person aged 18 years or over must declare that they willrespect Australian values, as outlined below and obey the lawsof Australia.
Australian values include respect for the freedom and dignity ofthe individual, freedom of religion, commitment to the rule oflaw, Parliamentary democracy, equality of men and women anda spirit of egalitarianism that embraces mutual respect,tolerance, fair play and compassion for those in need andpursuit of the public good.
Australian society also values equality of opportunity forindividuals, regardless of their race, religion or ethnicbackground.
It is also important to understand that English is the nationallanguage.
Further information is contained in the Life in Australiabooklet, however, you are not required to read the booklet.The booklet is available in a wide range of languages. If youwould like a copy of the booklet it can be obtained fromwww.border.gov.au
About this visaThe New Zealand Citizen Family Relationship (subclass 461)visa allows a person, or persons who do not hold a New Zealandpassport but are members of the family unit of a New Zealandcitizen who holds, or will hold upon entry to Australia, a SpecialCategory (subclass 444) visa (SCV) to travel to, enter, reside andwork in Australia on a temporary basis.
This visa:
• is valid for 5 years;
• permits unlimited travel to and from Australia;
• does not require formal sponsorship or nomination; and
• does not include any work or study restrictions; but
• may include either or both conditions 8303 and 8501.
Condition 8303 states you must not become involved inactivities disruptive to, or violence threatening harm to, theAustralian community or a group within the Australiancommunity.
Condition 8501 states you must maintain adequatearrangements for health insurance while you are in Australia.
About this applicationThis form may be used by both primary and secondaryapplicants who are members of the family unit of a New Zealandcitizen SCV holder who wish to apply for temporary residencein Australia. All members of the family unit of the New Zealandcitizen SCV holder intending to travel with or join them inAustralia, to reside with them should be included in thisapplication.
A secondary applicant for this application is a member of thefamily unit of the primary applicant and may include a childunder 18. It may also include a relative who is over the age of18 and is dependent on the primary applicant. To meet therequirements of this visa, however, the secondary applicantmust also be a member of the family unit of the New Zealandcitizen SCV holder.
Your application for a New Zealand Citizen Family Relationship(subclass 461) visa is not valid if you currently hold a criminaljustice entry visa, a domestic worker visa, or if you are a detaineewho has not made an application within the prescribed timelimits, or if you hold a visa subject to a condition that preventsthe grant of a substantive visa while you remain in Australia.
Integrity of applicationThe department is committed to maintaining the integrity ofthe visa and citizenship programmes. In relation to thisapplication, if you or a member of your family unit:
• provide, or have provided in a previous application,fraudulent documents or false or misleading information(knowingly or not); and/or
• fail to satisfy, or have failed to satisfy in a previousapplication, the Minister of your or their identity;
this visa application may be refused and you, and any membersof your family unit, may become unable to be granted a visa forspecified periods of time, as set out in migration legislation.
If documents are found to be fraudulent or information to beincorrect after the grant of a visa, the visa may subsequently becancelled.
Visa Application ChargeRefer to Part K – Payment details of this form to calculate thecorrect charge and make payment.
Refer to www.border.gov.au/trav/visa/fees for a completeand current list of applicable fees and charges.
Fees and charges may be subject to change at any time andthis may increase the cost of a visa application.
Generally, Visa Application Charges are reviewed on 1 Julyeach year, and the exchange rates used to calculate theamount payable in a foreign country are updated on 1 Januaryand 1 July each year.
If you do not pay the full Visa Application Charge amount,your visa application will not be valid.
Charges are generally not refundable, even if the application iswithdrawn or refused.
Form
147Application for a
New Zealand Citizen Family Relationship(subclass 461) visa
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Method of payment
In Australia
To make a payment, please pay by credit card, bank cheque ormoney order made payable to the Department of Immigrationand Border Protection. Credit card is the preferred method ofpayment.
Outside Australia
Before making a payment outside Australia, please check with theAustralian Government office where you intend to lodge yourapplication as to what methods of payment and currencies theycan accept and to whom the payment should be made payable.
Health insurance requirementsYou may be required, as a condition of this visa, to maintainadequate private medical and hospital health insurance whilein Australia. This insurance cover does not have to be held withan Australian insurer – arrangements made in your homecountry may be assessed as being acceptable. You need toensure your health insurance cover will provide for medicallynecessary treatment for the entire period of your stay.
The above condition may not apply if you are covered byreciprocal health care arrangements with your home country.You will be advised by a case officer if you are required toarrange private health insurance.
How to apply
Step 1 – Complete this application
Please use a black or blue pen, and write neatly in English usingBLOCK LETTERS.
If you need more space to answer questions or wish to provideadditional relevant information, attach a signed and dated sheetgiving the required details.
Any alterations made before you lodge the form must beinitialled and dated.
You will need to supply 2 recent passport-sized photographs ofeach person included in your application.
Step 2 – Lodge your application
When lodging your visa application, please ensure you have:
• completed ALL questions in this form; and
• included the Visa Application Charge; and
• included any additional attachments (if required); and
• included the checklist.
For additional documentary requirements and the checklistrefer to the department’s websitewww.border.gov.au/trav/visa-1/461-/new-zealand-citizen-family-relationship-(temporary)-visa-(subclass-461)-document-checklist
In Australia
If you are in Australia when you lodge your application, to assistus in processing your application, we request that you sendyour application along with all accompanying documents bypost to:
New Zealand Relationship Visa CentreGPO Box 9984SYDNEY NSW 2001
Or courier to:
Level 326 Lee StSYDNEY NSW 2001
Outside Australia
If you are outside Australia when you lodge your application,refer to the department’s websitewww.border.gov.au/about/contact/offices-locations forinformation about your nearest office.
What happens after you lodge the visa application?
In Australia
If you are in Australia when you lodge your application, thisform also serves as an application for a bridging visa class A, Cor E, depending on which one you may be eligible to apply for.
If you need to travel outside Australia before your applicationis decided, you should contact the processing office regardinga bridging visa that would enable you to return to Australia.
For information on bridging visas, refer to the informationform 1024i Bridging visas available from the department’swebsite www.border.gov.au/allforms/
Your bridging visa will usually have the same work conditionsas your existing visa. If you are seeking to change the workconditions which will apply to your bridging visa before thisapplication is decided, you should apply on form 1005Application for a bridging visa available from the department’swebsite www.border.gov.au/allforms/This form should be sent to the New Zealand FamilyRelationship Centre.
In and outside Australia
Once a decision has been made on your application, you willbe notified of that decision in writing.
If your application is refused, you will be given reasons for therefusal as well as information about review rights.
Residential addressYou must provide the address of where you intend to live duringthe period that your application is being considered. Failure togive your residential address will result in this application beinginvalid. A post office box address will not be accepted as yourresidential address.
Let the department know if you change your addressIf you change your residential address for more than 14 dayswhile your application is being processed, you must tell thedepartment your new address and how long you will be there.The department will send communication about yourapplication to the latest address for correspondence you haveprovided.
Communication about your application can be sent to anotherperson that you have authorised, but you will be taken to havereceived the communication that the department sends to thatperson. The department must be informed (in writing) of anyaddress change for either you or your authorised person.
Passport informationMost visa applicants will be required to hold a valid passportbefore they can be granted a visa. It is strongly recommendedthat the passport be valid for at least 6 months.
If you change your passport after you have been granted thevisa you must notify the nearest Australian mission or office ofthe department.
If you do not provide us with the details of any new oradditional passports you use to travel to Australia, youmay experience significant delays at the airport and maybe denied permission to board your plane.
Do NOT send your passport with your visa application.
© COMMONWEALTH OF AUSTRALIA, 2015
Provide with your visa application a certified copy of the pagefrom your passport showing your photo and details. We willadvise you if your application has been approved. Please keepa copy of the Visa Grant Notification in a safe place for yourreference.
Important information about privacyYour personal information is protected by law, including thePrivacy Act 1988. Important information about the collection,use and disclosure (to other agencies and third parties,including overseas entities) of your personal information,including sensitive information, is contained in form 1442iPrivacy notice. Form 1442i is available from the department’swebsite www.border.gov.au/allforms/ or offices of thedepartment. You should ensure that you read and understandform 1442i before completing this form.
Form 1163i Health requirement for temporary entry toAustralia provides additional information on Australia’s visahealth requirements. Form 1163i is available at offices of thedepartment or from the department’s websitewww.border.gov.au/allforms/
When sponsorship is required for your visa subclass, theoutcome of your application may be made known to theperson/organisation who has submitted a sponsorship formregarding your application.
Immigration assistanceA person gives immigration assistance to you if he or she uses,or claims to use, his or her knowledge or experience inmigration procedure to assist you with your visa application,request for ministerial intervention, cancellation reviewapplication, sponsorship or nomination.
In Australia a person may only lawfully give immigration assistanceif he or she is a registered migration agent or is exempt frombeing registered. Only registered migration agents may receivea fee or reward for providing immigration assistance.
If an unregistered person in Australia, who is not exempt fromregistration, gives you immigration assistance they arecommitting a criminal offence and may be prosecuted.
Migration agents in Australia
Migration agents in Australia must be registered with the Officeof the Migration Agents Registration Authority (Office of theMARA) unless they are exempt from registration.
Migration agents outside Australia
Migration agents who operate outside Australia do not have tobe registered. The department may give some overseas agentsan ID number. This number does not mean that they areregistered.
Note: Some Australian registered migration agents operateoverseas.
Migration agent information
A migration agent is someone who can:
• advise you on the visa that may best suit you;
• tell you the documents you need to submit with yourapplication;
• help you fill in the application and submit it; and
• communicate with the department on your behalf.
If you appoint a migration agent, the department will assumethat your migration agent will be your authorised recipient,unless you indicate otherwise.
Your migration agent will be the person with whom thedepartment will discuss your application and from whom it willseek further information when required.
You are not required to use a migration agent. However, if youuse a migration agent, the department encourages you to usea registered migration agent. Registered agents are bound bythe Migration Agents Code of Conduct, which requires them toact professionally in their clients’ lawful best interests.
Information on migration agents, including a list of registeredmigration agents, is available on the Office of the MARA websitewww.mara.gov.au
You can also access information about migration agents on thedepartment’s website www.border.gov.au
Exempt persons
The following people do not have to be a registered migrationagent in order to provide immigration assistance, but they mustnot charge a fee for their service:
• a close family member (spouse, de facto partner, child,parent, brother or sister);
• a member of parliament or their staff;
• an official whose duties include providing immigrationassistance (eg. a Legal Aid provider);
• a member of a diplomatic mission, consular post orinternational organisation.
Appointing a migration agent/exempt person
To appoint a migration agent/exempt person you shouldcomplete Part J – Options for receiving writtencommunications.
Your migration agent/exempt person should complete form 956Advice by a migration agent/exempt person of providingimmigration assistance.
Form 956 is available from the department’s websitewww.border.gov.au/allforms/
Options for receiving written communicationsIf you do not appoint a migration agent/exempt person youmay still authorise another person, in writing, to receive writtencommunications on your behalf. This person is called theauthorised recipient.
Authorised recipient information
All written communication about your application will be sent toyour authorised recipient, unless you indicate that you wish tohave health and/or character information sent directly to you.
The department will communicate with the most recentlyappointed authorised recipient as you may only appoint oneauthorised recipient at any time for a particular application.
You will be taken to have received any documents sent to thatperson as if they had been sent to you.
To appoint an authorised recipient you should complete:
• Part J – Options for receiving written communications; and
• form 956A Appointment or withdrawal of an authorisedrecipient.
Note: Migration agents/exempt persons do not need tocomplete form 956A.
Form 956A is available from the department’s websitewww.border.gov.au/allforms/
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Consent to communicate electronicallyThe department may use a range of means to communicatewith you. However, electronic means such as fax or email willonly be used if you indicate your agreement to receivingcommunication in this way.
To process your application the department may need tocommunicate with you about sensitive information, for example,health, police checks, financial viability and personalrelationships. Electronic communications, unless adequatelyencrypted, are not secure and may be viewed by others orinterfered with.
If you agree to the department communicating with you byelectronic means, the details you provide will only be used bythe department for the purpose for which you have providedthem, unless there is a legal obligation or necessity to use themfor another purpose, or you have consented to use for anotherpurpose. They will not be added to any mailing list.
The Australian Government accepts no responsibility for thesecurity or integrity of any information sent to the departmentover the internet or by other electronic means.
If you authorise another person to receive documents on yourbehalf and they wish to be contacted electronically, theirsignature is required on form 956 or 956A to indicate theirconsent to this form of communication.
Note: Electronic communication is the fastest means ofcommunication available and the department prefers tocommunicate electronically because this results in fasterprocessing.
© COMMONWEALTH OF AUSTRALIA, 2015
Telephone 131 881 during business hoursin Australia to speak to an operator (recordedinformation available outside these hours).If you are outside Australia, please contactyour nearest Australian mission.
Generalenquiry line
Home page www.border.gov.au
Please keep these information pages for your reference
147 (Design date 10/15) - Page 5
Do not complete these questions until you have read the informationpages at the front of this form. They contain important informationabout the visa and application process.
Intended date of arrival(If you are already in Australia, write ‘N/A’)
DAY MONTH YEAR
Form
147
Part A – Your details
Your full name1
Family name
Given names
Have you been known by any other names?(including name at birth, previous married names, aliases)
2
If you have been known by other names, attach a page giving the names
Your present country/countries of citizenship7
PHOTOGRAPH
Please attach requiredphotographs of yourself
AND
each member of yourfamily unit included inthis application.
Give details
No
Yes
Family name
Given names
Sex3 Male Female
Relationship status6Married Never married or
been in a de factorelationship
Separated
De facto
Engaged
Widowed
Divorced
© COMMONWEALTH OF AUSTRALIA, 2015
Tick where applicable �
Please use a pen, and write neatly in English using BLOCK LETTERS.
Place of birth5Town/city
Country
Date of birth4DAY MONTH YEAR
Application for aNew Zealand Citizen Family Relationship
(subclass 461) visa
Do you currently hold a New Zealand Citizen Family Relationship(subclass 461) visa?
8
Family name
Are you still a member ofthis person’s family unit?
Given names
Give details of the New Zealand citizen relative your visaapplication was based on for the grant of you current visa
No
Yes
Date of birthDAY MONTH YEAR
Go to Part B
Date relationship endedNo
Yes
DAY MONTH YEAR
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Your current residential addressNote: A post office box address is not acceptable as a residentialaddress. Your application is invalid without a residential address.
9
POSTCODE
Your postal address(If the same as your residential address, write ‘AS ABOVE’)
10
Your current occupation13
Your telephone numbers11
Office hours
After hours
12 Do you agree to the department communicating with you by fax, emailor other electronic means?
Fax number
Email address
POSTCODE
( ) ( )
COUNTRY CODE AREA CODE NUMBER
( ) ( )
Give details
No
YesCOUNTRY CODE AREA CODE NUMBER
( ) ( )
16 Do you hold a valid passport?
Give details
No
Yes
Passport number
Date of issueDAY MONTH YEAR
Country of issue
Date of expiry
Issuing authority/Place of issue asshown in yourpassport
Note: It is strongly recommended that the passport be valid for at least6 months.
If you change your passport after you have been granted the visa youmust notify the nearest Australian mission or office of the department.
If you do not provide us with the details of any new oradditional passport you use to travel to Australia, you mayexperience significant delays at the airport and may be deniedpermission to board the plane.
Details of identity card or identity number issued to you by yourgovernment (if applicable) eg. National identity card.Note: If you are the holder of multiple identity numbers because you area citizen of more than one country, you need to enter the identity numberon the card from the country that you live in.
17
Identity number
Country of issue
© COMMONWEALTH OF AUSTRALIA, 2015
Are you, or any secondary persons included in this application, aForeign Affairs or an AusAID supported student?
15
Attach a copy of the letter of support from theForeign Minister or the former AusAID Minister
No
Yes
Part B – Your contact details
Are you in Australia when applying for this visa?14
Part C – Your identification, passport andvisa details
Give details of the visa you currently hold
No
Yes
Visa subclass
Visa expiry dateDAY MONTH YEAR
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Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
1.
© COMMONWEALTH OF AUSTRALIA, 2015
Country of birth
18
Part D – Secondary visa applicants
Are you including secondary applicants who are NOT holders of a NewZealand passport in this application?
No
Yes
Go to Part E
Citizenship(s)
Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
2.
Country of birth
Citizenship(s)
Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
3.
Country of birth
Citizenship(s)
Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
4.
Country of birth
Citizenship(s)
Give details of all secondary visa applicants who are includedin this application
(If there are more than 6 secondary applicants, please copythis page and attach it to this form with additional details)
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Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
5.
Country of birth
Citizenship(s)
Relationshipto you
Other names they have been known by
Family name
Given names
Sex Male Female
Date of birthDAY MONTH YEAR
Passport number
Date of issueDAY MONTH YEAR
Country of issueof passport
Date of expiry
Issuing authority/Place of issue as shown in passport
6.
Country of birth
Citizenship(s)
Part E – New Zealand citizen’s details
Provide details of the New Zealand citizen with whom you claima family relationship for the purpose of this application
19
Current residential address
Date of birthDAY MONTH YEAR
POSTCODE
( )
COUNTRY CODE AREA CODE
( )
NUMBER
Telephonenumber
Family name
Given names
Sex Male Female
Currentcitizenship
Date of issueDAY MONTH YEAR
Date of expiry
Issuing authority/Place of issue asshown in passport
Other names the New Zealand citizen is known by or has beenknown by (include name at birth, previous married names, aliases)
Family name
Given names
New Zealand citizen’spassport number
Place of birth
Town/city
Country
Reason for name change
Postal address(If the same as your residential address, write ‘AS ABOVE’)
POSTCODE
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21 Relationship status
Widowed
Divorced
Separated
Married
De facto Date relationship began
DAY MONTH YEAR
Date of marriage
Part F – Your relationship with theNew Zealand citizen
Note: You must provide evidence to demonstrate that yourrelationship is genuine and continuing (including a marriagecertificate if you are married). See Booklet 1 Partner Migration, forinformation on what evidence may be provided.
22 If you are married or in a de facto relationship with the New Zealandcitizen, have you lived separately or apart for any period of time?
Give details of the period of separation and the reasons
No
Yes
Not applicable
Part G – Health
Do you hold health insurance cover?23
In the last 5 years, have you, or any other person included in thisapplication, visited, or lived, outside your country of passport for morethan 3 consecutive months?
24
Yes
No
Give details
Person’sname
Countryvisited/lived in
DateDAY MONTH YEAR DAY MONTH YEAR
tofrom
1.
Do you, or any other person included in this application, intend to entera hospital or a health care facility (including nursing homes) while inAustralia?
25
Yes
No
Give details
Do you, or any other person included in this application, intend to workas, or study to be, a doctor, dentist, nurse or paramedic during your stayin Australia?
26
Yes
No
Give details
Yes
No
Type of health insurance cover
Name of health insurer
Period covered by health insuranceDAY MONTH YEAR DAY MONTH YEAR
tofrom
Person’sname
Countryvisited/lived in
DateDAY MONTH YEAR DAY MONTH YEAR
tofrom
2.
Person’sname
Countryvisited/lived in
DateDAY MONTH YEAR DAY MONTH YEAR
tofrom
3.
Is the New Zealand citizen your child, parent or sibling?20
Yes
No
Child
Parent
Sibling
Go to Part G
DateDAY MONTH YEAR
Give details
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Have you, or any other person included in this application:
• ever had, or currently have, tuberculosis?
• been in close contact with a family member that has activetuberculosis?
• ever had a chest x-ray which showed an abnormality?
29
Yes
No
Give details
Do you, or any other person included in this application, intend to work,or be a trainee, at a child care centre (including preschools and creches)while in Australia?
27
Yes
No
Give details
Do you, or any other person included in this application, intend to be ina classroom situation for more than 3 months (eg. as either a student,teacher, lecturer, or observer)?
28
Yes
No
Give details
Do you, or any other person included in this application, require assistancewith mobility or care due to a medical condition?
31
Yes
No
Give details
30 During your proposed stay in Australia, do you, or any other personincluded in this application, expect to incur medical costs, or requiretreatment or medical follow up for:• 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?
Yes
No
Give details
32 Have you, or any other person included in this application, undertaken ahealth examination for an Australian visa in the last 12 months?
Yes
No
Give details (including HAP ID if available)
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If you answered ‘Yes’ to any of the questions at Question 33, youmust state who it applies to and give ALL relevant details below.
If the matter relates to a criminal conviction, please give the nature ofthe offence, full details of sentence and dates of any period ofimprisonment or other detention.
(If you need more space to answer, attach a signed and dated sheetgiving the required details)
Part H – Character
Have you, or any of the secondary applicantsincluded in this application, ever:
• been charged with any offence that iscurrently awaiting legal action?
• been convicted of an offence in any country(including any conviction which is nowremoved from official records)?
• been the subject of an arrest warrant orInterpol notice?
• been found guilty of a sexually based offenceinvolving a child (including where noconviction was recorded)?
• been named on a sex offender register?
• been acquitted of any offence on the groundsof unsoundness of mind or insanity?
• been found by a court not fit to plead?
• been directly or indirectly involved in, orassociated with, activities which wouldrepresent a risk to national security inAustralia or any other country?
• been charged with, or indicted for: genocide,war crimes, crimes against humanity, torture,slavery, or any other crime that is otherwise ofa serious international concern?
• been associated with a person, group ororganisation that has been/is involved incriminal conduct?
• been associated with an organisationengaged in violence or engaged in acts ofviolence (including war, insurgency, freedomfighting, terrorism, protest) either overseas orin Australia?
• served in a military force, police force, statesponsored/private militia or intelligenceagency (including secret police)?
• undergone any military/paramilitary training,been trained in weapons/explosives or in themanufacture of chemical/biological products?
• been involved in people smuggling or peopletrafficking offences?
• been removed, deported or excluded from anycountry (including Australia)?
• overstayed a visa in any country (includingAustralia)?
• had any outstanding debts to the AustralianGovernment or any public authority inAustralia?
33
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Part J – Options for receiving writtencommunications
Part I – Assistance with this form
Is the person an agent registered with the Office of the Migration AgentsRegistration Authority (Office of the MARA)?
35
Yes
No
Go to Part J
Did you receive assistance in completing this form?34
Yes
No
Please give details of the person who assisted you
Go to Part J
Mr Mrs Miss MsTitle: Other
Family name
Given names
Address
POSTCODE
Telephone number or daytime contact
Office hours
Mobile/cell
( )
COUNTRY CODE AREA CODE
( )
NUMBER
147 (Design date 10/15) - Page 12
Did you pay the person/agent and/or give a gift for this assistance?37
Yes
No
Is the person/agent in Australia?36
Yes
No Go to Part J
© COMMONWEALTH OF AUSTRALIA, 2015
Myself
Migration agent
Authorisedrecipient
All written communications about this application should be sent to:(Tick one box only)
Exempt person
You should complete form 956A Appointmentor withdrawal of an authorised recipient
OR
38
Your migration agent/exempt person shouldcomplete form 956 Advice by a migrationagent/exempt person of providingimmigration assistance
OR
OR
Part K – Payment details
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40
IMPORTANT: You must refer to the department’s website at www.border.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.
39
Visa subclass you are applying for
Base Application Charge
Write the amount shown on the reference table for your visa subclass AUD (1)
+
AUD (2)Non-internet Application Charge (if applicable)
+
AUD (3)
Additional Applicant Charge aged 18 years or over at the time your application is lodged
AUD
Write the amount shown on thereference table for your visa subclass
X (multiplied by) =
Number of additional applicantsaged 18 years or over
+
AUD (4)
Additional Applicant Charge under 18 years of age at the time your application is lodged
Write the amount shown on thereference table for your visa subclass
X (multiplied by) =
Number of additional applicantsunder 18 years of age
+
AUD (5)
Subsequent Temporary Application Charge (if applicable)
Write the amount shown on thereference table for your visa subclass
X (multiplied by) =
Number of applicants
=
AUDTotal (1) + (2) + (3) + (4) + (5)
Total
You must pay the total amount or your visa application will not be valid.Note: A second instalment of the Visa Application Charge must also bepaid before we can grant some visas.
AUD
AUD
Payment by (tick one box)
MasterCard
Visa
Diners Club
JCB
Australian Dollars
AUD
Expiry date
Credit card information will be used for charge paying purposes only.
Signature ofcardholder
Address
Telephonenumber
Cardholder’s name
Credit card number
Bank cheque
Money order
Credit card Give details below
American Express
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COUNTRY CODE AREA CODE
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How will you pay your application charge?
Note: A surcharge may apply to payments made by credit card. Further information is available fromwww.border.gov.au/trav/visa/fees/how-to-pay-for-an-applicationIf applying in Australia, credit card is the preferred method of payment. If paying by bank cheque or money order please make payable to theDepartment of Immigration and Border Protection.
If applying outside Australia, please check with the Australian Government office where you intend to lodge your application as to what methodsof payment and currencies they can accept and to whom the payment should be made payable.
As the cardholder I acknowledge and accept that a credit card surchargemay apply to the transaction.
Part L – Documentation to be attached tothis application
41
A completed form 147
Correct Visa Application Charge
This document checklist details the information and supportingdocuments (personal, health and character) required to assist with thelodgement of a complete application. You may also need to provideadditional information and documentation after you have made yourapplication, if the department requires it, however, a decision on thevisa application may be made solely on the information provided at thetime of application.
Original documents should NOT be provided unless requested. Pleaseprovide certified copies of original documentation. Documents not inEnglish must be accompanied by accredited English translations.
This checklist, as well as additional information can be accessed fromthe department’s websitewww.border.gov.au/trav/visa-1/461-/new-zealand-citizen-family-relationship-(temporary)-visa-(subclass-461)-document-checklist
Tick � when completed
Forms, fees and charges
Evidence of your relationship with the New Zealandcitizen. This can include:
• certified copies of birth certificates for eachperson claiming a relationship with theNew Zealand citizen
• marriage certificates• death certificates• adoption certificates
• family status certificates or family books (if thesedocuments are officially issued and maintained).
Evidence of your relationship with the New Zealand citizen
Evidence that the New Zealand citizen holds or iseligible for a Special Category visa. This can include:
• certified copy of the New Zealand citizen’s birthcertificate
• New Zealand passport.
A family tree/diagram of your relationship to theNew Zealand citizen.
Certified copy of passport bio data page
Personal documents
Certified copies of birth certificates or other evidenceof age, showing names of both parents.
If you are married, please provide certified copies ofmarriage certificate and evidence you are in agenuine and continuing relationship.
If you are in a de facto relationship, please provideindependent evidence that you have been living in agenuine and continuing relationship.
If you have been divorced or permanently separated,please provide certified copies of the divorcedocument(s) or a statutory declaration/separationcertificate.
If you have been widowed, please provide certifiedcopy of the death certificate(s).
A completed form 80
If in Australia, evidence that you have applied for anAustralian Federal Police check in the last 12 months.
Two (2) recent passport photographs for all peopleincluded in the application (including dependantswho are not migrating).
Military discharge certificate for any applicantincluded in the application (if applicable).
Evidence of any change of name (for example deedpoll certificate).
147 (Design date 10/15) - Page 14 © COMMONWEALTH OF AUSTRALIA, 2015
If any applicant included in the application is aForeign Affairs or AusAID student or recipient, pleaseprovide a letter of support from the Foreign Ministeror former AusAID Minister.
Part M – Signatures
147 (Design date 10/15) - Page 15© COMMONWEALTH OF AUSTRALIA, 2015
BIOMETRICS DECLARATION AND CONSENT
This declaration and consent must be signed by the main applicant andeach accompanying person aged 16 years or over.
If I am requested or required to provide my fingerprints and facial image:
I consent to:
• the collection of my fingerprints and facial image; and
• if applicable, the collection of the fingerprints and facial image ofeach accompanying person under 16 years of age.
I declare that:
• I understand that my fingerprints and facial image and mybiographical information (and those of each accompanying personunder 16 years of age) held by the department may be given toAustralian law enforcement agencies to help identify me and eachaccompanying person, to help determine my eligibility and theeligibility of each accompanying person for grant of the visa appliedfor, and for law enforcement purposes.
I consent to:
• Australian law enforcement agencies disclosing my biometric,biographical and criminal record information (and that of eachaccompanying person under 16 years of age) to the department forany of the purposes outlined above; and
• the department using the information obtained for the purposes ofthe Migration Act 1958 or the Australian Citizenship Act 2007.
42Signature ofprimaryapplicant
Signature
Name
DateDAY MONTH YEAR
Signature
Name
Signature
Name
Signature
Name
Signature
Name
Signatures of secondary applicants
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Signature
Name
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DECLARATION
WARNING: Giving false or misleading information or documents is aserious offence.
This declaration and consent must be signed by the main applicant andeach accompanying person over 18.
I declare that:
• the information that has been provided on this form, and on anyattachments to it, is complete, correct and up-to-date.
• I acknowledge that I have read the notes at the front of this application.I am aware of the conditions that may apply and that I am requiredto abide by them.
• any registration or licensing that is required before I can beginemployment in Australia will be my responsibility.
• I am aware that I must advise the department immediately I am awareof a change in circumstances relating to any information I haveprovided in or with this application.
• I understand that if condition 8501 is imposed on my visa, it will beindicated on the visa label or in documents given to me by thedepartment about the grant of my visa by the condition code ‘8501’.
• I understand that if my visa is granted it may be subject tocondition 8501.
• I will respect Australian values as listed on this form, during my stayin Australia and will obey the laws of Australia.
• I have read the information contained in form 1442i Privacy notice.
• I understand the department may collect, use and disclose mypersonal information (including biometric information and othersensitive information) as outlined in form 1442i Privacy notice.
• I understand that if any fraudulent documents or false or misleadinginformation has been provided with this application, or if I fail to satisfythe Minister of my identity, my application may be refused and I, andany other member of my family unit, may become unable to begranted a visa for specified periods of time.
• if documents are found to be fraudulent or information to be incorrectafter the grant of a visa, the visa may subsequently be cancelled.
43Signature ofprimaryapplicant
Signature
Name
DateDAY MONTH YEAR
Signature
Name
Signature
Name
Signature
Name
Signature
Name
We strongly advise that you keep a copy of your applicationand all attachments for your records.
Signatures of secondary applicants
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Office use only
Reasons for refusal/comment
Subclass
Approved RejectedDecision
Class
Single MultipleEntry
Conditions
Date of entryDAY MONTH YEAR
validity
Length of stay
Signature ofauthorisedofficer
Date
DAY MONTH YEAR
Signature
Name
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147 (Design date 10/15) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2015