Applicant information

1. How many applicants included in this application (yourself, spouse, children, step-
children)

Family name in English in capital letter

Given Name in English in capital letter

Sex

2. Whether you changed name, if yes.

Previous name

3. If you have a Chinese name, please provide:

4. Place of Birth

（City/Town）：

（State/Province）：

（Country of birth）：

（Postcode）：

5. Relationship status (married, never married, de facto, divorced, widow or widower)-

please state the date according to certificate

6. Do you have other countries’ passports, if yes, please provide details

7. Your country of usual residence：

8. Resident detail address in your home country (please include post code)：

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 9. Australian residential address (if possible)：

10. Contact Phone No.:

Landline:

Mobile phone:

11. Email：

12. Has this applicant previously travelled to Australia or previously applied for a visa?

13. List your families’ information (including spouse, de facto, children)-附录一

14. education history

- Highest qualification ：higher secondary

- Name of education provider or training body: kerala open school

15. parents and siblings’ details

Family Name given name usual resident D.O.B.

country

Father： Abraham India

Mother: Rosy gracy India

Sibling(Brother/sister)，

sibling(Brother/sister)，

sibling(Brother/sister)，

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 16. Travel record past 10 years: nil

Country Arrival date Departing Reasons (eg. Travel, holiday, business,

date military， visit the usual country relatives)

Example: 06/06/10 06/07/2015 Volunteering

china

17. Employment history (past 10 years)。

As a volunteer in Andhodaya school, nepal( from jan 2010 to 2015)

pappadavada restaurant ( 2015 to present)

-Employment status ；employed（such as employed, unemployed, self-employed & retired）, -

Is this your current employment situation?

-Organization name;

-Industry type;

-an organisation address:

Country, andhodhaya, nepal
Address,
Suburb/Town
State or Province:
Postal code,
-contact person within the organization
*Family name，
Given names，
Business phone，

-Position details,

Your last or current Position:

Date from：

Date to：

18. Do you have any health problems，such as disability?

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 19. Do you have any character issues or illegal records?

Is it the first time to apply for an Australian visa?

1) If not，Has the applicant or any person included in this application, ever had an
application for entry or further stay in Australia refused, or had a visa cancelled?

If yes，type of visa，when the visa has been refused or cancelled?

2) If not, are you waiting for another visa？

Print name:

Signature:

Our wechart ID : AIDAAdmin

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