Who should use this form? In Australia, a person may only lawfully give immigration
assistance if he or she is a registered migration agent or is
You should use this form to advise the Department of
exempt from being registered. An exception exists in that
Immigration and Citizenship (the department) that you have:
anyone may assist you with a request for ministerial
• appointed a migration agent or exempt agent or authorised intervention, but only registered migration agents may charge
recipient; a fee for doing so.
• changed your migration agent or exempt agent or authorised If an unregistered person in Australia, who is not exempt from
recipient; registration, gives you immigration assistance they are
• ended the appointment of your migration agent or exempt committing a criminal offence and may be prosecuted.
agent or authorised recipient. Serious penalties, including imprisonment, apply if an
Important – Please read this information carefully before you unregistered person asks for, or receives, a fee or reward for
complete your application. Once you have completed your giving immigration assistance or making an immigration
application we strongly advise that you keep a copy for your representation (ie. communicating with the Minister of
records. Immigration and Citizenship or the department on your behalf).
Please use a pen, and write neatly in English using BLOCK LETTERS.
Applicant 5
Tick where applicable
Family name
Part A – Applicant details Given names
Personal details of the main visa applicant, sponsor or nominator, and
all other applicants included on this application, who are appointing the If you have more than 5 applicants, attach additional details.
same migration agent or exempt agent or authorised recipient.
POSTCODE
Client number
Telephone number or daytime contact
COUNTRY CODE AREA CODE NUMBER File number
Office hours ( ) ( )
Application Receipt Number
Mobile/cell Transaction Reference Number
E-mail address
2 Dependant applicants
Part D – Appointment details
Note: Any applicant 16 years or older who has a different migration 6 Are you submitting this form because you want to:
agent or exempt agent or authorised recipient needs to use a separate appoint a migration agent or
form 956. Only include here the details for dependants using the same exempt agent or authorised
migration agent or exempt agent or authorised recipient. recipient?
Applicant 2 change your migration agent or
Family name exempt agent or authorised
recipient?
Given names
end the appointment of your Go to Part E
Applicant 3 migration agent or exempt Note: All documents will
agent or authorised recipient? be sent directly to you.
Family name
13 Did you pay the person/agent and/or give a gift for this assistance?
POSTCODE No
If ending the appointment of your migration agent or exempt agent or 15 If your application includes monitoring activity by the department
authorised recipient, go to Part K (eg. sponsorship for a 457 or a Business Skills application), do you
authorise your migration agent or exempt agent to act on your behalf in
11 Is your migration agent providing service under the Immigration Advice relation to this activity?
and Assistance Scheme (IAAAS)? No
No Yes
Yes
If appointing an Australian registered migration agent, ie. your migration
agent has a Migration Agent Registration Number (MARN), go to Part H
Note: Do NOT complete Part H if you are ending the appointment Given names
of your migration agent or authorised recipient, go to Part K
Telephone number or daytime contact
COUNTRY CODE AREA CODE NUMBER
17 As the migration agent or exempt agent or authorised recipient named
on this form, do you agree to the department communicating with you by Office hours ( ) ( )
Date
Client reference
number (optional)
Signature
of main
applicant
DAY MONTH YEAR
Date
Dependant applicants
Signature of
applicant 2
Date
Signature of
applicant 3
Date
Signature of
applicant 4
Date
Signature of
applicant 5
Date