澳大利亚过境签证表

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澳大利亚签证申请表

1．本人所提供的资料以及所填写的内容完全属实；如因本人的信息或申请资料存在错误或瑕疵而影响签证办理，相关不利后果将自行承担。

2．本人清楚鉴于签证申请周期存在不确定性，会等取得签证及护照后再安排境内外相关交通食宿，以避免因签证问题导致旅行安排的费用损失，否则一旦发生此类损失将由本人自行承担。

3．对于需要销签的签证，在回国后按照旅行社要求及时提交相关资料办理销签，若由于本人的原因未及时销签，由此引发的不利后果需由本人承担。

申请日期：申请人亲笔签名：。

澳大利亚签证申请表

不跟你一起到澳大利亚的家人（如“无”请空着）全名出生日期日日日月月月年年年与您的关系当你在澳大利亚时，他们的住址
第 1 页，共 3 页
在澳大利亚是否有任何亲戚、朋友或联系人（如“无”请空着）全名出生日期日日日姓名家庭地址姓名家庭地址姓名家庭地址姓名家庭地址姓名家庭地址姓名家庭地址姓名家庭地址姓名家庭地址出生日期国国 □ 否省省 □ 是教育和就业信息您目前的教育/就业情况您目前所在公司/学校的具体信息
4、是否患有或曾换肺结核等疾病； 6、在澳期间是否会因行动不便而需要协助或需要护理； 8、是否为申请澳大利亚做过任何健康检查；
本人承诺以上信息均真实有效，若有虚假、不实信息，本人愿意承担由此产生的拒签等等一切风险。
填表人签名：日期：
第 3 页，共 3 页
（公司中英文名称、所在国家、省、市、详细地址、邮编、联系电话、入职/入学日期、岗位具体职责/学校所学专业）
与您的关系年年年家庭信息出生日期出生日期出生日期出生日期出生日期出生日期出生日期出生日期
住址
澳公民或永久居民
月月月
□ 否 □ 否 □ 否日月日月日月日月日月日月日月日月年年年年年年年年婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳婚恋状况是否去过澳日市市国籍月 □ 否年 □ 否 □ 否 □ 否 □ 否 □ 否 □ 否 □ 否
□ 是，注：如果此签证申请获得批准，你现在的签证可能会中止 □ 是，请提供细节： □ 是，请提供你的排队日期： □ 是，列出这些国家： □ 是，护照号码：访澳细节预计申请次数在澳停留时间□ 不超3个月 □ 单次与您的关系 □ 多次 □ 不超6个月 □ 不超12个月颁发国家：日月年 □ 是，注:如果本签证申请获得批准，跟你的ABTC有关的，此签证就会中止

澳大利亚签证表填写版

家庭构成你想申请下列何种签证﹖仿问(600)其它注意﹕ 1. 你只能用英文填写此表。

2. 你必须填写你在原籍国和外国的所有家庭成员的细节，其中包括同父异母（或同母异父）的兄弟姐妹和子女，继父与其前妻（或继母与其前夫）所生的兄弟姐妹和子女，领养的兄弟姐妹和子女。

（如果人已不在世，可在“家庭地址”一栏填上“已故”。

如果去向不明，可在“家庭地址”一栏填上“不知道”。

3. 你填写此表时如果有人协助，你只能在所填资料真实和正确，而且你完全知道﹑同意并理解资料的填入的情况下，才能在宣誓一栏下签字。

家庭构成姓名出生婚恋状况家庭地址以前是否来过澳大利亚﹖你本人张三01/ 01/ 1990N上海市xxxxxxxxxxx 否//配偶/ /事实婚姻/ / / /父亲/母亲李四01/ 01/ 1960 M 上海市xxxxxxxxxxx否/ /父亲/母亲张二01/ 01/ 1960 M 上海市xxxxxxxxxxx否/ /兄弟/姐妹/ / / / 兄弟/姐妹/ / / / 兄弟/姐妹/ / / / 儿子/女儿/ /宣誓我特此宣誓﹕• 本表中填写的资料完整而正确• 在他人协助下填写的本表任何部份的资料都是真实和正确的，而且我完全知道、同意并理解资料的填入。

“婚恋状况”代码 M =已婚 E =订婚 F =事实婚姻 S =分居 D =离婚W =寡/鳏N =未婚或未有过事实婚姻FamilycompositionAreyouapplyingfora:Visitorvisa(600)Other Note:1. YoumustcompletethisforminEnglishonly.2. Youmustgivedetailsofallyourfamilymemberslivinginyourhomecountryandabroadincludinghalf,stepandadoptedbrothers,sistersandchildren(ifnotliving,write‘Deceased’inHomeaddresscolumn.Ifwhereaboutsunknown,write‘Unknown’inHomeaddresscolumn).3. Ifyouhavebeenassistedincompletingthisform,youshouldonlysigntheDeclarationiftheinformationistrueandcorrectandhasbeenincludedwithyourfullknowledge,consentandunderstanding.Family compositionFamilyname Givennames Dateofbirth Relationshipstatus Homeaddress PreviousvisitstoAustralia Yourself//N NO // Spouse NO // Defacto////Father/Mother//M NO // Father/Mother//M NO //Brother/sister//// Brother/sister////Brother/sister////Son/daughter// Son/daughter//// Son/daughter////DeclarationIdeclarethat:•theinformationIhavegivenonthisformiscompleteandcorrect.•inanysectionofthisformwhichhasbeencompletedwiththeassista nceofanotherperson,theinformationassetdownistrueandcorrec tandhasbeenincludedwithmyfullknowledge,consentandunders tanding.‘Relationshipstatus’codes M=MarriedE=EngagedF=DefactoS=Separat54 Signatureofapplicant Signatureofwitness。

澳大利亚签证个人申请表

澳大利亚签证个人申请表一、基本信息
申请人姓名：
护照号码：
国籍：
性别：
出生日期：
婚姻状况：
联系电话：
电子邮件：
二、签证类别
请选择适用的签证类别（在方框中打“√”）：
□ 旅游签证
□ 工作签证
□ 学生签证
□ 投资/商务签证
□ 家庭团聚签证
□ 临时工作签证
□ 配偶签证
□ 其他（请注明）：
三、申请人背景信息
1. 教育背景：
申请人完成的最高学历：
毕业院校名称：
所学专业：
毕业时间：
2. 就业情况：
目前工作单位名称：
职位：
工作时间：
工作地址：
3. 金融状况：
申请人在澳大利亚有无存款：
申请人在澳大利亚有无固定资产：
申请人在澳大利亚有无亲属赞助：
4. 家庭状况：
申请人是否有配偶/子女：
配偶/子女的姓名和年龄：
四、行程计划
1. 计划入境日期：
2. 计划逗留期限：
3. 具体旅行安排（包括行程和住宿）：
五、资金来源
请说明您用于本次旅行的资金来源：
六、其他材料
请列举您提交的其他申请材料清单：
七、声明和签名
我在此申请签证，并声明所提供的信息真实准确。

我了解在澳大利亚逗留期间需遵守法律法规，并接受相关部门的监管和约束。

申请人签名：
日期：。

澳洲过境签表格

876 (Design date 11/10) - Page 1© COMMONWEALTH OF AUSTRALIA, 2010Important – Please read this information carefully before you complete your application. Once you have completed your application we strongly advise that you keep a copy for your records.No fee is payable for an application for an Australian transit visa.Who completes this form?You should complete this application form if you intend to remain in Australia no longer than 72 hours and if you can establish that the principal purpose in entering Australia is:•to pass through Australia in transit to another country (where a ‘stopover’ is intended, you should apply for the appropriate visa in a visitor class instead); or •to pass through Australia to join a vessel as a crew member (Note : Persons entering Australia to join a cruise ship as a passenger should apply for a visitor visa).Children included in a parent’s passport need not complete a separate application form. Details of such children can beincluded on their parent’s/guardian’s application form. Children not included in a parent’s or guardian’s passport must fill in a separate application.Please answer all questions fully and correctly. An incorrect answer, or failure to provide an answer to any question, will be taken into account when your application is being considered and could lead to the refusal of your application.T ravel agents may complete this form for you but you must sign the declaration.For information on the making and processing of visa applications, see the information form 1025i Making and processing visa applications.Integrity of applicationThe Department of Immigration and Citizenship (thedepartment) is committed to maintaining the integrity of the visa and citizenship programs. Please be aware that if youprovide us with fraudulent documents or claims, this may result in processing delays and possibly your application being refused.What is needed with the application?Persons other than the crew joining a vessel You must enclose with your application:a passport valid for travel to Australia issued to, or including, each person in the application;a recent passport-type photograph of each person included in the application form (the photograph must be signed on the back by the person to whom it refers);an itinerary;evidence of confirmed onward booking to continue your journey from Australia to a third country within 72 hours of arrival; and/orcorrect documentation (eg. visa) for entry to that third country .Persons joining as crew of a vesselFrom 1 July 2007, foreign members of crew employed on foreign non-military ships which are in Australia during an international voyage are required to hold an Australianmaritime crew visa. A maritime crew visa may only be applied for while the applicant is outside Australia. A maritime crew visa is valid for multiple entries to Australia for 3 years from the date it is granted and only permits travel to Australia by sea. Crew who need to travel to Australia by air to join a ship may apply for a transit visa to travel to Australia but applicants will be checked by immigration officials to ascertain if they hold a maritime crew visa. If you do not hold a maritime crew visa after 1 July 2007 when you apply for a transit visa, you may be refused a transit visa to travel to Australia.Your application should be accompanied by:•a passport; and•documentary proof that you are employed on, or are to be employed on, the ship you are joining in Australia.The following details are to be supplied by the local shipping/handling agent:•the names of the person joining the vessel as crew;•the names of the persons they are replacing;•the name of the company employing the applicant;•the name of the vessel being joined;•the date of arrival in Australia of the persons to be visaed;•the port and date they are expected to join the vessel;•if they are not the vessel’s owner, a copy of the request for crew from the vessel’s agent in Australia. The request should contain the details of the crew members applying for visas.Your transit visa, if granted will permit you to travel to Australia by air for single entry only. Your maritime crew visa will allow you a period of 5 days to sign onto your vessel after you arrive in Australia. If you fail to sign onto your vessel in that time, your maritime crew visa will cease and you may be liable to removal from Australia.Form876Application for Transit visa forAustralia (subclass 771)How you lodge the applicationYour completed application accompanied by the passport and photograph may be lodged by you or by your representative or sent by mail. If the passport is to be returned by mail you must provide an addressed passport-size envelope and sufficient postage.Residential addressYou must provide the address where you and any children included on this application form intend to live while your application is being dealt with. Failure to give your residential address in this application will result in this application being invalid. A post office box address will not be accepted as your residential address.Documents required on arrival•Passport with a valid visa for travel to Australia and if crew joining a vessel, another document that identifies the holder as a seafarer.•Return or onward ticket or other documentation for travel and entry to a destination beyond Australia.•Completed incoming passenger card (will be available on ship/aircraft prior to arrival).Period of stay in AustraliaYour stay in Australia must be for no longer than 72 hours. Extensions of stay will not be granted.Transit visa conditionsT ransit visas have the following conditions attached to them. If you do not comply with the conditions, your visa may be cancelled and you will become an unlawful non-citizen.You must not:•work in Australia; or•undertake formal studies or training in AustraliaOptions for receiving written communicationsYou may authorise another person to receive all communications, both written and electronic, about your application with the department. You will be taken to have received any documents sent to that person as if they had been sent to you.T o do this you will need to complete Part C Options for receiving written communications and form 956 Appointment of a migration agent or exempt agent or other authorised recipient. For an explanation of what a migration agent or exempt agent or authorised recipient can do please read the sections below.T o change or end the appointment of your migration agent or exempt agent or authorised recipient you must promptly advise the department in writing. You can do this by using form 956 Appointment of a migration agent or exempt agent or other authorised recipient.Authorised recipient informationAn authorised recipient is someone you appoint to receive written communications about your application with the department.All written communication about your application will be sent to your authorised recipient, unless you indicate that you wish to have health and/or character information sent directly to you.The department will communicate with the most recently appointed authorised recipient as you may only appoint one authorised recipient at any time for a particular application. Migration agent informationA 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 your application;•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 assume that your migration agent will be your authorised recipient, unless you indicate otherwise.Your migration agent will be the person with whom the department will discuss your application and from whom it will seek further information when required.You are not required to use a migration agent. However, if you use a migration agent, the department encourages you to use a registered migration agent. Registered agents are bound by the Migration Agents Code of Conduct, which requires them to act professionally in their clients’ lawful best interests. Immigration assistanceA person gives immigration assistance to you if he or she uses, or claims to use, his or her knowledge or experience in migration procedure to assist you with your visa application, request for ministerial intervention, cancellation review application, sponsorship or nomination.In Australia a person may only lawfully give immigration assistance if he or she is a registered migration agent or is exempt from being registered. Only registered migration agents may receive a fee or reward for providing immigration assistance.If an unregistered person in Australia, who is not exempt from registration, gives you immigration assistance they are committing a criminal offence and may be prosecuted. Migration agents in AustraliaMigration agents in Australia must be registered with the Office of the Migration Agents Registration Authority (Office of the MARA) unless they are exempt from registration.Migration agents outside AustraliaMigration agents who operate outside Australia do not have to be registered. The department may give some overseas agents an ID number. This number does not mean that they are registered.Note: Some Australian registered migration agents operate overseas.876 (Design date 11/10) - Page 2© COMMONWEALTH OF AUSTRALIA, 2010Exempt agentsThe following people do not have to be a registered migration agent in order to provide immigration assistance, but they must not charge a fee for their service:•a close family member (spouse, de facto partner, child, parent, brother or sister);•a sponsor or nominator for this visa application;•a member of parliament or their staff;•an official whose duties include providing immigration assistance (eg. a Legal Aid provider);•a member of a diplomatic mission, consular post or international organisation.Further information on migration agentsInformation on migration agents, including a list of registered migration agents, is available on the Office of the MARA website .auYou can also access information about migration agents on the department’s website .auConsent to communicate electronicallyThe department may use a range of means to communicate with you. However, electronic means such as fax or e-mail will only be used if you indicate your agreement to receiving communication in this way.T o process your application the department may need to communicate with you about sensitive information such as health, police checks, financial viability and personal relationships. Electronic communications, unless adequately encrypted, are not secure and may be viewed or interfered with by others. If you agree to the department communicating with you by electronic means, the details you provide will only be used by the department for the purpose for which you have provided them, unless there is a legal obligation or necessity to use them for another purpose, or you have consented to use them for another purpose. They will not be added to any mailing list.The Australian Government accepts no responsibility for the security or integrity of any information sent to the department over the internet or by other electronic means.About the information you giveThe department is authorised to collect information provided on this form under Part 2 of the Migration Act 1958 ‘Control of Arrival and Presence of Non-Citizens’. The information provided will be used for assessing your eligibility for a visa to travel to, enter and/or remain in Australia and for other purposes relating to the administration of the Migration Act.The information provided might also be disclosed to agencies who are authorised to receive information relating to adoption, border control, business skills, citizenship, education, health assessment, health insurance, health services, law enforcement, pensions and benefits, refugee services, taxation, superannuation, review of decisions and registration of migration agents. Relevant information about you will be disclosed to federal,state and territory police to assist in your location and possible detention in the event that you become an unlawful non-citizen. You will become an unlawful non-citizen if your visa ceases (by cancellation for breach of visa condition for example) or expires and you do not hold another visa authorising you to remain in Australia.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 lineHome page .auThe information provided on this form, including any information on your health, will be used to assess your health for an Australian visa and may be disclosed to the relevant Commonwealth, state and territory health agencies and examining doctor(s).Form 1163i Health requirement for temporary entry to Australia provides additional information on Australia’s visa health requirements. This form is available at offices of the department or from the department’s website.au/allforms/You should read the information form 993i Safeguarding your personal information, which is available from offices of the department, for details of agencies to which your information might be disclosed.The department is authorised under the Migration Act 1958, in certain circumstances, to collect a range of personal identifiers including a facial image, fingerprints and a signature from non-citizens, including from visa applicants. The department requires personal identifiers to assist in assessing your identity. The department is authorised to disclose your personal identifiers and information relating to your name and other relevant biographical data to a number of agencies including law enforcement and health agencies and to other agencies who may need to check your identity with this department. Where the department obtains personal identifiers they will become part of your official record with the department.The department is involved in international information exchanges with a number of countries, including the United Kingdom, the United States of America, Canada and New Zealand. These international information exchanges may involve the sharing of personal identifiers, including facial images and fingerprint data, collected by immigration agencies such as this department. If, as a result of this sharing between countries, there is a match with your personal identifiers, the department will disclose your biographical data, copies of travel and other identity documents or information from such documents, your immigration status and immigration history (which may include any immigration abuse and offences) and any criminal history information relevant to immigration purposes. The purpose of such disclosure would be to help confirm your identity and determine if you have presented to the department and the other agency under the same identity and with similar claims. For more detailed information you should read information form 1243i Your personal identifying information, which is available from the department’s website.au/allforms/ or from any office of the department or Australian mission overseas.Please keep these information pages for your reference876 (Design date 11/10) - Page 3© COMMONWEALTH OF AUSTRALIA, 2010This page is intentionally blankForm876Application for Transit visa forAustralia (subclass 771)Part A – Your details3Family nameGiven namesReason for transit1Name in ethnic script (if applicable)4Sex5Male FemalePlace of birth7TownCountry8Date of birthCitizenship9Details from your passport10Passport numberCountry ofpassportDate of issueIssuing authority/Place of issue asshown in yourpassportDate of expiryCountry of residence11Full residential addressNote: A post office box address is not acceptable as a residentialaddress. Failure to give your residential address will result in thisapplication being invalid.12Postal address (If same as residential address, write ‘AS ABOVE’)13Telephone numbers14Office hoursAfter hoursPHOTOGRAPHPlease attach a recentpassport photograph ofyourselfANDof children over 2 yearsof age included in thisapplication and in yourpassport Crew joining a vessel – Do you have a valid maritime crew visa?2Your full nameYesNo You must have a valid maritime crew visa before you can begranted a transit visa. You should apply for a maritime crewvisa immediately.Relationship status6Married Never married orbeen in a de factorelationshipSeparatedDe factoEngagedWidowedDivorcedTick where applicablePlease use a pen, and write neatly in English using BLOCK LETTERS.876 (Design date 11/10) - Page 5© COMMONWEALTH OF AUSTRALIA, 2010876 (Design date 11/10) - Page 6© COMMONWEALTH OF AUSTRALIA, 201015Address while in Australia16Length of stay17Occupation18Employer’s name19Employer’s address20If you need more space, attach a sheet giving the required detailsDetails of children included in this application and in your passport21Family name Given names Country of birth Date of birthSex MaleFemaleFamily name Given namesDate of birthSex MaleFemaleFamily nameGiven names Date of birth SexMaleFemaleFamily name Given names Date of birth Sex MaleFemaleNote : If the residential address for any of these children is different to the address provided at Question 12, please attach a sheet showing each child’s residential address. If a child has more than one address,all addresses must be shown. A post office box address is not acceptable as a residential address.Country of birth Country of birth Country of birthYes No Give detailsFax number Do you agree to the department communicating with you by fax, e-mailor other electronic means?Note : If this application is refused, you will be notified by mail876 (Design date 11/10) - Page 7© COMMONWEALTH OF AUSTRALIA, 2010Contacts in Australia23Name Relationship AddressTelephoneArrival/Departure details24YesNoHave you or anyone included in this application ever previously appliedfor a visa or travelled to Australia?25Provide dates of previous visits to or residence in Australiato totoTotal number of persons included in this application 22Name Relationship AddressTelephone Name Relationship AddressTelephone Name Relationship AddressTelephoneCountry of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure Country of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure Country of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure876 (Design date 11/10) - Page 8© COMMONWEALTH OF AUSTRALIA, 2010In the last 5 years, have you, or any other person included in thisapplication, visited, or lived, outside your country of passport for more than 3 consecutive months?26YesNoGive detailsNameCountry(s)Datetofrom Date tofrom NameDate tofrom Country(s)Country(s)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 active tuberculosis?•ever had a chest x-ray which showed an abnormality?28YesNo Give details29During your proposed visit to Australia, do you, or any other personincluded in this application, expect to incur medical costs, or require treatment 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?YesNo Give detailsDo you, or any other person included in this application, intend to entera hospital or a health care facility (including nursing homes) while in Australia?27YesNo Give details876 (Design date 11/10) - Page 9© COMMONWEALTH OF AUSTRALIA, 201030Have you, or any children included in this application, ever:If you answered ‘Yes ’ to any of the above questions, you must state who it applies to and give ALL relevant details.If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.• been convicted of a crime or offence in any country (including any conviction which is now removed from official records)?•been charged with any offence that is currently awaiting legal action?•been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind?•been removed or deported from any country (including Australia)?•left any country to avoid being removed or deported?•been excluded from or asked to leave any country (including Australia)?•committed, or been involved in thecommission of war crimes or crimes against humanity or human rights?•been involved in any activities that would represent a risk to Australian national security?•had any outstanding debts to the Australian Government or any public authority in Australia?•been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)?•served in a military force or statesponsored/private militia, undergone any military/paramilitary training, or been trained in weapons/explosives use (however described)?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo Part C – Options for receiving written communicationsPart B – Assistance with this formIs the person an agent registered with the Office of the Migration AgentsRegistration Authority (Office of the MARA)?32YesNoGo to Part CDid you receive assistance in completing this form?31YesNo Please give details of the person who assisted you Did you pay the person/agent and/or give a gift for this assistance?34YesNo Go to Part CMrMrsMissMsTitle:OtherFamily nameGiven namesAddressTelephone number or daytime contactOffice hours Mobile/cellIs the person/agent in Australia?33YesNo Go to Part CMyself All written communications will be sent to the address for communications that you have provided in this form.Migration agentAuthorised recipient35All written communications about this application should be sent to:(Tick one box only)Agent exempt from registrationYou must complete form 956 Appointment of a migration agent or exempt agent or other authorised recipient and attach it to this application form. Form 956 is available from the department’s website .auOR OROR876 (Design date 11/10) - Page 10© COMMONWEALTH OF AUSTRALIA, 2010I declare that:•the information provided on, or with this form, is complete and correct;•I and my accompanying family members will, if granted a transit visa:–travel to Australia on fully paid tickets for travel to a third country beyond Australia and will provide these tickets on arrival in Australia and will retain them while in Australia;–will not seek authority to settle in Australia and will leave at or before the end of the authorised transit period; and– will not undertake employment or any formal studies or training before the end of the authorised transit period in Australia.For offshore applicants who are required to provide their fingerprints and facial image:•I understand that my fingerprints and facial image and my biographical information held by the Department of Immigration and Citizenship may be given to Australian law enforcement agencies to help identify me, to help determine my eligibility for grant of the visa I have applied for, and for law enforcement purposes.•I consent to:–Australian law enforcement agencies disclosing my biometric,biographical and criminal record information to the Department of Immigration and Citizenship for any of the purposes outlined above;and–the Department of Immigration and Citizenship using theinformation obtained for the purposes of the Migration Act 1958or the Citizenship Act 2007.36Part D – Declaration and consentSignature of applicantDateSignatures of all other persons included in this application aged 18 years or over.SignatureSignatureSignatureDateDateDateWARNING : Giving false or misleading information is a serious offence.We strongly advise that you keep a copy of your application and all attachments for your records.。

表格--澳洲访签签名表格

签名表格说明：
每位申请人填写4页
使馆规定护照和所有表格务必要本人签名，如领馆发现代签、冒签的，马上拒签！
第一页表格是54表，请申请人填写相关的家庭成员情况（申请人父母信息一定要填写，否则签证中心拒收申请材料），并在“申请人签名”的方框签名。

请找其他人（不包括申请人本人）见证申请人亲自签名，在“见证人签名”框签名。

第二页是54表的英文版，无需填写内容，申请人和见证人只要在和中文表同样位置的方框签名就可以了。

第三、四页在“申请人签名”对应的方框签名。

申请人签名
申请人签名。

澳大利亚签证48r表

48R (Design date 11/10) - Page 1© COMMONWEALTH OF AUSTRALIA, 2010Application for general tourists tovisit Australia for tourismor other recreational activitiesForm48RVisa validityThis visa generally allows stays of 3 or 6 months in Australia, although a stay of up to 12 months can be granted. A stay beyond 12 months is ONLY granted where ‘exceptional’ circumstances exist.It may be granted for a single entry or multiple entries within a specified period. Generally, this visa allows people to enter Australia within 12 months from the date of grant.It should be noted, however, under Australia’s migration regulations, decision-makers may grant a T ourist visa permitting the visa holder to travel to and to remain inAustralia for a specified period that they see as appropriate. In some circumstances the stay period granted may be less than the stay period requested by the applicant.For more detailed information check the department’s website .au/e_visa/visitors.htmWays to applyThere are 3 ways to apply for a T ourist visa:• electronically over the internet;• on a paper application form; or• via a Service Delivery Partner (SDP). SDPs provide visa application services on behalf of the department in some countries. For more detailed information, and to check if an SDP is available in your country, please visit the Contact Us web page on the department’s website at .au/contacts/overseas/To apply for a Tourist visa from outside Australia:• Applications for a T ourist visa may be made via the internet using registered travel agents, airline services, using a SDP or by applicants applying directly on the internet. T o apply through the internet, you must hold an eligible passport. A list of eligible countries for this service is available from the department’s website .au/e_visa/• Applications for a T ourist visa may also be made on a paper application form at an Australian Embassy, HighCommission or Consulate. However, it is important to note that some Australian Government offices overseas do not process visa applications at their offices. Information about special arrangements for lodgement of visa applications at specific Australian Government offices overseas may be found on the department’s website.au/contacts/overseas/ or by contacting your nearest Australian Government office.To apply for a Tourist visa in Australia:• An application for a total stay of up to 6 months from the date the applicant last entered Australia on an Electronic T ravel Authority (Visitor) (subclass 976) or a T ourist visa (subclass 676) can be made over the internet. Further information is available on the department’s website .au/e_visa/Important – Please read this information carefully before you complete your application. Once you have completed your application we strongly advise that you keep a copy for your records.Who should use this form?Use this form if you are outside Australia to apply for a T ourist visa to visit Australia for tourism or other recreational activities (holiday, sightseeing, social or recreational reasons, to visit relatives or friends, or other short-term non-work purposes including study).• If you want to apply for a Sponsored Family Visitor visa, you will need to complete form 48S Application to visit Australia as a sponsored family visitor , and your sponsor will need to complete form 1149 Application for sponsorship for sponsored family visitors .• If you intend visiting Australia for medical treatment you should use form 48ME Application to visit Australia for medical treatment (Class UB Medical Treatment).• If you intend to study in Australia for more than 3 months you should apply for a student visa. Please contact the nearest Australian overseas mission for information on student visa applications, including the correct application form.• If you intend visiting Australia for a short business trip(including attending a conference) you should use form 456 Application for a Business (Short Stay) visa (for a stay of up to 3 months).You must complete all questions in all sections. Failure to answer any question completely and accurately may result in the application being refused, or the visa may be cancelled at a later date.Integrity of applicationThe Department of Immigration and Citizenship (thedepartment) is committed to maintaining the integrity of the visa and citizenship programs. Please be aware that if you provide us with fraudulent documents or claims, this mayresult in processing delays and possibly your application being refused.Type of visasA visa must be obtained BEFORE travelling to Australia. A visitor visa granted following the processing of this application may be in the form of a label, placed in your passport. A visa may be for a single entry or for multiple entries. Following an assessment of your application by a visa officer, a decision will be made on whether or not to grant a visa and for what period of time. The type of visa, length of stay, conditions and anumber of entries will be indicated on your visa label or in the letter the department will send you if you are granted the visa.You can apply for the following type of visa:Tourist visa, class TR – subclass 676This visa can be applied for from outside Australia (offshore) or in Australia.48R (Design date 11/10) - Page 2© COMMONWEALTH OF AUSTRALIA, 2010CONDITIONS8101 – You must not work while in Australia.8201 – You must NOT study for more than 3 months while inAustralia.8503 – No Further Stay.Following an assessment of your application, a visa officer may decide to apply the 8503 condition on your visa. The 8503 (or No Further Stay) condition means that the holder of the visa on which the condition has been imposed will not, after entering Australia, be entitled to be granted any other visa 1, while the holder remains in Australia.The effect of this visa condition is that it will not be possible for you to apply to remain in Australia beyond the authorised period of stay of your visa. It is particularly important, if your visit to Australia is to attend a specific event, that you organise your travel so that you can attend these events within your authorised period of stay as you will not be able to extend your period of stay in Australia.If the 8503 condition is imposed on your visa, it will be indicated on the visa label or the letter advising you of the grant of your visa, with the words 8503 – NO FURTHER STAY . There may be other conditions depending on the purpose of your visit.How to apply• T o apply in person or by mail you will need to complete a paper application form. Note : False or misleadinginformation may lead to refusal or cancellation of your visa, or penalties while in Australia. The completed application form can be lodged at your nearest Australian overseas mission.• You may arrange for another person to help you complete the application form, but you must sign it. If you have been assisted in completing the application form, you should only sign the declaration(s) if the information in it is true and correct.• Lodge your application form, the application charge and any attachments at the nearest overseas mission or Service Delivery Partner. Your application may be lodged personally, by your representative or sent by mail.• You will need to provide either your passport or a ‘certified true’ copy of the biodata and visaed pages of your passport with your application.• You may also be required to present your passport once a decision on your application has been made, to enable a visa label to be affixed.• Please follow any directions given by the visa processing officer as to medical or x-ray examinations that may be required.On the return of your passport, carefully check the details and conditions on your visa label or on the letter advising you of the grant of your visa. If you have any concerns or questions about the requirements or limitations, you should contact the office that granted the visa before travelling to Australia. You should not assume that any changes to your immigration status can be made after your arrival in Australia.• Alternatively, applications for a T ourist visa may also be made on a paper application form at an office of the department. T o apply you are required to completeform 601 Application for further stay as a visitor and either mail it with your passport to an office of the department or present the form with your passport to a counter officer of the department. Forms are available upon request from any office of the department. For more details on visa lodgement options check the department’s website .au/e_visa/Visa Application ChargeAn application charge must accompany each application.• The application cannot be processed until this charge has been received.• The fee is generally not refundable if a visa is not granted.Fees may be subject to adjustment at any time. VisaApplication Charges may be subject to adjustment on 1 July each year. This may increase the cost of a visa.T o check the Visa Application Charge, see form 990i Charges available from the department’s website.au/allforms/990i.htm or check with the nearest office of the department.Method of paymentIn AustraliaT o make a payment, please pay by credit card, debit card, bank cheque or money order made payable to the Department of Immigration and Citizenship. Debit card and credit card are the preferred methods of payment.Outside AustraliaBefore making a payment outside Australia, please check with the Australian Government office where you intend to lodge your application as to what methods of payment and currencies they can accept and to whom the payment should be made payable.Who can you include in this application?Only one passport-holder can apply on one form. You can include in your application any children on your passport who will be travelling with you. If another adult is included in your passport they should complete a separate application form.Conditions for a tourist visa to AustraliaVisitors to Australia must be willing and able to abide by the conditions listed below while in Australia. If you are unwilling or unable to abide by these conditions you should not apply for a visa. If you do not abide by these conditions, your visa may be cancelled or you may be subject to other penalties. If you have any questions or concerns about the conditions, you should ask for more information from an Australian overseas mission.On return of your passport, carefully check the details and conditions on your visa label or on the letter advising you of the grant of your visa.1Except in extremely limited circumstances which are outside your control, or to engage Australia’s protection obligation under the 1951 UN convention relating to the status of refugees.48R (Design date 11/10) - Page 3© COMMONWEALTH OF AUSTRALIA, 2010Options for receiving written communicationsYou may authorise another person to receive allcommunications, both written and electronic, about your application with the department. You will be taken to have received any documents sent to that person as if they had been sent to you.T o do this you will need to complete Part J Options for receiving written communications and form 956Appointment of a migration agent or exempt agent or other authorised recipient . For an explanation of what a migration agent or exempt agent or authorised recipient can do please read the sections below.T o change or end the appointment of your migration agent or exempt agent or authorised recipient you must promptly advise the department in writing. You can do this by using form 956 Appointment of a migration agent or exempt agent or other authorised recipient .Authorised recipient informationAn authorised recipient is someone you appoint to receive written communications about your application with the department.All written communication about your application will be sent to your authorised recipient, unless you indicate that you wish to have health and/or character information sent directly to you.The department will communicate with the most recently appointed authorised recipient as you may only appoint one authorised recipient at any time for a particular application.Migration agent informationA 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 your application;• 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 assume that your migration agent will be your authorised recipient, unless you indicate otherwise.Your migration agent will be the person with whom the department will discuss your application and from whom it will seek further information when required.You are not required to use a migration agent. However, if you use a migration agent, the department encourages you to use a registered migration agent. Registered agents are bound by the Migration Agents Code of Conduct, which requires them to act professionally in their clients’ lawful best interests.Immigration assistanceA person gives immigration assistance to you if he or she uses, or claims to use, his or her knowledge or experience in migration procedure to assist you with your visa application, request for ministerial intervention, cancellation review application, sponsorship or nomination.In Australia a person may only lawfully give immigration assistance if he or she is a registered migration agent or is exempt from being registered. Only registered migration agents may receive a fee or reward for providing immigration assistance.If an unregistered person in Australia, who is not exempt from registration, gives you immigration assistance they are committing a criminal offence and may be prosecuted.Residential addressYou must provide the address where you intend to live while your application is being dealt with. Failure to give your residential address in this application will result in your application being invalid. A post office box address will not be accepted as your residential address.Health insuranceMedical treatment in Australia can be very expensive. It is recommended that you take out health insurance for you and your family for the period of stay in Australia. You will not be covered by Australia’s national health scheme, unless you are covered by a reciprocal health care agreement.If you are 75 years of age or overIn order to satisfy the financial requirement for these visas, you may be asked to provide evidence with your application that you have health insurance to cover your stay in Australia. More information about Australian private health insurance is available from the department’s website .au/visitors/VaccinationsIf it is your intention to enrol your child in an Australian school or childcare centre (creche or preschool) during your visit to Australia, you are strongly encouraged to carry certification of your child’s vaccination status.Vaccination is recommended against polio, tetanus, measles, mumps, rubella, diphtheria, pertussis (whooping cough), Haemophilus influenzae hypo (Hib), and Hepatitis B.Certification may be sought at time of enrolment. Note : Vaccination against rubella is also recommended for women of child bearing age.Consent to communicate electronicallyThe department may use a range of means to communicate with you. However, electronic means such as fax or e-mail will only be used if you indicate your agreement to receiving communication in this way.T o process your application the department may need to communicate with you about sensitive information, for example, health, police checks, financial viability and personal relationships. Electronic communications, unless adequately encrypted, are not secure and may be viewed by others or interfered with. If you agree to the department communicating with you by electronic means, the details you provide will only be used by the department for the purpose for which you have provided them, unless there is a legal obligation or necessity to use them for another purpose, or you have consented to use for another purpose. They will not be added to any mailing list.The Australian Government accepts no responsibility for the security or integrity of any information sent to the department over the internet or by other electronic means.48R (Design date 11/10) - Page 4© COMMONWEALTH OF AUSTRALIA, 2010If your application for a T ourist visa has also been supported by an Australian Member of Parliament or a Community Leader based in Australia, information on the outcome of your application and of your compliance with visa conditions, if your visa is granted, may be provided to the Member of Parliament or the Community Leader.The collection, access, storage, use and disclosure by the department of the information you provide in this form is governed by the Privacy Act 1988 and, in particular, by the 11 Information Privacy Principles. The information form 993i Safeguarding your personal information , available from the department’s offices, gives details of agencies to which your personal information might be disclosed.The department is authorised under the Migration Act 1958, in certain circumstances, to collect a range of personal identifiers including a facial image, fingerprints and asignature from non-citizens, including from visa applicants. The department requires personal identifiers to assist in assessing your identity. The department is authorised todisclose your personal identifiers and information relating to your name and other relevant biographical data to a number of agencies including law enforcement and health agencies and to other agencies who may need to check your identity with this department. Where the department obtains personal identifiers they will become part of your official record with the department.The department is involved in international information exchanges with a number of countries, including the United Kingdom, the United States of America, Canada and New Zealand. These international information exchanges may involve the sharing of personal identifiers, including facialimages and fingerprint data, collected by immigration agencies such as this department. If, as a result of this sharing between countries, there is a match with your personal identifiers, the department will disclose your biographical data, copies of travel and other identity documents or information from such documents, your immigration status and immigration history (which may include any immigration abuse and offences) and any criminal history information relevant to immigration purposes. The purpose of such disclosure would be to help confirm your identity and determine if you have presented to the department and the other agency under the same identity and with similar claims.For more detailed information you should read information form 1243i Your personal identifying information , which is available from the department’s website.au/allforms/ or from any office of the department or Australian mission overseas.Migration agents in AustraliaMigration agents in Australia must be registered with theOffice of the Migration Agents Registration Authority (Office of the MARA) unless they are exempt from registration.Migration agents outside AustraliaMigration agents who operate outside Australia do not have to be registered. The department may give some overseas agents an ID number. This number does not mean that they are registered.Note : Some Australian registered migration agents operate overseas.Exempt agentsThe following people do not have to be a registered migration agent in order to provide immigration assistance, but they must not charge a fee for their service:• a close family member (spouse, de facto partner, child, parent, brother or sister);• a sponsor or nominator for this visa application;• a member of parliament or their staff;• an official whose duties include providing immigration assistance (eg. a Legal Aid provider);• a member of a diplomatic mission, consular post or international organisation.Further information on migration agentsInformation on migration agents, including a list of registered migration agents, is available on the Office of the MARA website .auYou can also access information about migration agents on the department’s website .auAbout the information you giveThe department is authorised to collect information provided on this form under Part 2 of the Migration Act 1958 ‘Control of Arrival and Presence of Non-Citizens’. The information provided 2 will be used by the department for assessing your eligibility for a visa to travel, enter and remain in Australia and for other purposes relating to the administration of the Migration Act, for example, to assist migrants with settling in Australia, to monitor the conduct of migration agents, or for ensuring compliance with the Migration Act.The information provided might also be disclosed toagencies who are authorised to receive information relating to adoption, border control, business skills, citizenship, education, health assessment, health insurance, healthservices, law enforcement, payment of pensions and benefits, taxation, superannuation, review of decisions and regulation of migration agents.Relevant information about you will be disclosed to federal, state and territory police to assist in your location andpossible detention in the event that you become an unlawful non-citizen. You will become an unlawful non-citizen if your visa ceases (by cancellation for breach of visa condition for example) or expires and you do not hold another visa authorising you to remain in Australia.2The information provided in relation to health on this form, and the results of any tests for Human Immunodeficiency Virus (HIV), will be used to assess your health for an Australian visa. A positive HIV or other test result will not necessarily lead to a visa being denied. Your results may be disclosed to the relevant Commonwealth, state and territory health agencies.48R (Design date 11/10) - Page 5© COMMONWEALTH OF AUSTRALIA, 2010Additional documentationUnder the Migration Act 1958, decision-makers are not obliged to seek additional information from the applicant before making a decision on a visa application. It is therefore in the applicant’s best interest to submit the following documentation with their application:• evidence of funds;• evidence of your medical/travel insurance;• medical examination or tests;• a letter from your employer confirming your leave;• evidence of enrolment at school, college or university;• if visiting close family in Australia (who is a citizen or permanent resident of Australia), a letter of invitation to visit;• other information to show that you have an incentive and authority to return to your country of residence, such as property or other significant assets in your home country..auTelephone 131 881 during business hours in Australia to speak to an operator (recordedinformation available outside these hours). If you are outside Australia, please contact your nearest Australian mission.Home page General enquiry line Please keep these information pages for your referenceThis page is intentionally blankApplication for general tourists to visit Australia for tourismor other recreational activities Form48R Tick where applicablePlease use a pen, and write neatly in English using BLOCK LETTERS.4Name(s) as shown in your passportFamily nameDo you intend to enter Australia on more than one occasion?Given namesOther names you are, or have been, known by(including name at birth, previous married names, aliases)Part A – Your details5Sex MaleFemale6Date of birthNote: If you are 75 years or over, you will be asked to undergo ahealth assessment and may be asked to show that you have medicalinsurance to cover your stay in Australia. Please contact an Australianoverseas mission for further advice before lodging your application. Ifadditional medical consultations are required, a decision on your visaapplication will be delayed.7Relationship statusMarriedDe factoEngaged DivorcedSeparatedWidowedrelationshipPlace of birth8Town/cityCountry9Details from your passportPassport numberCountry of passportDate of issueDate of expiryIssuing authority/Place of issue as shown in your passportDetails 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 youare a citizen of more than one country, you need to enter the identitynumber on the card from the country that you live in.10Identity numberOf which countries are you a citizen?11Make sure your passport is valid for the period of stay you areapplying for.Note: If you hold an APEC Business Travel Card (ABTC) the Australianvisa associated with your ABTC will cease if this application isapproved.Give detailsNoYes1From toWhen do you wish to visit Australia?2How long do you wish to stay in Australia?Up to 3 monthsUp to 6 monthsUp to 12 monthsName in your own language or script (if applicable)48R (Design date 11/10) - Page 7© COMMONWEALTH OF AUSTRALIA, 201048R (Design date 11/10) - Page 8© COMMONWEALTH OF AUSTRALIA, 201017Are there any children included in your passport who will be travellingwith you?15Your telephone numbersOffice hours After hours or mobile/cell16Do you agree to the department communicating with you by fax,e-mail or other electronic means?Give detailsNo Yes Fax numberE-mail addressGive detailsNo YesFamily nameFamily nameFamily nameFamily nameGiven names Given names Given namesGiven names Date of birth Date of birth Date of birth Date of birth1.2.3.4.SexSex Sex Sex MaleMaleMaleMaleFemaleFemaleFemaleFemaleCountry of birth Country of birth Country of birth Country of birthPart B – Children includedYou can include in this application any children included in your passport who will be travelling with you .Children under 18 years of age, travelling alone or without one or both of their parents or legal guardians, require notarised authorisation from the non-accompanying parent(s) or guardian(s) to travel to Australia.If a child under 18 years of age is staying in Australia with someone other than a parent, legal guardian or relative, a declaration signed by the person responsible for that child in Australia, is required to be completed. See form 1257 Undertaking declaration .If insufficient space, attach additional details.1314Your current residential addressNote : A post office box address is not acceptable as a residential address. Failure to give your residential address will result in this application being invalid.Postal address(If the same as your residential address, write ‘AS ABOVE’)Country of usual residence1248R (Design date 11/10) - Page 9© COMMONWEALTH OF AUSTRALIA, 2010If you need more space, please attach a separate sheet with the details.Do you have a spouse, de facto partner, any children, or fiancé who will NOT be travelling with you?Is it likely you will be travelling from Australia to a neighbouring country(eg. New Zealand, Singapore, Papua New Guinea) and back to Australia?Part C – Family NOT travelling with youPart D – Details of your visit to Australia1819Give detailsNo YesPlease attach itinerary detailsNo YesDo you have any relatives in Australia?Do you have any friends or contacts in Australia?Do you intend to do a course of study while in Australia?Why do you want to visit Australia?Include details of any dates that are of special significance to your visit.20212322If you need more space, please attach a separate sheet with the details.If you need more space, please attach a separate sheet with the details.Name of the course Name of the institution How long will the course last?Give detailsNo Yes。

澳大利亚676类签证表格-48rchs

填表須知﹕ 填寫表格之前，請仔細閱讀下列資料。

填完申請表之後，最好保留一份副本備查。

誰應該使用本表格?如果你在澳大利亞境外申請簽証訪澳進行旅遊或其它娛樂活動 (渡假，觀光，社交或其它娛樂目的，探望親戚朋友，或由于包括學習在內的其它短期非工作性質目的)，應使用本表。

• 如果你想申請被擔保家庭成員的訪問簽證，你就需要填寫 48S表《被擔保家庭成員訪問澳大利亞申請表》，而你的擔保人則需要填寫 1149 表《為家庭成員訪問澳大利亞擔保申請表》。

• 如果你打算來澳看病治療，你應該使用 48ME 表《赴大利亞求醫申請表 (UB 類別治療)》。

• 如果你打算來澳學習三個月以上，你應該申請學生簽証。

請與離你最近的澳大利亞駐外使領館聯繫，索取有關學生簽証申請、包括正確的申請表格的資料。

• 如果你打算來澳作短期商務旅行 (包括開會)，你應該使用456表《商務 (短期居留) 簽證申請表 (居留時間不超過3個月)》。

你必須回答表格上所有部份的所有問題。

你如果沒有完整而準確地回答任何一個問題，都可能導致申請被拒或簽証在今後某個時候被取消。

申請的真實性移民及公民部（簡稱移民部）致力於維護各種簽證與公民入籍的真實性。

請注意：如果向移民部提供欺騙性的文件或做出欺騙性的聲明，就有可能造成審理過程拖延，申請有可能受到拒絕。

簽証種類簽証必須在來澳大利亞之前取得。

本申請經過審理之後，頒發旅遊簽証的形式是在你的護照中貼一張標籤。

簽証可以是一次入境的或多次入境的。

簽証官員對你的申請進行評估之後，就會決定是否頒發簽証，以及頒發多長時間的簽証。

如果給你頒發簽證，那麼簽証的種類、逗留時間長短、入境條件和入境次數都會在簽証標籤上標明，或者在移民及公民部（簡稱移民部）寄給你的信中寫明。

你可以申請下列種類的簽証:旅遊簽証，類別 TR ，子類別 676這種簽証可以從澳大利亞境外（海外）或澳大利亞境內申請。

簽証有效期本簽証通常允許在澳大利亞逗留 3 個月或 6 個月，不過也有可能允許逗留長達 12 個月。

澳大利亚签证个人资料表(空)

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是否被澳大利亚拒签过？
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是否去过澳大利亚，如去过提供具体的来回程时间：
本人声明：
1．本人所提供的资料以及所填写的内容完全属实；
申请日期：年月日申请人签名：（亲笔）
澳大利亚签证个人资料表
这是一份最为精简和完善的表格，为了您的签证顺利，请每一项务必详实填写，谢谢配合！
姓名
曾用名
婚姻状况
职务（中英文）
目前住址
手机
负责人姓名
（人事或者负责签字派遣人）
单位名称
（学生填写学校名称）（中英文）
单位地址
传真
单位电话
月收入
电子邮箱
进入此单位时间
拟出入境时间
（必填）
其他情况
是否被拒签过？

澳大利亚、新西兰签证表所需个人详情

澳大利亚、新西兰签证表所需个人详情1、申请人个人情况申请人姓名：性别：身份证号码：出生日期：年月日国籍：出生地：婚姻状况：__________ 家庭地址：邮政编码：家庭电话：现住址已居住年月工作单位：职务：单位地址：邮政编码:单位电话：单位传真：手机号码：现单位工作时间：自年月开始本单位人事部门电话：（非常重要，务必填写）2、家庭成员情况父亲姓名：（必须填写）出生日期：出生地：结婚日期：母亲姓名：（必须填写）出生日期：出生地：结婚日期：父母亲现行住址：以前是否来过澳大利亚：如来过请提供赴澳具体日期：配偶姓名：出生日期：出生地：结婚日期：以前是否来过澳大利亚：如来过请提供赴澳具体日期：子女姓名：性别：出生日期：出生地：婚姻状况：如已婚请注明结婚日期：现行住址：以前是否来过澳大利亚：如来过请提供赴澳具体日期：子女姓名：性别：出生日期：出生地：婚姻状况：如已婚请注明结婚日期：现行住址：以前是否来过澳大利亚：如来过请提供赴澳具体日期：兄弟姐妹姓名：性别：出生日期：出生地：婚姻状况：如已婚请注明结婚日期：现行住址：以前是否来过澳大利亚：如来过请提供赴澳具体日期：兄弟姐妹姓名：性别：出生日期：出生地：婚姻状况：如已婚请注明结婚日期：现行住址：以前是否来过澳大利亚：如来过请提供赴澳具体日期：3、其它是否曾经申请澳大利亚签证：__________是否曾经签证被取消：_________最近三次申请澳大利亚签证的日期和地点、签证类别、签证结果（批准、拒签、撤消）：本人及家人是否曾经申请新西兰签证：______是否曾经签证被拒签：____申请新西兰签证人员姓名、与本人关系、申请日期和地点、签证类别等有关详情：________________________________________________________________最近五年工作经历：。

澳大利亚及西兰签证资料表

签名：日期：
是否
与申请人关系
姓名
性别
出生年月日
联系电话
澳洲及新西兰详细地址
2．家庭成员表
称谓
姓名出Biblioteka 年月日出生地结婚日期
结婚地
详细地址
父亲
母亲
兄妹
兄抹
兄妹
配偶
子女
于女
子女
注：以上内容必须真实，若无此项请写“无”，如果因虚假材料而造成拒签并影响以后的澳洲签证及新西兰签证记录，我公司概不负责！
并告知出发时间年月日---年月日
澳大利亚及新西兰签证资料表
1.申请人
姓名
性别
出生年月日
出生地点
婚姻状况
家庭住址
住宅邮编
住宅电话
公司职务
手机电话
公司名称
公司英文名称
公司地址
工作电话
公司法人
法人电话
现单位的工龄
过去五年是否申请过澳大利亚及新西兰签证?
是否
是否获签
是否
申请日期
申请地点
申请的种类
若拒拒签请说出理由
澳洲及新西兰有否有亲戚朋友

澳大利亚签证资料调查表

澳大利亚签证资料调查表请如实提供资料，详细填写以下各项，如因虚假或隐瞒资料导致取消签证资格或被领事馆拒签，责任自负! 谢谢您的支持与合作！请继续填写第二页！
是（）否（）若回答“是。

请填写下面各项，并附上相应的签证和出入境记录的复印件
令您是否有亲属、亲戚或朋友在澳大利亚？是（）否（）
今您曾被哪些国家拒签过？（请如实提供，隐瞒实情只会导致签证资格的取消或拒签）
令您是否退休人员？.
是（）请提供退休证复印件。

您是否服兵役过？。

过去5年中是否在护照国以外访问或居住超过3个月？是（）否（）
是（）否（）
今您是否18岁以下人士，若“是二
令请提供出生证复印件；。

若只与父母亲其中一方（或其他亲属）同行，请提供另一方（或父母双亲）的委托书！
今您是否在校学生，若“是二请提供学校放假证明书！
令您是否70岁以上（含70岁）老人，若“是二请提供健康证或到指定医院进行体检！
请写出同行人姓名及关系：
我宣誓:我在此表中提供的是真实、准确的资料。

我明白我必须随团按期返回中国。

我明白提供任何虚假资料将会导致我的签证拒签和影响以后的申请签证,由此所引起的责任由本人承担。

徐泉泉申请人本人签名：年月日。

澳大利亚签证资料表

澳大利亚签证资料表1、您打算何时前往澳大利亚：年月日至年月日2、你是否有可能从澳大利亚旅行到其他国家（例如新西兰、新加坡、巴布亚新几内亚)，然后再回到澳大利亚？是（）否（）3、您此次前往澳大利亚的目的是：探亲访友（）观光旅游（）商务考察（）其它（）4、此次旅游同行人姓名：5、您曾去过哪些国家：5、您目前的就业情况：在职人员（）离退休（）失业/待业（）学生（）其它（）在职人员请提供单位证明信；离退休请提供离退休证；学生请提供学校证明信。

失业人员请说明上一份工作情况：至（时间）就职于（公司），任（职务），以及失业原因：无业人员请提供生活来源说明：在职人员请填写下面的表格：7、您的亲属成员资料（请填写所有亲属的资料，即使户口不在一起！请详细填写出生的年月日。

已故的需要填写姓名本人声明：本人已阅读并明白以上内容，并保证所填写的内容完全属实。

如有虚假，本人将承担由此造成的一切损失。

本人授权广州携程国际旅行社有限公司根据以上内容代为填写签证申请表。

申请人签名：申请日期：健康和品行表1.在过去五年中，你是否在护照国以外访问或居住的时间是否超过连续三个月？如果是，请详述原因、国家名称及居留该国的起止日期a.否b.是原因、名称、起止日期：_____________________________________________2.你或本申请表所包含的其他人是否打算在澳大利亚逗留期间入住澳大利亚的医院或健康保险机构（包括养老院）a.否b.是原因：_____________________________________________3.你或本申请表所包含的其他人是否打算在澳大利亚逗留期间从事，或通过学习准备从事，医生，护士或者医疗辅助人员的工作？a.否b.是原因：_____________________________________________4.你或本申请表所含包含的其他人a.是否患过或者现在患有肺结核病？b.是否与现在患有活动性肺结核病的家庭成员有过密切接触？c.你拍的胸透X光片是否显示过异常情况？a.否b. 是原因：_____________________________________________5. 在你拟定访问澳大利亚期间，你或本申请所包含的其他人是否会因下列情况而预计需要支付医疗费用，需要接受治疗或者后续医疗服务？a.血液失调b.肾脏疾病，包括透析c.肾脏疾病，包括透析d.癌症e. 精神疾病f. 心脏病g. 怀孕h.乙肝、丙肝及/或肝脏疾病i. 需要住院治疗或吸氧疗法的呼吸j. HIV病毒感染，包括艾滋病k. 需要住院治疗或吸氧气法德呼吸道疾病l. 其他情况a.否b.是原因：____________________________________________6.你或本申请表所包含的其他人是否由于某种医疗方面的原因而需要得到行动或护理方面的协助a. 否b. 是原因：____________________________________________7. 你或此申请中所包含的其他人是否曾经发生过下列情况：a.在任何国家被判犯罪或犯法（包括已从官方犯罪记录上删除的任何案底）？（1）否（2）是原因：____________________________________________b.被指控犯罪，现正等候法律诉讼？（1）否（2）是原因：____________________________________________c.因精神病，精神错乱或精神不健全等原因，虽犯刑事罪或其他罪而被无罪开释？（1）否（2）是原因：____________________________________________d.被任何国家驱逐或遣返（包括澳大利亚）？（1）否（2）是原因：____________________________________________e. 因避免被驱逐或遣返而离开某一国家？（1）否（2）是原因：____________________________________________f. 被禁止进入某国或被要求离开某国（包括澳大利亚）？（1）否（2）是原因：____________________________________________g.犯有或卷入战争罪行、反人类或反人权罪行？（1）否（2）是原因：____________________________________________h.参与任何可能危及澳大利亚国家安全的活动？（1）否（2）是原因：____________________________________________i. 拖欠澳大利亚政府债务或澳大利亚任何公共机构债务而仍未归还？（1）否（2）是原因：____________________________________________j.曾参与向任何他国（包括澳大利亚）非法移民的有关活动或因此类有关活动而被判罪？（1）否（2）是原因：____________________________________________k.曾在军队或武装力量或国家支持/私人的民兵中服役，曾接受军事/准军事训练，或曾接受武器/炸药使用的训练（无论以何种方式描述）（1）否（2）是原因：____________________________________________本人声明：本人已阅读并明白以上内容，并保证所填写的内容完全属实。

澳大利亚签证1229表

Important – Please read this information carefully before you complete this consent form. Once you have completed this consent form we strongly advise that you keep a copy for your records.Who should use this form?Where children under 18 years of age intend to travel toAustralia, their non-accompanying parent(s) or person(s) with parental responsibility (anyone who can lawfully determine where the child/children is/are to live) may be required to sign a consent form to give permission for the child/children to be granted an Australian visa for the purpose of travel to stay temporarily or permanently in Australia. If one parent, orperson(s) with parental responsibility, has lawfully been made solely responsible for making decisions as to where the child/children is/are to live, then only that parent or person needs to sign the consent form.How to complete this formThis form must be completed in English. The completed and signed form (Parts A and B) and any additional documentation should be sent to the office nominated in your application.You must attach to this form:•a certified copy of the child’s/children’s birth certificate(s),(if it is not already lodged with the application.);•a certified copy of the personal details page of thenon-accompanying parent’s, or person(s) with parental responsibility’s passport, driver’s licence, National Identity Card (ID card) or birth certificate; and•a certified copy of any relevant evidence making you solely responsible for making decisions about where the child/children is/are to live (if applicable).T o attach this form and the required documentation to your electronic visa application, please use the electronic attachment facility available on the eVisa website.T o access this facility via the eVisa online services page see .au/e_visaT o attach documents electronically you will need to identify your application by entering:•your T ransaction Reference Number;•your date of birth; and•the password that you supplied when your application was lodged and saved.Note : This form is not for the use of Electronic T ravel Authority (ETA) or eVisitor applicants who are under 18 years of age.1229 (Design date 03/09) - Page 1© COMMONWEALTH OF AUSTRALIA, 2009Form1229Consent to grant an Australian visa to a child under the age of 18 yearsTransactionReference NumberTelephone 131 881 during business hours in Australia to speak to an operator (recordedinformation available outside these hours).If you are outside Australia, please contact your nearest Australian mission.General enquiry lineHome page .auPlease keep this information page for your referenceTransaction Reference NumberThis T ransaction Reference Number is required if this consent relates to an electronic visa application.This page is intentionally blankForm1229Consent to grant an Australian visa to a child under the age of 18 years1229 (Design date 03/09) - Page 3© COMMONWEALTH OF AUSTRALIA, 2009Part A – Child’s/Children’s detailsGive details of each child for whom you give permission to be granted an Australian visaProvide details as shown in passport2Family nameGiven namesDate of birthCountry ofpassportA.If insufficient space, attach additional details1Purpose of travel to AustraliaTemporary visitPermanent residence BothContinued on the next pageTransactionReference NumberPassport numberFamily name Given namesDate of birth Country of passport B.Passport numberFamily name Given namesDate of birth Country of passport C.Passport numberFamily name Given namesDate of birth Country of passport D.Passport numberPlease use a pen, and write neatly in English using BLOCK LETTERS.Tick where applicable1229 (Design date 03/09) - Page 4© COMMONWEALTH OF AUSTRALIA, 2009Telephone Mobile phonePart B – Details of Parent(s)/Person withparental responsibilityParent/Person with parental responsibility 13Family name Given namesAddress Father Father Mother OtherRelationship to child/children Mother OtherPassport or ID card or driver ’s licence numberParent/Person with parental responsibility 1 – Declaration SignatureDate Telephone Mobile phoneParent/Person with parental responsibility 24Family name Given namesAddressRelationship to child/children Passport or ID card or driver ’s licence numberParent/Person with parental responsibility 2 – Declaration SignatureDateWARNING : Giving false or misleading information is a serious offence.I declare that:•the information supplied on this form is correct;•I have provided all documentary evidence as required.I declare that:•the information supplied on this form is correct;•I have provided all documentary evidence as required.WARNING : Giving false or misleading information is a serious offence.。

澳大利亚签证54表格模板(家庭构成)

家庭你想申请下列何种签证﹖访问(600) 注意﹕ 1.你只能用英文填写此表。

2.你必须填写你在原籍国和外国的所有家庭成员的细节，其中包括同父异母（或同母异父）其它和子女，领养的兄弟姐妹和子女。

（如果人已不在世，可在“家庭地址”一栏填上“已故”3.你填写此表时如果有人协助，你只能在所填资料真实和正确，而且你完全知道﹑同意并理解家庭构成姓名出生婚恋状况你本人/ /配偶/ /事实婚姻/ /父亲/母亲/ /父亲/母亲/ /兄弟/姐妹/ /兄弟/姐妹/ /兄弟/姐妹/ /儿子/女儿/ /儿子/女儿/ /儿子/女儿/ /“婚恋状况”代码M =已婚E =订婚F =事实婚姻 S =分居 D =离婚 W =寡/鳏N =未婚或未有过事实婚姻宣誓申请人签名见证人签名我特此宣誓﹕? 本表中填写的资料完整而正确?在他人协助下填写的本表任何部份的资料都是真实和正确的﹐而且我完全知道﹑同意并理解资料的填入。

FormFamilycomposition 54 Areyouapplyingfora:Visitorvisa(600)Other Note:1.YoumustcompletethisforminEnglishonly.2. Youmustgivedetailsofallyourfamilymemberslivinginyourhomecountryandabroadincludinghalf,stepandadoptedbrothers,sistersandchildren(ifnotliving,write‘Deceased’inHomeaddresscolumn.Ifwhereaboutsunknown,write‘Unknown’inHomeaddresscolumn).3. Ifyouhavebeenassistedincompletingthisform,youshouldonlysigntheDeclarationiftheinformationistrueandcorrectandhasbeenincludedwithyourfullknowledge,consentandunderstanding.Family Familyname Givennames Dateofbirth Relationshipstatus Homeaddress PreviousvisitstoAustralia compositionYourself / / / / Spouse / / / / Defacto / / / / Father/Mother / / / / Father/Mother / / / / Brother/sister / / / / Brother/sister / / / / Brother/sister / / / /Son/daughter / / / / Son/daughter / / / / Son/daughter/ / / /‘Relationshipstatus’co desM=MarriedE =EngagedF =DefactoS = SeparatedD = DivorcedW= WidowedN =Nevermarriedorbeeninade factorelationshipDeclarationIdeclarethat: •theinformationIhavegivenonthisformiscompleteandcorrect. •inanysectionofthisformwhichhasbeencompletedwiththeassistanceofanotherperson,theinformationassetdownistrueandcorrectandhasbeenincludedwithmyfullknowledge,consentandunderstanding.SignatureofapplicantSignatureofwitness。

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876 (Design date 07/09) - Page 1© COMMONWEALTH OF AUSTRALIA, 2009Important – Please read this information carefully before you complete your application. Once you have completed your application we strongly advise that you keep a copy for your records.No fee is payable for an application for an Australian transit visa.Who completes this form?You should complete this application form if you intend to remain in Australia no longer than 72 hours and if you can establish that the principal purpose in entering Australia is:•to pass through Australia in transit to another country (where a ‘stopover’ is intended, you should apply for the appropriate visa in a visitor class instead); or •to pass through Australia to join a vessel as a crew member.Children included in a parent’s passport need not complete a separate application form. Details of such children can beincluded on their parent’s/guardian’s application form. Children not included in a parent’s or guardian’s passport must fill in a separate application.Please answer all questions fully and correctly. An incorrect answer, or failure to provide an answer to any question, will be taken into account when your application is being considered and could lead to the refusal of your application.T ravel agents may complete this form for you but you must sign the declaration.For information on the making and processing of visa applications, see the information form 1025i Making and processing visa applications.Integrity of applicationThe Department of Immigration and Citizenship (thedepartment) is committed to maintaining the integrity of the visa and citizenship programs. Please be aware that if youprovide us with fraudulent documents or claims, this may result in processing delays and possibly your application being refused.What is needed with the application?Persons other than the crew joining a vessel You must enclose with your application:a passport valid for travel to Australia issued to, or including, each person in the application;a recent passport-type photograph of each person included in the application form (the photograph must be signed on the back by the person to whom it refers);an itinerary;evidence of confirmed onward booking to continue your journey from Australia to a third country within 72 hours of arrival; and/orcorrect documentation (eg. visa) for entry to that third country .Persons joining as crew of a vesselFrom 1 July 2007, foreign members of crew employed on foreign non-military ships which are in Australia during an international voyage are required to hold an Australianmaritime crew visa. A maritime crew visa may only be applied for while the applicant is outside Australia. A maritime crew visa is valid for multiple entries to Australia for 3 years from the date it is granted and only permits travel to Australia by sea. Crew who need to travel to Australia by air to join a ship may apply for a transit visa to travel to Australia but applicants will be checked by immigration officials to ascertain if they hold a maritime crew visa. If you do not hold a maritime crew visa after 1 July 2007 when you apply for a transit visa, you may be refused a transit visa to travel to Australia.Your application should be accompanied by:•a passport; and•documentary proof that you are employed on, or are to be employed on, the ship you are joining in Australia.The following details are to be supplied by the local shipping/handling agent:•the names of the person joining the vessel as crew;•the names of the persons they are replacing;•the name of the company employing the applicant;•the name of the vessel being joined;•the date of arrival in Australia of the persons to be visaed;•the port and date they are expected to join the vessel;•if they are not the vessel’s owner, a copy of the request for crew from the vessel’s agent in Australia. The request should contain the details of the crew members applying for visas.Your transit visa, if granted will permit you to travel to Australia by air for single entry only. Your maritime crew visa will allow you a period of 5 days to sign onto your vessel after you arrive in Australia. If you fail to sign onto your vessel in that time, your maritime crew visa will cease and you may be liable to removal from Australia.Form876Application for Transit visa forAustralia (subclass 771)Continued on the next pageHow you lodge the applicationYour completed application accompanied by the passport and photograph may be lodged by you or by your representative or sent by mail. If the passport is to be returned by mail you must provide an addressed passport-size envelope and sufficient postage.Residential addressYou must provide the address where you and any children included on this application form intend to live while your application is being dealt with. Failure to give your residential address in this application will result in this application being invalid. A post office box address will not be accepted as your residential address.Documents required on arrival•Passport with a valid visa for travel to Australia and if crew joining a vessel, another document that identifies the holder as a seafarer.•Return or onward ticket or other documentation for travel and entry to a destination beyond Australia.•Completed incoming passenger card (will be available on ship/aircraft prior to arrival).Period of stay in AustraliaYour stay in Australia must be for no longer than 72 hours. Extensions of stay will not be granted.Transit visa conditionsT ransit visas have the following conditions attached to them. If you do not comply with the conditions, your visa may be cancelled and you will become an unlawful non-citizen.You must not:•work in Australia; or•undertake formal studies or training in AustraliaOptions for receiving written communicationsYou may authorise another person to receive all communications, both written and electronic, about your application with the department. You will be taken to have received any documents sent to that person as if they had been sent to you.T o do this you will need to complete Part C Options for receiving written communications and form 956 Appointment of a migration agent or exempt agent or other authorised recipient. For an explanation of what a migration agent or exempt agent or authorised recipient can do please read the sections below.T o change or end the appointment of your migration agent or exempt agent or authorised recipient you must promptly advise the department in writing. You can do this by using form 956 Appointment of a migration agent or exempt agent or other authorised recipient.Authorised recipient informationAn authorised recipient is someone you appoint to receive written communications about your application with the department.All written communication about your application will be sent to your authorised recipient, unless you indicate that you wish to have health and/or character information sent directly to you.The department will communicate with the most recently appointed authorised recipient as you may only appoint one authorised recipient at any time for a particular application. Migration agent informationA 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 your application;•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 assume that your migration agent will be your authorised recipient, unless you indicate otherwise.Your migration agent will be the person with whom the department will discuss your application and from whom it will seek further information when required.You are not required to use a migration agent. However, if you use a migration agent, the department encourages you to use a registered migration agent. Registered agents are bound by the Migration Agents Code of Conduct, which requires them to act professionally in their clients’ lawful best interests. Immigration assistanceA person gives immigration assistance to you if he or she uses, or claims to use, his or her knowledge or experience in migration procedure to assist you with your visa application, request for ministerial intervention, cancellation review application, sponsorship or nomination.In Australia a person may only lawfully give immigration assistance if he or she is a registered migration agent or is exempt from being registered. Only registered migration agents may receive a fee or reward for providing immigration assistance.If an unregistered person in Australia, who is not exempt from registration, gives you immigration assistance they are committing a criminal offence and may be prosecuted. Migration agents in AustraliaMigration agents in Australia must be registered with the Migration Agents Registration Authority (MARA) unless they are exempt from registration.Migration agents outside AustraliaMigration agents who operate outside Australia do not have to be registered. The department may give some overseas agents an ID number. This number does not mean that they are registered.Note: Some Australian registered migration agents operate overseas.876 (Design date 07/09) - Page 2© COMMONWEALTH OF AUSTRALIA, 2009Exempt agentsThe following people do not have to be a registered migration agent in order to provide immigration assistance, but they must not charge a fee for their service:•a close family member (spouse, de facto partner, child, parent, brother or sister);•a sponsor or nominator for this visa application;•a member of parliament or their staff;•an official whose duties include providing immigration assistance (eg. a Legal Aid provider);•a member of a diplomatic mission, consular post or international organisation.Further information on migration agentsInformation on migration agents, including a list of registered migration agents, is available on the Migration Agents Registration Authority (MARA) website .au You can also access information about migration agents on the department’s website .auConsent to communicate electronicallyThe department may use a range of means to communicate with you. However, electronic means such as fax or e-mail will only be used if you indicate your agreement to receiving communication in this way.T o process your application the department may need to communicate with you about sensitive information such as health, police checks, financial viability and personal relationships. Electronic communications, unless adequately encrypted, are not secure and may be viewed or interfered with by others. If you agree to the department communicating with you by electronic means, the details you provide will only be used by the department for the purpose for which you have provided them, unless there is a legal obligation or necessity to use them for another purpose, or you have consented to use them for another purpose. They will not be added to any mailing list.The Australian Government accepts no responsibility for the security or integrity of any information sent to the department over the internet or by other electronic means.About the information you giveThe department is authorised to collect information provided on this form under Part 2 of the Migration Act 1958 ‘Control of Arrival and Presence of Non-Citizens’. The information provided will be used for assessing your eligibility for a visa to travel to, enter and/or remain in Australia and for other purposes relating to the administration of the Migration Act.The information provided might also be disclosed to agencies who are authorised to receive information relating to adoption, border control, business skills, citizenship, education, health assessment, health insurance, health services, law enforcement, pensions and benefits, refugee services, taxation, superannuation, review of decisions and registration of migration agents. Relevant information about you will be disclosed to federal,state and territory police to assist in your location and possible detention in the event that you become an unlawful non-citizen. You will become an unlawful non-citizen if your visa ceases (by cancellation for breach of visa condition for example) or expires and you do not hold another visa authorising you to remain in Australia.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 lineHome page .auThe information provided on this form, including any information on your health, will be used to assess your health for an Australian visa and may be disclosed to the relevant Commonwealth, state and territory health agencies and examining doctor(s).Form 1163i Health requirement for temporary entry to Australia provides additional information on Australia’s visa health requirements. This form is available at offices of the department or from the department’s website.au/allforms/You should read the information form 993i Safeguarding your personal information, which is available from offices of the department, for details of agencies to which your information might be disclosed.The department is authorised under the Migration Act 1958, in certain circumstances, to collect a range of personal identifiers including a facial image, fingerprints and a signature from non-citizens, including from visa applicants. The department requires personal identifiers to assist in assessing your identity. The department is authorised to disclose your personal identifiers and information relating to your name and other relevant biographical data to a number of agencies including law enforcement and health agencies and to other agencies who may need to check your identity with this department. Where the department obtains personal identifiers they will become part of your official record with the department.The department is involved in international information exchanges with a number of other countries. These exchanges include the sharing of personal identifiers, including a facial image and fingerprint data collected by immigration agencies such as this department. If, as a result of this sharing between countries, there is a match with your personal identifiers, the department will disclose your biographic data and immigration history to the other agency. The purpose of such disclosure would be to determine if you are presenting to the department and the other agency under the same identity and making similar claims.For more detailed information you should read information form 1243i Your personal identifying information, which is available from the department’s website.au/allforms/ or from any office of the department or Australian mission overseas.Please keep these information pages for your reference876 (Design date 07/09) - Page 3© COMMONWEALTH OF AUSTRALIA, 2009This page is intentionally blankForm876Application for Transit visa forAustralia (subclass 771)Part A – Your details3Family nameGiven namesReason for transit1Name in ethnic script (if applicable)4Sex5Male FemalePlace of birth7TownCountry8Date of birthCitizenship9Details from your passport10Passport numberCountry ofpassportDate of issueIssuing authority/Place of issue asshown in yourpassportDate of expiryCountry of residence11Full residential addressNote: A post office box address is not acceptable as a residentialaddress. Failure to give your residential address will result in thisapplication being invalid.12Postal address (If same as residential address, write ‘AS ABOVE’)13Telephone numbers14Office hoursAfter hoursCrew joining a vessel – Do you have a valid maritime crew visa?2Your full nameYesNo You must have a valid maritime crew visa before you can begranted a transit visa. You should apply for a maritime crewvisa immediately.Relationship status6Married Never married orbeen in a de factorelationshipSeparatedDe factoEngagedWidowedDivorcedContinued on the next page Tick where applicablePlease use a pen, and write neatly in English using BLOCK LETTERS.876 (Design date 07/09) - Page 5© COMMONWEALTH OF AUSTRALIA, 2009876 (Design date 07/09) - Page 6© COMMONWEALTH OF AUSTRALIA, 2009Do you agree to the department communicating with you by fax, e-mail,or other electronic means?15Address while in Australia16Length of stay17NoYesGive detailsFax numberE-mail addressNote : If this application is refused, you will be notified by mailOccupation18Employer ’s name19Employer ’s address20If you need more space, attach a sheet giving the required detailsDetails of children included in this application and in your passport21Family name Given names Country of birth Date of birthSex MaleFemaleFamily name Given names Date of birth Sex MaleFemaleNote : If the residential address for any of these children is different to the address provided at Question 12, please attach a sheet showing each child ’s residential address. If a child has more than one address,all addresses must be shown. A post office box address is not acceptable as a residential address.Country of birth876 (Design date 07/09) - Page 7© COMMONWEALTH OF AUSTRALIA, 2009Contacts in Australia23Name Relationship AddressTelephone Arrival/Departure details24YesNo Have you or anyone included in this application ever previously appliedfor a visa or travelled to Australia?25Provide dates of previous visits to or residence in Australiato totoContinued on the next pageTotal number of persons included in this application 22Name Relationship AddressTelephoneCountry of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure Country of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure Country of destinationArrival dateCity/port of arrival Flight/ShipFlight/Ship City/port of departure876 (Design date 07/09) - Page 8© COMMONWEALTH OF AUSTRALIA, 2009In the last 5 years, have you, or any other person included in thisapplication, visited, or lived, outside your country of passport for more than 3 consecutive months?26YesNoGive detailsNameCountry(s)Datetofrom Date tofrom NameDate tofrom Country(s)Country(s)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 active tuberculosis?•ever had a chest x-ray which showed an abnormality?28YesNo Give full details29During your proposed visit to Australia, do you, or any other personincluded in this application, expect to incur medical costs, or require treatment 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?YesNo Give detailsDo you, or any other person included in this application, intend to entera hospital or a health care facility (including nursing homes) while in Australia?27YesNo Give details876 (Design date 07/09) - Page 9© COMMONWEALTH OF AUSTRALIA, 200930Have you, or any children included in this application, ever:If you answered ‘Yes ’ to any of the above questions, you must state who it applies to and give ALL relevant details.If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.• been convicted of a crime or offence in any country (including any conviction which is now removed from official records)?•been charged with any offence that is currently awaiting legal action?•been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind?•been removed or deported from any country (including Australia)?•left any country to avoid being removed or deported?•been excluded from or asked to leave any country (including Australia)?•committed, or been involved in thecommission of war crimes or crimes against humanity or human rights?•been involved in any activities that would represent a risk to Australian national security?•had any outstanding debts to the Australian Government or any public authority in Australia?•been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)?•served in a military force or statesponsored/private militia, undergone any military/paramilitary training, or been trained in weapons/explosives use (however described)?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo Part C – Options for receiving written communicationsPart B – Assistance with this formIs the person an agent registered with the Migration Agents RegistrationAuthority (MARA)?32YesNoGo to Part CDid you receive assistance in completing this form?31YesNo Please give details of the person who assisted you Did you pay the person/agent and/or give a gift for this assistance?34YesNo Go to Part CMrMrsMissMsTitle:OtherFamily nameGiven namesAddressTelephone number or daytime contactOffice hours Mobile/cellIs the person/agent in Australia?33YesNo Go to Part CMyself All written communications will be sent to the address for communications that you have provided in this form.Migration agentAuthorised recipient35All written communications about this application should be sent to:(Tick one box only)Agent exempt from registrationYou must complete form 956 Appointment of a migration agent or exempt agent or other authorised recipient and attach it to this application form. Form 956 is available from the department ’s website .auOR ORORContinued on the next page876 (Design date 07/09) - Page 10© COMMONWEALTH OF AUSTRALIA, 2009I declare that:•the information provided on, or with this form, is complete and correct;•I and my accompanying family members will, if granted a transit visa:–travel to Australia on fully paid tickets for travel to a third country beyond Australia and will provide these tickets on arrival in Australia and will retain them while in Australia;–will not seek authority to settle in Australia and will leave at or before the end of the authorised transit period; and– will not undertake employment or any formal studies or training before the end of the authorised transit period in Australia.36Part D – DeclarationSignature of applicantDateSignatures of all other persons included in this application aged 18 years or over.SignatureSignatureSignatureDateDateDate WARNING : Giving false or misleading information is a serious offence.We strongly advise that you keep a copy of your application and all attachments for your records.。

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