Australia Application Visa Form PDF Details

Embarking on a journey to Australia, whether for tourism, visiting family or friends, or exploring for short business engagements, necessitates navigating through the application process for a Visitor visa – Tourist stream, as outlined in Form 1419. This comprehensive form serves as the gateway for individuals aiming to experience Australia's culture, beauty, and opportunities for a specified period. It is crucial for applicants to meticulously complete the form, ensuring all relevant questions are answered and necessary documents are attached, as the Department of Immigration and Border Protection bases its decision largely on the information provided in the application. The importance of integrity in the application process cannot be overstated, as any fraudulent documents or misleading information can have significant consequences, including visa refusal or cancellation. The form highlights various key aspects such as visa validity, which can vary based on individual assessments, allowing stays of 3, 6, or up to 12 months under exceptional circumstances. It is specified that this visa prohibits employment in Australia and limits study to no more than three months, among other conditions aimed at ensuring visitors comply with the intended purpose of their visit. Additionally, the application process, fees, health and insurance requirements, and the potential need for sponsorship are addressed, reflecting the thorough nature of the Australian visa application process. By adhering to the stipulated guidelines and conditions, potential visitors can look forward to exploring Australia while maintaining the integrity of its visa and citizenship programs.

QuestionAnswer
Form NameAustralia Application Visa Form
Form Length16 pages
Fillable?No
Fillable fields0
Avg. time to fill out4 min
Other namesaustralia visa application form pdf, 1419 form, visa 1419, form 1419 online

Form Preview Example

Application for a

Visitor visa – Tourist stream

Form

1419

About this form

Visa validity

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.

All relevant questions on this form should be answered and any requested information attached. The Department of Immigration and Border Protection (the department) may decide your application on the basis of the information provided on your application.

All forms are available from the department’s website www.immi.gov.au/allforms/

Who should use this form?

Use this form to apply for a Visitor visa – Tourist stream to visit or remain in Australia for tourism or other recreational activities (holiday, sightseeing, social or recreational reasons or to visit relatives or friends).

If you intend to:

visit Australia to visit family members, and you have a family member who is eligible and willing to sponsor you, you may use form 1418 Application for a Visitor visa – Sponsored Family stream;

visit Australia for medical treatment you should use form 48ME Application for a Medical Treatment visa;

visit Australia for a short business trip, you should use form 1415 Application for a Visitor visa – Business Visitor stream;

study in Australia for more than 3 months you should apply for a student visa. Please contact the nearest Australian Visa Office or office of the department for information on student visa applications, including the correct application form.

Each applicant, including dependent children, must apply on their own form. 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 application

The department is committed to maintaining the integrity of the visa and citizenship programmes. In relation to this application, if you or a member of your family unit:

provide, or have provided in a previous application, fraudulent documents or false or misleading information (knowingly or not); and/or

fail to satisfy, or have failed to satisfy in a previous application, the Minister of your or their identity;

this visa application may be refused and you, and any members of your family unit, may become unable to be granted a visa for specified periods of time, as set out in migration legislation.

If documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.

This visa generally allows stays of 3 or 6 months in Australia, although a stay of up to 12 months can be granted. However, the visa period is determined on a case by case basis and may be less than the period you requested. A stay beyond 12 months is ONLY granted where ‘exceptional circumstances exist’.

A visa 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.

Conditions for a Visitor visa to Australia

Visitors 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 Visa Office or office of the department in Australia.

If you are granted a visa, carefully check the details and conditions 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 that visa. You should not assume that any changes to your immigration status can be made while in Australia.

Visa conditions

The following conditions will be applied to your visa:

Visa condition 8101

You must NOT work in Australia.

Visa condition 8201

You must NOT study for more than 3 months while in Australia

The following conditions may be applied to your visa:

Visa condition 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, 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 letter advising you of the grant of your visa, with the words 8503 – NO FURTHER STAY.

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Visa condition 8531

You must NOT stay in Australia after your visa expires.

Visa condition 8558

You must NOT spend more than 12 months in Australia in an 18 month period.

Visa Application Charge

Refer to Part L – Payment details of this form to calculate the correct charge and make payment.

Refer to www.immi.gov.au/fees-charges for a complete and current list of applicable fees and charges.

Fees and charges may be subject to change at any time and this may increase the cost of a visa application.

Generally, Visa Application Charges are reviewed on 1 July each year, and the exchange rates used to calculate the amount payable in a foreign country are updated on 1 January and 1 July each year.

If you do not pay the full Visa Application Charge amount, your visa application will not be valid.

Charges are generally not refundable, even if the application is withdrawn or refused.

Methods of payment

Payment or evidence of payment must accompany your application.

Please check the Ways to apply information to find out how and where you need to lodge the application before you choose your payment method.

Note: Personal and travellers’ cheques are not accepted.

In Australia

To make a payment, please pay by credit card, debit card, bank cheque or money order made payable to the Department of Immigration and Border Protection. Debit card and credit card are the preferred methods of payment.

Outside Australia

Before making a payment outside Australia, please check with the Australian Visa 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.

Information on where to lodge an application outside Australia is also available from the department’s website www.immi.gov.au/contacts/overseas/

Ways to apply

You, or your representative, can submit your application, Visa Application Charge and supporting documents in one of the following 3 ways:

Electronically over the internet if you are eligible. To check your eligibility please visit the department’s website www.immi.gov.au/visas/visitor-visa/600

In person or by mail at the nearest Australian Visa Office or office of the department. If you are lodging in person you may require an appointment. To check if an appointment is required please visit the department’s website www.immi.gov.au/contacts/offices.htm or

Through a Service Delivery Partner (SDP). SDP’s 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 www.immi.gov.au/contacts/overseas/

You may arrange for another person to help you complete this 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.

Supporting documents and additional information

Part M – Application checklist on page 14 contains information about supporting documentation. If you are lodging your application overseas, you should also check the website of your nearest Australian Visa Office www.immi.gov.au/contacts/overseas/

Sponsorship by an eligible relative

You may be asked by the department to support your application with an eligible sponsor and payment of a bond as part of the assessment process.

Extending your stay in Australia

If you are applying for a new visa or extension while in Australia you must apply for a new visa before your current visa expires. The best time to apply for a new Visitor visa is about 2 weeks before the expiry of your current visa. Please bear in mind that the grant of a new visa will cease any visa currently held and the entitlements attached to that visa. If, for example, you currently have work rights or formal study entitlements, those entitlements will cease when a Visitor visa is granted.

Health requirements

All applicants must meet Australia’s health requirements. You may be required to undergo a chest x-ray and medical examination in order to meet the criteria for the grant of a subclass 600 visa.

Please follow any directions given by the visa processing officer as to medical or x-ray examinations that may be required.

Additional information regarding the health requirement

for entry into Australia is available on the department’s website www.immi.gov.au/allforms/health-requirements/health- exam.htm

Health insurance requirements

Medical treatment in Australia can be very expensive. It is recommended that you take out health insurance for your 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 seeking a long stay Visitor visa – Tourist stream or are 75 years of age or over

You may be asked to provide evidence with your application that you have health insurance to cover your stay in Australia. More information about health insurance is available from the department’s website www.immi.gov.au/visitors/

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© COMMONWEALTH OF AUSTRALIA, 2014

Vaccinations

If it is your intention to enrol your children in an Australian school or childcare centre (crèche or preschool) during your visit to Australia, you are strongly encouraged to carry certification of your child’s vaccination status. Certification may be sought at time of enrolment.

Vaccination is recommended against polio, tetanus, measles, mumps, rubella, diphtheria, pertussis (whooping cough), Haemophilus influenza hypo (Hib) and Hepatitis B.

Note: Vaccination against rubella is also recommended for women of child bearing age.

Passport information

Most visa applicants will be required to hold a valid passport before they can be granted a visa. It is strongly recommended that the passport be valid for at least 6 months.

If you change your passport after you have been granted the visa you must notify the nearest Australian Visa Office or office of the department.

If you do not provide us with the details of any new or additional passport you use to travel to Australia, you may experience significant delays at the airport and may be denied permission to board your plane.

Residential address

You must provide the address of where you intend to live during the period that your application is being considered. Failure to give your residential address will result in this application being invalid. A post office box address will not be accepted as your residential address.

Change of address

If you change your residential address for more than 14 days while your application is being processed, you must tell the department your new address and how long you will be there. The department will send communication about your application to the latest address for correspondence you have provided.

Modified Non-Return Rate data

The Modified Non-Return Rate (MNRR) is a calculation of the people who arrive on a Visitor visa, but do not depart before their visa expires, other than those who are granted Skilled, Visitor or Student visas in Australia.

The MNRR is used as an indicator of Visitor visa compliance, and may be considered by decision makers to determine the level of scrutiny to apply to the application.

If you are from a country with a high MNRR it is in your interests to provide additional documentation as indicated on page 14, supporting your application.

MNRR data can be found at www.immi.gov.au/media/statistics/visitor.htm

Immigration assistance

A 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.

Sponsors of applicants for Visitor visas – Sponsored Family stream are exempt from the requirements to be registered as a migration agent in order to assist application in relation to Visitor visas – Sponsored Family stream.

Migration agents in Australia

Migration 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 Australia

Migration 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.

Migration agent information

A migration agent is someone who can:

advise you on the visa that may best suit you;

tell you the documents you need to submit with 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.

Information on migration agents, including a list of registered migration agents, is available on the Office of the MARA website www.mara.gov.au

You can also access information about migration agents on the department’s website www.immi.gov.au

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1419 (Design date 07/14) - Page 3

Exempt persons

The 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 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.

Appointing a migration agent/exempt person

To appoint a migration agent/exempt person you should complete Part K – Options for receiving written communications.

Your migration agent/exempt person should complete form 956 Advice by a migration agent/exempt person of providing immigration assistance.

Form 956 is available from the department’s website www.immi.gov.au/allforms/

Options for receiving written communications

If you do not appoint a migration agent/exempt person you may still authorise another person, in writing, to receive written communications on your behalf. This person is called the authorised recipient.

Authorised recipient information

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.

You will be taken to have received any documents sent to that person as if they had been sent to you.

To appoint an authorised recipient you should complete:

Part K – Options for receiving written communications; and

form 956A Appointment or withdrawal of an authorised recipient.

Note: Migration agents/exempt persons do not need to complete form 956A.

Form 956A is available from the department’s website

www.immi.gov.au/allforms/

Consent to communicate electronically

The department may use a range of means to communicate with you. However, electronic means such as fax or email will only be used if you indicate your agreement to receiving communication in this way.

To 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.

If you authorise another person to receive documents on your behalf and they wish to be contacted electronically, their signature is required on form 956 or 956A to indicate their consent to this form of communication.

Note: Electronic communication is the fastest means of communication available and the department prefers to communicate electronically because this results in faster processing.

Important information about privacy

Your personal information is protected by law, including the Privacy Act 1988. Important information about the collection, use and disclosure (to other agencies and third parties, including overseas entities) of your personal information, including sensitive information, is contained in form 1442i Privacy notice. Form 1442i is available from the department’s website www.immi.gov.au/allforms/ or offices of the department. You should ensure that you read and understand form 1442i before completing this form.

As sponsorship may be required for your visa subclass, the outcome of your application may be made known to the person/organisation who has submitted a sponsorship form regarding your application.

Home page www.immi.gov.au

General Telephone 131 881 during business hours enquiry line in Australia to speak to an operator (recorded

information available outside these hours). If you are outside Australia, please contact your nearest Australian mission.

Please keep these information pages for your reference

1419 (Design date 07/14) - Page 4

© COMMONWEALTH OF AUSTRALIA, 2014

Go to Question 2 Go to Question 5

Application for a

Visitor visa – Tourist stream

Form

1419

Please use a pen, and write neatly in English using BLOCK LETTERS. Tick where applicable 3

1Indicate if you are applying outside Australia or in Australia:

Outside Australia

In Australia

PHOTOGRAPH

Please attach a recent passport size photograph of yourself.

Applicants outside Australia

2When do you wish to visit Australia?

 

 

DAY

MONTH

YEAR

 

DAY

MONTH

YEAR

Date

from

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3How long do you wish to stay in Australia?

Up to 3 months

Up to 6 months

Up to 12 months

Note: The stay period granted may be less than the period requested. You should check the terms of any visa granted.

4Do you intend to enter Australia on more than one occasion?

No

 

Go to Question 7

Yes

 

Give details

 

Part A – Your details

7Give the following details exactly as they appear in your passport

Make sure your passport is valid for the period of stay you are applying for.

Family name

Given names

Sex

Male

 

Female

DAY MONTH YEAR

Date of birth

Passport number

Country of passport

Nationality of passport holder

DAY MONTH YEAR

Go to Question 7

Applicants in Australia

5

Specify the date you wish

DAY

MONTH

YEAR

 

 

 

 

 

to extend your stay to

 

 

 

 

6Provide detailed reasons for requesting this further stay

Date of issue

Date of expiry

Place of issue/ issuing authority

8Place of birth Town/city State/province Country

9Relationship status Married

Engaged

De facto

Separated

Divorced

Widowed

Never married or been in a de facto relationship

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10Are you or have you been known by any other name? (including name at birth, previous married names, aliases)

No

Yes

 

Give details

 

 

 

 

 

 

11Do you currently hold an Australian visa? No

Yes

 

Note: If this visa application is approved, your current visa

 

 

may cease.

12Have you applied for a Parent (subclass 103) visa?

No

 

 

DAY

MONTH

YEAR

Yes

 

Please provide your queue date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13Do you currently hold, or have you applied for, an APEC Business Travel Card (ABTC)?

No

 

 

Yes

 

Note: If this visa application is approved, the Australian visa

 

 

 

associated with your ABTC will cease.

14Are you a citizen of any other country? No

Yes

 

List countries

 

 

 

 

 

 

 

 

15Do you have other current passports? No

Yes

 

Give details

Passport number

Country of passport

16Do you hold an identity card or identity number issued to you by your government (eg. National identity card) (if applicable)?

Note: If you are the holder of multiple identity numbers because you are a citizen of more than one country, you need to enter the identity number on the card from the country that you live in.

No

Yes

 

Give details

Family name

Given names

Type of document

Identity number

Country of issue

17In what country are you currently located?

18What is your legal status in your current location?

Citizen

Permanent resident

Visitor

Student

Work visa

No legal status

Other

 

 

Give details

 

 

 

 

 

 

 

 

19What is the purpose of your stay in your current location and what is your visa status?

20Your current residential address

Note: A street address is required as a post office box address cannot be accepted.

POSTCODE

Country

21Address for correspondence

(If the same as your residential address, write ‘AS ABOVE’)

POSTCODE

Country

22Contact telephone numbers

 

COUNTRY CODE

 

 

AREA CODE

 

 

 

NUMBER

Home

(

 

)

(

 

)

 

 

 

Office

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

)

(

 

 

)

 

 

 

Mobile/cell

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23Do you agree to the department communicating with you by email and/or fax?

This may include receiving notification of the outcome of this application.

Note: We can communicate about this application more quickly using email and/or fax.

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

Give details

 

 

 

 

 

 

 

 

 

 

 

Email address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTRY CODE

 

AREA CODE

 

NUMBER

Fax number

 

(

 

) (

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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© COMMONWEALTH OF AUSTRALIA, 2014

If insufficient space, give details at Part O
If insufficient space, give details at Part O
Part D – Details of your visit to Australia
Give details
Full name

Part B – Family travelling to Australia with you

24Are you travelling to, or are you currently in, Australia with any family members?

No

 

 

 

 

Yes

 

Give details of each family member

 

 

 

 

 

 

 

Make sure all the applications are lodged at the same time.

 

 

 

 

 

 

 

 

 

Full name

Relationship to you

Name of sponsor (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If insufficient space, give details at Part O

Part C – Family NOT travelling to Australia with you

25Do you have a partner, any children, or fiancé who will NOT be travelling, or has NOT travelled, to Australia with you?

No

Yes

Date of birth

DAY MONTH YEAR

Relationship to you

Their address while you are in Australia

/ /

/ /

/ /

/ /

26 Is it likely you will be travelling from Australia to any other country (eg. New Zealand, Singapore, Papua New Guinea) and back to Australia?

No

 

Yes

Attach itinerary details

27 Do you have any relatives in Australia?

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

Give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name

Date of birth

 

Relationship

 

Address

Citizen or permanent

 

 

 

 

 

 

to you

 

resident of Australia

 

 

 

 

DAY

 

MONTH

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

No

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/ /

No

Yes

/ /

No

Yes

/ /

No

Yes

© COMMONWEALTH OF AUSTRALIA, 2014

1419 (Design date 07/14) - Page 7

28Do you have any friends or contacts in Australia?

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

Give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name

Date of birth

 

Relationship

 

Address

 

Citizen or permanent

 

 

 

 

 

 

to you

 

 

resident of Australia

 

 

 

 

DAY

MONTH

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

No

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/ /

No

Yes

/ /

No

Yes

/ /

No

Yes

If insufficient space, give details at Part O

29Why do you want to visit Australia?

Include details of any dates that are of special significance to your visit.

If insufficient space, give details at Part O

30Do you intend to do a course of study while in Australia?

No

Yes

 

Give details

Name of the course

Name of the institution

How long will the course last?

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© COMMONWEALTH OF AUSTRALIA, 2014

Part E – Health details

31In the last 5 years, have you visited or lived outside your country of passport for more than 3 consecutive months?

Do not include time spent in Australia.

No

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

Give details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Country(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY

MONTH

YEAR

 

DAY

MONTH

YEAR

 

Date

from

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Country(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY

MONTH

YEAR

 

DAY

MONTH

YEAR

 

Date

from

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Country(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY

MONTH

YEAR

 

DAY

MONTH

YEAR

 

Date

from

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If insufficient space, give details at Part O

32Do you intend to enter a hospital or health care facility (including nursing homes) while in Australia?

No

Yes

 

Give details

 

 

 

 

 

 

 

 

33Do you intend to work as, or study to be, a doctor, dentist, nurse or paramedic during your stay in Australia?

No

Yes

 

Give details

 

 

 

 

 

 

 

 

34Have you:

•฀ 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?

No

Yes

 

Give details

 

 

 

 

 

 

35During your proposed visit to Australia, do you 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? No

Yes

 

Give details

 

 

 

 

 

 

36Do you require assistance with mobility or care due to a medical condition?

No

Yes

 

Give details

 

 

 

 

 

 

37Have you undertaken a health examination for an Australian visa in the last 12 months?

No

Yes

 

Give details (including HAP ID if available)

 

 

 

 

 

 

Note: If you are applying for a long stay Visitor visa or are 75 years or over, you will be asked to undergo a health assessment and may be asked to show that you have medical insurance to cover your intended stay in Australia. Please contact your nearest office of the department for further advice before lodging your application. If additional medical consultations are required, a decision on your visa application will be delayed.

© COMMONWEALTH OF AUSTRALIA, 2014

1419 (Design date 07/14) - Page 9

Part F – Character details

38 Have you ever:

 

 

 

•฀ been convicted of a crime or offence in any

 

 

 

country (including any conviction which is

 

 

 

now removed from official records)?

No

 

Yes

•฀ been charged with any offence that is

 

 

 

currently awaiting legal action?

No

 

Yes

•฀ been acquitted of any criminal offence or

 

 

 

other offence on the grounds of mental

 

 

 

illness, insanity or unsoundness of mind?

No

 

Yes

•฀ been removed or deported from any

 

 

 

country (including Australia)?

No

 

Yes

•฀ left any country to avoid being removed or

 

 

 

deported?

No

 

Yes

•฀ been excluded from or asked to leave any

 

 

 

country (including Australia)?

No

 

Yes

•฀ committed, or been involved in the

 

 

 

commission of, war crimes or crimes

 

 

 

against humanity or human rights?

No

 

Yes

•฀ been involved in any activities that would

 

 

 

represent a risk to Australian national

 

 

 

security?

No

 

Yes

•฀ had any outstanding debts to the Australian

 

 

 

Government or any public authority in

 

 

 

Australia?

No

 

Yes

•฀ been involved in any activity, or been

 

 

 

convicted of any offence, relating to the

 

 

 

illegal movement of people to any country

 

 

 

(including Australia)?

No

 

Yes

•฀ served in a military force or state

 

 

 

sponsored/private militia, undergone any

 

 

 

military/paramilitary training, or been

 

 

 

trained in weapons/explosives use

 

 

 

(however described)?

No

 

Yes

If you answered ‘Yes’ to any of the above questions, give ALL relevant details below.

If insufficient space, give details at Part O

Part G – Employment status

39What is your employment status?

Employed/

 

 

Give details

self-employed

 

 

Employer/business name

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTCODE

Telephone number

COUNTRY CODE

 

AREA CODE

 

NUMBER

(

 

 

) (

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position you hold

How long have you been employed by this employer/business?

Retired

 

 

Year of retirement

 

 

 

 

 

 

 

 

 

 

 

Student

 

 

Give details

 

 

 

 

 

Your current course

 

 

 

 

 

 

 

 

 

 

Name of educational institution

How long have you been studying at this institution?

Other

 

 

Give details

 

 

 

 

 

 

 

 

Unemployed

 

Explain why you are unemployed and give details

of your last employment (if applicable)

1419 (Design date 07/14) - Page 10

© COMMONWEALTH OF AUSTRALIA, 2014

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1419 application spaces to complete

Remember to fill up the Yes, Give details, Go to Question, Applicants in Australia, Specify the date you wish to, DAY, MONTH, YEAR, Provide detailed reasons for, Nationality of passport holder, Date of issue, Date of expiry, Place of issue issuing authority, Place of birth, and Towncity area with the expected details.

1419 application Yes, Give details, Go to Question, Applicants in Australia, Specify the date you wish to, DAY, MONTH, YEAR, Provide detailed reasons for, Nationality of passport holder, Date of issue, Date of expiry, Place of issue issuing authority, Place of birth, and Towncity fields to fill out

Write the essential information when you are within the Are you or have you been known by, including name at birth previous, Yes, Give details, What is your legal status in your, Citizen, Permanent resident, Visitor, Student, Work visa, No legal status, Do you currently hold an, Other, Give details, and Yes area.

Filling in 1419 application part 3

The Yes, Note If this visa application is, Are you a citizen of any other, Yes, List countries, Do you have other current passports, Yes, Give details, Passport number, Country of passport, Do you hold an identity card or, Note If you are the holder of, Your current residential address, Country, and POSTCODE space is where both parties can put their rights and obligations.

1419 application Yes, Note If this visa application is, Are you a citizen of any other, Yes, List countries, Do you have other current passports, Yes, Give details, Passport number, Country of passport, Do you hold an identity card or, Note If you are the holder of, Your current residential address, Country, and POSTCODE blanks to fill out

Fill in the document by checking the following sections: Yes, Give details, Family name, Given names, Type of document, Identity number, Country of issue, Mobilecell, Do you agree to the department, andor fax, This may include receiving, Note We can communicate about this, Yes, Give details, and Email address.

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