Australia Immigration Form 80 – Fill Out and Use This PDF

Personal particulars for assessment

including character assessment

Form

80

Important – Please read this information carefully before you complete this form. Once you have completed this form we strongly advise that you keep a copy for your records.

This form is to be completed in English by applicants who are 16 years of age or over, as requested by the office processing the application.

Please use a pen, and write neatly in English using BLOCK LETTERS.

Tick where applicable 3

If you need more space for any answers, give details at Part T –

Additional information

Integrity of application

The Department of Immigration and Border Protection (the department) 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 may result in processing delays and possibly your application being refused.

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.border.gov.au/allforms/ or offices of the department. You should ensure that you read and understand form 1442i before completing this form.

Part A – Applicant details

1Please provide your details as they appear in your official documents. For example, passport, identity document, travel document, birth certificate.

Note: If you have one name only, please write it in the ‘Family name’ field.

Family name

All given names

Sex	Male			Female
		Day		Month	Year
Date of birth							Day, month and year
							MUST be provided

Suburb of birth

Town/City of birth

State/Province/Region

Country

2Do you ever use a Chinese Commercial Code Number for your names shown in the passport/travel document at Question 1?

No

Yes			Chinese Commercial Code Number (in full)

3Are you of Russian descent? No

Yes	In English, provide your patronymic name

4Have you been known by any other name(s)? Include:

•	name at birth		•	cultural or tribal name or
• name before or after marriage				clan/subclan name
• adoptive or foster name			•	preferred name
•	alias or pseudonym		• other spellings of names
No
Yes	Give details in English
Type of name
Family name

Given names

If more than one name, give details at Part T – Additional information

5Have you ever had a different date of birth to the one shown at Question 1?

No			Day	Month	Year
Yes		Different date of birth

6Do you currently have citizenship from any country?

No, I am stateless			Give details

Yes			How did you gain this citizenship (eg. birth, descent,
			naturalisation)?
				Day	Month	Year
			Date you gained this citizenship

7Do you hold or have you held citizenship from any other country (including dual citizenships and all previous citizenships)?

No

Yes

Country

How did you gain this citizenship (eg. birth, descent, naturalisation)?

When did you have this citizenship?

	Day	Month	Year		Day	Month	Year
				to
From

Note: If you still have the citizenship, write ‘CURRENT’.

If more than one country, give details at Part T – Additional information

8Do you currently have permanent residency rights in any country other than those declared in Questions 6 or 7?

No

Yes			List all other countries

Part B – Passport / Travel document details

9Do you have a current passport or travel document?

No	Go to Question 13
Yes	Give details

Passport/travel document number

Country of passport/travel document

	Day		Month		Year
Date of issue
Is this the original issue date?
			Give original issue date
No
				Day	Month		Year

Yes

Day Month Year

Date of expiry

Nationality

Place of issue/issuing authority

Name on the document (if the same as Question 1, write ‘SAME AS QUESTION 1’)

Family name

Given names

10Do you have any other current passport or travel document? No

Yes

Give details

Passport/travel document number

Country of passport/travel document

Day Month Year

Date of issue

Date of expiry

Nationality

Place of issue/issuing authority

Name on the document (if the same as Question 1, write ‘SAME AS QUESTION 1’)

Family name

Given names

11Have you ever had any previous passports or travel documents (including expired, lost or stolen documents)?

No	Go to Part C

Yes

12What happened to this document (Tick one only)

Expired

Lost/stolen

Other		Give details

13Do you have, or remember, any of the document details? No

Yes	Give as much information as possible

Passport/travel document number

Country of passport/travel document

Day Month Year

Date of issue

Date of expiry

Nationality

Place of issue/issuing authority

Name on the document (if the same as Question 1, write ‘SAME AS QUESTION 1’)

Family name

Given names

Part C – Identity documents

14Do you currently have, or have you ever had, any national identity documents or numbers (including birth registration numbers, social security cards etc)?

No

Yes		Give details
Type of identification			Country of issue	Identification number
	document			shown (if applicable)

Home

(	) (	)

Date from		Date to
Month	Year	Month	Year

Full address (house number, street name, suburb, town/city, postcode)

Country

	Date from			Date to
Day	Month	Year	Day	Month	Year

Reason for visit

Country