Form 1022 – Fill Out and Use This PDF

Notification of changes in circumstances

(Section 104 of the Migration Act 1958 )

Department of Home Affairs

Form

1022

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.

Section 104 of the Migration Act 1958 (the Act) requires you to inform the Department of Home Affairs (the Department) of any changes in your circumstances that affect any answer to a question in your application form.

You do not have to notify the Department of any changes in your circumstances that occurred:

•after you were granted your visa (if you applied for your visa in Australia); or

•after you have been immigration cleared (if you applied for your visa outside Australia).

Use this form to notify the Department of any changes in your circumstances that affect any answers on your application form. You should use form 1023 Notification of incorrect answer(s) if you wish to notify the Department that you have supplied it with any incorrect information.

You must answer all questions on this form.

Please return this completed form to the office where you lodged your application or for any other matter (eg. proposed visa cancellation), to the office of the Department that is responsible for your matter. If you are unsure which office is responsible for your matter, this form may be submitted to the nearest office of the Department.

WARNING:

•If you do not comply with section 104 of the Act and notify the Department of your new circumstances, your visa is liable to be cancelled under the Migration Act 1958.

•If you have been granted a visa, the information you provide on this form will be taken into account in deciding whether the visa should be cancelled.

•If you are an applicant for a visa which has not yet been granted, the information you provide on this form will be taken into account when assessing your visa application.

•If your visa is cancelled and you are in Australia, you will become an unlawful non-citizen. Unless you are granted a further visa, you will be detained and removed from Australia.

•If your visa is cancelled and you are outside Australia, and you subsequently travel to Australia, you will be refused immigration clearance and will be removed from Australia.

•If you subsequently discover that you have provided any incorrect information on this form, you must notify the Department that you have done so. Use form 1023 Notification of incorrect answer(s) to do this.

•Cancellation of a visa that already has been granted is not automatic. If you are in Australia, you will be given an opportunity to comment on the grounds for possible cancellation before a final decision on cancellation is made.

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 the Privacy Act 1988 allows them to be used 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.

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

Home page www.homeaffairs.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.

Notification of changes in circumstances

(Section 104 of the Migration Act 1958 )

Department of Home Affairs

Form

1022

Please open this form using Adobe Acrobat Reader.

Either type (in English) in the fields provided or print this form and complete it (in English) using a pen and BLOCK LETTERS.

Tick where applicable 3

Your details

1Your full name Family name Given names

Day Month Year

8Your current residential address

Note: A post office box address is not acceptable as a residential address

Postcode

2 Date of birth

3Place of birth Town/city Country

4Relationship status

Married		Separated
Engaged		Divorced
De facto		Widowed

5Details from your passport Passport number

Never married or been in a de facto relationship

9Address for correspondence

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

Postcode

10Your telephone numbers

	Country code		Area code	Number
Office hours
	(	)	(	)
After hours
	(	)	(	)

11 Do you agree to the Department communicating with you by fax, email

or other electronic means?

Country of passport

6Details of identity card or identity number issued to you by your government (if applicable) eg. National identity card.

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.

Identity number

Country of issue

7Your present country of citizenship

No

Yes			Give details
				Country code		Area code	Number
Fax number
				(	)	(	)

Email address

12Client number or file number issued to you by the Department (if known)

Details of other applicants

13Do you have a partner (spouse or de facto partner) and/or any dependants who are/were included in your application?

No

Yes		Provide details below
1.	Family name
	Given names

Day Month Year

Date of birth

Country of birth

Passport number

Country of passport

Residential address

Postcode

2.Family name Given names

Day Month Year

Date of birth

Country of birth

Passport number

Country of passport

Residential address

Postcode

3.Family name Given names

Day Month Year

Date of birth

Country of birth

Passport number

Country of passport

Residential address

Postcode

If insufficient space, attach additional details

Details of changes

14List details of the information provided on your application which is no longer current and provide the new correct information

1. Information which is no longer current

New correct details

2.Information which is no longer current

New correct details

3.Information which is no longer current

New correct details

If insufficient space, attach additional details

Signature of applicant

-

Day Month Year

Date

Signature of other applicant (aged 18 years or over)

-

Day Month Year

Date

Signature of other applicant (aged 18 years or over)

-

Day Month Year

Date

Signature of other applicant (aged 18 years or over)

Date

-

Day Month Year