Form 1263 Visa – Fill Out and Use This PDF

Working Holiday visa:

Employment verification

Form

1263

About this form

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

Who should use this form?

This form is for people who are, or were, holders of a Working Holiday visa in Australia and who wish to apply for a second Working Holiday visa.

This form is to record details of employment in a specified field or industry in regional Australia.

Other evidence of specified work may include original or certified copies of payslips, group certificates, payment summaries, tax returns, employer references and an original Australian bank statement covering the period of declared specified work. Providing this evidence with this form will enable your application to be assessed more quickly.

The completed form should be retained and may be requested by the Department of Immigration and Border Protection (the department) after you lodge your application electronically to verify your specified work. If lodging a paper application, please attach this form.

To be eligible for a second Working Holiday visa, the applicant must have undertaken work for a minimum of 3 months

(88 days in total) in a specified field or industry* in a designated area of regional Australia**.

Specified work is any type of work in the list below:

•plant and animal cultivation:

–the harvesting and/or packing of fruit and vegetable crops;

–pruning and trimming vines and trees;

Note: This must be the primary employment task and directly associated with the cultivation and commercial sale of plant produce, such as fruit and nut crops (commercial horticultural activity). General garden maintenance is not eligible.

–general maintenance crop work;

–cultivating or propagating plants, fungi or their products or parts;

–immediate processing of plant products;

–maintaining animals for the purpose of selling them or their bodily produce, including natural increase; Note: Maintaining animals for tourism or recreational purposes is not eligible.

–immediate processing of animal products including shearing, butchery in an abattoir, packing and tanning; Note: Secondary processing of animal products, such as smallgoods processing and retail butchery is not eligible.

–manufacturing dairy produce from raw material.

•fishing and pearling:

–conducting operations relating directly to taking or catching fish and other aquatic species;

–conducting operations relating directly to taking or culturing pearls or pearl shell.

•tree farming and felling:

–planting or tending trees in a plantation or forest that are intended to be felled;

–felling trees in a plantation or forest;

–transporting trees or parts of trees that were felled in a plantation or forest to the place where they are first to be milled or processed or from which they are to be transported to the place where they are to be milled or processed.

•mining:

–coal mining;

–oil and gas extraction;

–metal ore mining;

–construction material mining;

–non-metallic mineral mining and quarrying;

–exploration;

–mining support services.

•construction:

–residential building construction;

–non-residential building construction;

–heavy and civil engineering construction;

–land development and site preparation services;

–building structure services;

–building installation services;

–building completion services;

–other construction services.

Specified work:

•must be an activity listed above.

•must be the primary role / function / activity performed during your employment.

•work undertaken in the mining and construction sectors must appear in the Australian and New Zealand Standard Industrial Classification (ANZSIC) division for these sectors to meet the specified work requirement.

For information regarding ANZSIC Mining Division and ANZSIC Construction Division see the department’s website www.immi.gov.au/visas/pages/417.aspx

* For further information please see ‘Specified work’

Start date	DAY	MONTH	YEAR
Business name and address

End date

DAY	MONTH	YEAR		Postcode where work was completed
Employer’s telephone number				Employer’s full name

POSTCODE

Name of contact for work verification

(eg. payroll officer/direct supervisor)

()

Employer’s ABN	Signature
	of employer	-
Email address (if available)				Contact person’s telephone number
				(	)
@

Start date	DAY	MONTH	YEAR
Business name and address

End date

DAY	MONTH	YEAR			Postcode where work was completed
Employer’s telephone number					Employer’s full name

POSTCODE

Name of contact for work verification

(eg. payroll officer/direct supervisor)

()

Employer’s ABN	Signature
	of employer	-
Email address (if available)				Contact person’s telephone number
				(	)
@

Start date	DAY	MONTH	YEAR
Business name and address

End date

DAY	MONTH	YEAR			Postcode where work was completed
Employer’s telephone number					Employer’s full name

POSTCODE

Name of contact for work verification

(eg. payroll officer/direct supervisor)

()

Employer’s ABN	Signature
	of employer	-
Email address (if available)				Contact person’s telephone number
				(	)
@

Start date	DAY	MONTH	YEAR
Business name and address

End date

	DAY	MONTH	YEAR		Postcode where work was completed
Employer’s telephone number					Employer’s full name

POSTCODE

Name of contact for work verification

(eg. payroll officer/direct supervisor)

()

Employer’s ABN	Signature
	of employer	-
Email address (if available)				Contact person’s telephone number
				(	)
@

Start date	DAY	MONTH	YEAR
Business name and address

End date

	DAY	MONTH	YEAR		Postcode where work was completed
Employer’s telephone number					Employer’s full name

POSTCODE

Name of contact for work verification

(eg. payroll officer/direct supervisor)

()

Employer’s ABN	Signature
	of employer	-
Email address (if available)				Contact person’s telephone number
				(	)
@

Your contact details

6Your email address

7Current residential address

(If applying in Australia, please give your current address in Australia)

Note: A post office box address is not acceptable as a residential address. Failure to give a residential address will result in your application being invalid.

POSTCODE

8Address for correspondence

(This may be required by the department to communicate with you about your application. If the same as your residential address, write ‘AS ABOVE’)

POSTCODE

9Your telephone numbers

Mobile

	COUNTRY CODE				AREA CODE		NUMBER
Office hours
	(		)	(		)
After hours
	(		)	(		)

Your declaration

WARNING: Giving false or misleading information is a serious offence.

10I declare that the information I have supplied on this form is complete, correct and up-to-date in every detail.

Your
signature	-

DAY MONTH YEAR

Date

We strongly advise that you keep a copy of your Employment verification and all attachments for your records.