Form 1290 – Fill Out and Use This PDF

Application for Australian citizenship

Other situations

Form

1290

This information is provided to help you complete the application form and guide you through the application process.

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.

There are 10 steps in the citizenship application process.

Step 1 Ensure that you meet the eligibility criteria

(see pages 1–2)

Step 2 Check that you meet the residence requirement (see pages 2–3)

Step 3 Learn what it means to become an Australian citizen (see page 3)

Step 4 Gather your original documents and have copies of them certified (see pages 3–6)

Step 5 Complete your application form (see page 7)

Step 6 Lodge your application, certified copies of your documents and the correct fee (see page 7)

Step 7 Attend your citizenship appointment – ensure you bring all your original documents

(see page 8)

Step 8 Have a citizenship interview (see page 8)

Step 9 Await notification of the department’s decision (see page 8)

Step 10 Attend a citizenship ceremony and make the pledge (see page 8)

You must be in Australia when the department makes a decision about your application except in certain, limited circumstances described in Step 2 – Residence requirement.

Integrity of application

The department is committed to maintaining the integrity of the visa and citizenship programmes. If you or a third party acting on your behalf provide, or have provided in a previous application, false or misleading information or documents (either knowingly or otherwise), this application may be refused. In addition, you may be prosecuted under the Migration Act 1958 and/or the Australian Citizenship Act 2007. If information or documents are found to be fraudulent or misleading after you become an Australian citizen, you may be prosecuted and may be subject to revocation of your Australian citizenship.

STEP 1 – Eligibility

You should use this form if you:

•are aged 60 and over – you will need to show you understand the nature of your application, or

•have a permanent or enduring physical or mental incapacity, or

•have a permanent loss or substantial hearing, speech or sight impairment.

If you belong to any of the above categories, you will also need to:

•be a permanent resident, and

•satisfy the residence requirement, and

•be likely to reside, or to continue to reside, in Australia or to maintain a close and continuing association with Australia.

You should also use this form if you:

•are 16 or 17 years of age – you must be a permanent resident when you apply and when a decision is made on your application. You also need to:

–satisfy the residence requirement at the time of your application (or show that you would suffer significant hardship or disadvantage if you had to meet this requirement)

–understand the nature of your application

–have a basic knowledge of the English language

–have an adequate knowledge of the responsibilities and privileges of Australian citizenship at the time of decision

–be likely to reside or continue to reside in Australia, or maintain a close and continuing association with Australia.

or

•are under 16 years of age – you must be a permanent resident when you apply and when a decision is made on your application. You also need to be living with:

–a responsible parent who is an Australian citizen, or

–a responsible parent who is not an Australian citizen and you would otherwise suffer significant hardship or disadvantage

Your application form must be signed by the responsible parent you live with.

or

•are an unaccompanied humanitarian minor – if you are an unaccompanied humanitarian minor and you are a ward of the Minister, then your application requires the consent of the Minister’s delegate.

If you are an unaccompanied humanitarian minor and you are not a ward of the Minister then your application requires the consent of your responsible carer.

•were born in Papua before 16 September 1975 and one of your parents was born in Australia, as it is now, and was an Australian citizen at the time of your birth, or

•were born to a former Australian citizen who automatically lost Australian citizenship by acquiring the citizenship of another country as an adult.

The Citizenship Wizard on the citizenship website can help you check your eligibility.

Good character

If you are 18 years of age and over, you will need to show you are of good character.

New Zealand citizens

Special eligibility conditions apply for New Zealand citizens who arrived in Australia before 26 February 2001 (see New Zealand citizens on page 9).

Children

Children under 16 years of age can be included on a responsible parent’s application form, or can apply on their own form.

The Australian Citizenship Act 2007 defines responsible parent in relation to a child as:

•a parent, unless that parent does not have parental responsibility because of orders made by the Family Court of Australia, or

•any person having responsibility over the child because of an order made by the Family Court, or

•any person who has guardianship or custody of the child under an Australian law or a foreign law, whether because of adoption, operation of law, an order of a court or otherwise.

STEP 2 – Residence requirement

The residence requirement is based on the time you have lived in Australia and the time you have spent outside Australia. The Residence Requirement Calculator on the citizenship website can help you calculate whether you meet this requirement.

General residence requirement

Permanent residents must:

•have been living in Australia on a valid Australian visa for

4 years immediately before applying which must include the last 12 months as a permanent resident, and

•not have been absent from Australia for more than one year in the past 4 years, including no more than 90 days in the year before applying.

Special residence requirements

Special residence requirements may apply to you if:

•you are seeking to undertake activities that are supported by particular organisations, such as the Australian Olympic Committee, or

•you have been engaged in particular kinds of work for a total of 2 in the past 4 years, that required you to travel outside Australia.

Additional documents are required to apply for either of these special residence requirements.

For more information see Special residence requirements applicants on page 9.

Note: If you have spent time in prison or a psychiatric institution by order of a court in the 4 years immediately before making your application, that time during which you were confined cannot be counted as residence in Australia.

Defence service requirement

You meet the residence requirement if you have completed relevant defence service, which is if you:

•were appointed, enlisted or transferred into any of the permanent forces or reserves of the Commonwealth of Australia, and

•have served 90 days in the permanent forces, or

•have served a total of 90 paid service days in the navy, army or air force reserve, or

•were discharged from defence service as medically unfit for service as a result of that service.

If you are a member of the family unit of a defence person you meet the residence requirement if:

•the defence person was granted one of the following visas on or after 1 July 2007: Labour Agreement (Migrant) Class AU, Labour Agreement (Residence) Class BV, Employer Nomination (Permanent) Class EN, Regional Employer Nomination (Permanent) Class RN, and

•you were included as an applicant in the visa application of the defence person and were granted the same type of visa at the same time, and

•you still hold that same visa, and

•the defence person has completed relevant defence service or dies while undertaking that service.

Ministerial discretions

There are a number of ministerial discretions which may be applied to an application to assist a person to meet the residence requirement for Australian citizenship.

1.If you were in Australia as an unlawful non-citizen during the 4 years immediately before making your application and it was as the result of an administrative error, then that period of time may be treated as a period of lawful residence in Australia.

2.If you were in Australia as a lawful non-citizen but not as a permanent resident as the result of an administrative error, then that period of time may be treated as a period of permanent residence.

3.If you were in Australia as a lawful non-citizen, but not as a permanent resident during the 12 months immediately before application, then that period of time may be treated as a period of permanent residence if you would otherwise suffer significant hardship or disadvantage.

4.Time spent in prison or a psychiatric institution by order of a court in the 4 years immediately before making your application may be counted as time in Australia if your conviction has been quashed.

5.If you are the spouse or de facto partner of an Australian citizen, or surviving spouse or partner of an Australian citizen at the time you make your application, and you spent time outside Australia as a permanent resident in the 4 years immediately before making your application, you may treat those periods of absence as time in Australia if, during each period of absence:

•you were the spouse or de facto partner of that Australian citizen, and

•they were an Australian citizen, and

•you maintained a close and continuing association with Australia.

6.If you spent time outside Australia as a permanent resident in the 12 months immediately before making your application, as the holder of an interdependent visa and your interdependent partner was an Australian citizen during your periods of absence, you may treat those periods of absence as time in Australia if you had a close and continuing association with Australia during those periods of absence.

You will need to provide documents to support your claims at the time you lodge your application.

STEP 3 – Learn what it means to become an Australian citizen

It is important that you understand what becoming an Australian citizen involves. The citizenship resource book or DVD, Australian Citizenship: Our Common Bond provides useful information. To download the book or watch the DVD, visit the department’s website www.border.gov.au/trav/citi/ lear/citizenship-test/Australian-citizenship-test-resource

Translations and certified copies

If your documents are not in English, you must provide official translations. In Australia, you must use translators accredited by the National Accreditation Authority of Translators and Interpreters. For more information,

see www.naati.com.au

Unless specified that original documents are required, certified copies of original documents must be attached to your application. These copies must be certified by a person with the appropriate authority. See Identity declarations – list of professions on pages 9–10 for people who can certify documents.

If you are outside Australia when applying, contact the Australian diplomatic mission in the country that issued the documents for advice on acceptable translators, and who can certify your original documents.

If you need to provide overseas penal clearance certificates with your application, you must provide original certificates.

Identity documents

Applicants 16 years of age or over

You must provide identity documents for yourself and all children included in your application.

For yourself, you must provide the following documents.

1.Three original documents that collectively show your:

•photograph

•signature

•current residential address

•birth name, date of birth and gender.

2.Proof of change of name, if applicable.

3.Part F – Identity declaration completed by a person with the appropriate authority.

If you do not provide these documents, your application will not be accepted and will be returned to you.

STEP 4 – Original documents

You will need to provide the department with a range of documents to prove that you are who you say you are and to establish you have not had any serious criminal convictions. These documents are called identity documents and good character documents.

When applying for a Ministerial discretion to enable you to meet the residence requirement or concession fees, you will need to provide additional documents – these are called supporting documents.

You must provide original documents at your citizenship appointment. If you have to get documents from overseas this can take time.

You will not be able to complete the application process without these documents.

Children

If you are including children under 16 years of age in your application (Question 28), or you are an applicant under 16 years of age, you must provide the following:

1.Identity documents that show a:

•birth name and date of birth

•photograph and current name, if available.

2.Proof of change of name, if applicable.

3.Part F – Identity declaration completed by a person with the appropriate authority.

The following checklist will help you identify suitable documents. If you have difficulty finding suitable documents please call the Citizenship Information Line.

Identity document checklist

Attach certified copies of relevant documents to your application. Bring original documents to your appointment.

Applicants 16 years of age or over

A current document with your photograph and/or signature

An Australian driver’s licence, or

A passport, or

A United Nations High Commissioner for Refugees (UNHCR) document, or

A national identity card, or

Another document containing a signature and photograph, eg. an air crew identity document, seafarer identity document, military identity document or student card

Document for travel to Australia (DFTTA)

Evidence of your current residential address

A utilities notice eg. electricity, gas or water bill, bank notice, or

Rental contracts or rates notice

Evidence of your date of birth, birth name and any changes of name

A full birth certificate

Evidence of links between present and previous names, for example a marriage or divorce certificate, if applicable

A certificate issued by an Australian Registry of Births, Deaths and Marriages as evidence of other changes of name, if applicable

Evidence of your identity in the community

One passport-sized photograph and identity declaration signed by an Australian citizen with the appropriate authority

Evidence of when you first arrived in Australia and your present country of citizenship

Current and previous passport, or

Travel document with visa such as a Document for Travel to Australia, PLO56 (M56), Titre de Voyage

Children

The following documents are required for all children under 16 years of age

A full birth certificate or family register containing parent’s details

Passport or travel document

Evidence of links between birth name and current name, if applicable

One passport-sized photograph and identity declaration signed by an Australian citizen with the appropriate authority

Identity declaration

Applicants 16 years of age or over

As well as your identity documents, you will need to provide an identity declaration and an endorsed passport-sized photograph of yourself.

The identity declaration must be completed and signed by an Australian citizen who:

•has known you for at least one year and belongs to a profession on the list on pages 9–10, and

•is not related to you by birth, marriage or de facto relationship, and

•is easy to contact by telephone during normal working hours.

Note: If you are outside Australia when applying you can have the identity declaration completed by a citizen of your country of residence who has known you for at least one year and belongs to a profession on the list on pages 9–10.

Photograph requirements

The person who signs the declaration must also write on the back of your photograph the words: This is a true photograph of (your full name) and sign the back of the photograph using the same signature as on the declaration.

The photograph should be carefully attached to the front of the application form without obscuring the image, or you can place the photograph in a plastic sleeve or envelope and staple it to the form.

The photograph must be:

•no more than 6 months old

•a full-face view of your head and shoulders (untinted prescription glasses can be worn – a photograph that shows facial features only is acceptable if you wear a head covering for religious reasons)

•of good quality, in colour, against a plain, light coloured background (laser copies are not acceptable).

Children

An identity declaration and endorsed photograph are required if you are an applicant under 16 years of age, or for each child under 16 years of age you are including in your application at Question 28.

If you are including more children than the space on the application form allows, please use form 1195 Identity declaration for each additional child.

The declaration and photograph should be signed by an Australian citizen who has known your child for at least one year and belongs to a profession on the list on pages 9–10.

In the case of children under 6 years of age, if no Australian citizen has known them for one year, the declaration can be signed by a person who has known them for less than one year and belongs to a profession on the list on pages 9–10.

The photograph of each child should be individually attached to the front of the application form without obscuring the image, or you can place the photographs in a plastic sleeve or envelope and staple it to the form.

Circumstances when an application cannot be approved

If any of the following circumstances apply to you your application for Australian citizenship cannot be approved:

•your identity cannot be verified.

•you are not in Australia at the time of decision on your application and have applied for citizenship under the provisions for incapacity, a hearing, speech or sight impairment or are aged 60 or over. (If you have an Australian citizen spouse or partner the decision maker may use a discretion to approve your application while you are outside Australia.)

•it is less than 12 months since you last ceased to be an Australian citizen.

•there is an adverse or qualified security assessment in place in relation to you, or you have been convicted of a national security offence.

Criminal offences

If you are 16 years of age or over, the department will request a National Police check from the National Police Checking Service (NPCS).

If any of the following circumstances apply to you, your application for Australian citizenship cannot be approved:

•when proceedings for an offence against an Australian law (including proceedings by way of appeal or review) are pending.

•when it is less than 2 years since you were released from prison after serving a prison sentence of 12 months or more, or 10 years if you are a repeat offender.

•you are subject to certain conditions set by an Australian court (such as being released on parole, good behaviour or bail) where action may be taken against you for breach of those conditions.

•you are in prison or a psychiatric institution by order of the court at the time of decision.

Good character

If you are 18 years of age or over, you will also need to be assessed under the good character requirement.

Convictions

You must tell the department about any convictions you may have had in Australia or overseas.

A conviction is a criminal charge leading to a guilty verdict in a court of law resulting in imprisonment or a fine or good behaviour bond. A traffic infringement, such as an on-the-spot speeding or parking fine is not considered a conviction.

If any of the above apply to you at the time you lodge your application please call the Citizenship Information Line.

Spent convictions

You must declare spent convictions in your application.

The spent convictions law allows people with minor convictions to disregard those convictions after a certain period of time. A conviction may be considered spent if:

•it is 10 years since the date of the conviction (or 5 years for juvenile offenders), and

•the person was not sentenced to imprisonment for more than 30 months, and

•the person has not re-offended during the 10 years (or 5 years for juveniles) period, and

•a statutory or prescribed exclusion does not apply.

The department is allowed to ask you for this information for the purpose of assessing your application.

Please refer to and read the information regarding spent convictions at www.border.gov.au/citizenship

Overseas penal clearance certificates

Overseas penal clearance certificates, or police checks as they are known in some countries, show whether a person has a criminal record.

You may need to provide an overseas penal clearance certificate as part of your documentation if you are 18 years of age or over.

When to provide overseas penal clearance certificates

Penal clearance certificates from overseas countries are required if:

•you lived or travelled outside Australia since the age of 18 years or over, and

•you held a permanent Australian visa at that time, and

•the total time spent outside Australia added up to 12 months or more, and

•the time spent in any one country was more than 90 days, or

•requested by the department.

You will need to provide original overseas penal clearance certificates from each country where you spent more than 90 days.

In addition, New Zealand citizens who do not hold a permanent visa, must provide a penal clearance certificate from New Zealand if they have left Australia since the age of 18, irrespective of destination or the amount of time spent overseas. For more information contact the Citizenship Information Line.

Information about where to obtain an overseas penal clearance certificate by country can be obtained from the citizenship website or contact the Citizenship Information Line.

Supporting documents

Documents supporting your application are required for a variety of reasons, such as:

•to request a Ministerial discretion to enable you to meet the residence requirement

•to provide evidence that your spouse or partner is an Australian citizen

•to claim fee concessions (form 1298i Citizenship fees provides a list of fees and concessions)

•to provide evidence you are a responsible parent of children included in your application

•to confirm your identity if you are completing the application form on behalf of an applicant under 16 years of age.

The following checklist provides a list of supporting documents commonly required. Attach certified copies of relevant documents to your application. Bring original documents to your appointment.

You may be required to provide additional documents to those listed.

If you are overseas when you are applying, you should check the website of the nearest overseas Australian immigration office for more information before posting your application to Australia.

Evidence of eligibility

Medical evidence of a permanent or enduring physical or mental incapacity from a specialist medical practitioner registered in Australia

Medical evidence of permanent loss or substantial hearing, speech or sight impairment from a specialist medical practitioner registered in Australia

Evidence of your birth in Papua before

16 September 1975 to an Australian citizen parent

Evidence of your birth to a former Australian citizen

Evidence of relevant defence service

A letter or discharge papers from the Australian Defence Force or Australian Reserve Force specifying service dates

Evidence for Ministerial discretions

Discretions 1 and 2

Evidence of a departmental administrative error affecting your lawful or permanent residence status

Discretion 3

A statement and appropriate supporting documentation to support the claim that you would suffer significant hardship or disadvantage

Discretion 4

Evidence from a court that your convictions have been quashed

Discretion 5

Evidence of the Australian citizenship of your living or deceased spouse or partner, (for example birth certificate, citizenship certificate or passport)

and evidence of your relationship, such as a marriage certificate for spouse relationships, or joint utilities accounts, joint bank accounts, joint tenancy agreements, or joint mortgage agreements for de facto relationships

and a statement explaining the reasons why you were both overseas, such as a letter from an employer and evidence of travel

and evidence that you had a close and continuing association with Australia during the period of absence

Death certificate, if applicable

Discretion 6

Evidence of the Australian citizenship of the person with whom you have an interdependent relationship

and your close and continuing association with Australia during periods of absence

and a statement explaining the reasons why you were overseas

Evidence for fee concessions

Evidence of the need for a fee concession. For example an eligible Centrelink Pension card, Health Care card or Department of Veterans’ Affairs card. Please refer to form 1298i Citizenship fees on the website for the list of eligible concession cards for a fee concession

A letter from the Child Migrants Trust as evidence of arrival as part of the Commonwealth Child Migration Scheme

Evidence of residence – New Zealand and British migrants

For New Zealand citizens who were not in Australia on 26 February 2001 and held a Special Category visa, a Centrelink certificate stating that you were residing in Australia at a particular time

If you are a British subject and arrived in Australia before 1 January 1975, have not travelled in or out of Australia since that date, and do not have evidence of your entry into Australia, you will need to provide evidence of residence in Australia. For example employment, taxation and school records. The National Archives of Australia can help with documents pre-1974. For more information, see

www.naa.gov.au/collection/askquestion/index.aspx

Evidence for the special residence requirement

If you are seeking to engage in activities that are supported by particular organisations including the Australian Olympic and Paralympics committees, Tennis Australia, Cricket Australia or a federal government agency, a letter of support detailing your participation is required

If you have been engaged in particular kinds of work requiring regular travel outside Australia, evidence from an employer that shows you have worked in that occupation for a total of 2 years in the past 4 years is required. See Special residence requirements applicants on page 9 for a list of relevant occupations

Proof that although you have spent periods of time overseas, your home has been in Australia. Examples of proof may include the presence of a spouse or children in Australia, evidence of property, tenancy agreements, rates notices or income tax payments

Documents relating to children

Any orders relating to the custody, guardianship or parental responsibility for your child, if applicable

Evidence of adoption of your child, if your child was adopted overseas

For children born through a surrogacy arrangement, you must provide court documentation that recognises the commissioning parent as the legal parent

Documents relating to the responsible parent applying on behalf of a child under 16 years of age

Proof of identification documents that collectively show a signature, photograph, and a current residential address, for example:

•a passport

•driver’s licence

•credit card or utilities bill

STEP 5 – Complete your application form

Please use a pen, and write neatly in English using BLOCK LETTERS. Corrections made with liquid paper are not acceptable. You may also be able to apply online.

Part A – Your details – Part A requires you to provide your personal details and show that you satisfy the residence requirement.

If you change address during the application process you must tell the department your new address. See form 929 Change of address and/or passport details.

Part B – Your children – Part B requires you to provide details of your children under 16 years of age that you have responsibility or legal custody for, and whom you are including in this application. You are also required to include details for all your other children, including adult children.

Part C – Your parents – Part C requires you to provide the personal details of both your parents (or adopted parents, if applicable) including whether they have been known by any other names.

Part D – Associated family – Part D requires you to provide details of any immediate family members whose details have not already been provided in Part B or Part C.

Part E – Identity documents – Part E requires you to list your identity documents.

Part F – Identity declaration – Part F is not to be completed by the applicant. See page 4 for information about who should complete the Identity declaration and sign the back of your photograph.

Part G – Travel, good character and criminal offences – Part G requires you to list travel outside Australia in the last 10 years. You

are asked to complete questions concerning your background in relation to good character and any criminal activity.

See page 5 for information about this part of the application.

Part H – Supporting documents – Part H requires you to list the supporting documents you are providing with your application.

Part I – Nomination of representative – Part I allows you to nominate another person who can make enquiries about your application on your behalf. Make sure you sign the authorisation at Part I if you want this to happen.

Part J – Preference for ceremony – Part J allows you to choose between 2 citizenship pledges.

Pledge 1 From this time forward, under God,

I pledge my loyalty to Australia and its people, whose democratic beliefs I share,

whose rights and liberties I respect, and whose laws I will uphold and obey.

Pledge 2 From this time forward,

I pledge my loyalty to Australia and its people, whose democratic beliefs I share,

whose rights and liberties I respect, and whose laws I will uphold and obey.

Part K – Proposed overseas travel – It is important that you notify the department of any proposed overseas travel while your application is being processed.

Part L – Payment details – Make a payment by credit card, bank cheque or money order made payable to the Department of Immigration and Border Protection. Credit card is the preferred method of payment.

If you are eligible for a fee concession or exemption (see form 1298i Citizenship fees) you should indicate this in Part L. You will need to provide documents to show you are eligible.

Outside Australia – Credit card payments or Australian dollars (AUD) bank cheques are accepted. If you do not have access to a credit card or AUD bank cheque, contact your nearest Immigration Office outside Australia to find out about alternative forms of payment.

Part M – Declaration – Carefully read and make sure you understand the terms of this declaration before signing it. If the applicant is under 16 years of age, the responsible parent must sign the declaration on page 27 on behalf of the child.

STEP 6 – Lodge your application form

Applications can be made online or posted to the department. When your completed application, certified copies of your documents and the correct fee are received, you will be provided with a date and time for your citizenship appointment.

Apply online

Online applications are made through the website www.border.gov.au/citizenship

Children under 16 years of age may be included in the online application of a responsible parent.

Generally, you can make an application online if you:

•are a permanent resident

•have travelled in and out of Australia since July 1990

•are not applying for a concession or exemption

•are not part of the Australian Defence Force.

You must provide a separate form 1195 Identity declaration. You can download and print this form from the website.

If you lodge your application online you must bring the following to your citizenship appointment for yourself and any children included in your application:

•form 1195 Identity declaration with one current endorsed photograph. This form is completed, and the photograph endorsed by a person with the appropriate authority. See Identity declarations – list of professions on pages 9–10

•originals of the documents you have listed in Part E – Identity documents

•originals of other supporting documents, if required

Lodge your application by post

Applications for Australian citizenship can be posted to your nearest office of the department. See page 11 for contact details.

If you lodge your application by post you must include certified copies of original documents with your application. Do not post original documents with your application.

You must bring the following to your citizenship appointment for yourself and any children included in your application:

•originals of the documents you have listed in Part E – Identity documents

•originals of other supporting documents, if required

Applicants outside Australia

If you are applying from outside Australia, send your application with certified copies of documents to the address on page 11. Credit card is the preferred method of payment. A bank cheque or money order in Australian dollars (AUD) is also acceptable. If you do not have access to a credit card, AUD bank cheque or money order, contact your nearest Immigration Office outside Australia to find out about alternative forms of payment.

STEP 7 – Attend your citizenship appointment

You may be requested to attend an interview with an authorised officer.

You must take your original documents to your citizenship appointment.

At your appointment an authorised officer will check your original documents and verify your identity.

You should allow up to 2 hours for your appointment.

Your application may be refused if you do not attend your appointment.

Checklist

This checklist will help ensure that you have everything you need for your citizenship appointment.

For you

Identity documents (Step 4)

Original overseas penal clearance certificates, if applicable (Step 4)

Supporting documents as required (Step 4)

If you applied online:

• one passport-sized photograph and identity declaration signed by an Australian citizen with the appropriate authority (Step 4)

• original documents

For each child on your application

Travel documents or passports, if they are not on your passport

A full birth certificate or family register containing parent’s details

Parenting orders or adoption papers, if applicable

If you applied online:

• one passport-sized photograph and identity declaration signed by an Australian citizen with the appropriate authority (Step 4)

• original documents

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

STEP 8 – Citizenship interview

At the appointment you may have a citizenship interview to ensure you understand the nature of your application and what citizenship involves.

If you are 16 or 17 years of age, you will be required to demonstrate an understanding of the responsibilities and privileges of Australian citizenship at your interview.

Note: In some circumstances, if you need an interpreter you can bring a family member or friend. Alternatively, you can book an interpreter for your appointment but you will have to pay for this service.

STEP 9 – Wait to receive notification

When a decision is made on your application, you will be notified in writing.

You must tell the department if you change your address, and in some circumstances your application cannot be approved if you are outside Australia.

If your application is refused

If your application is refused you may have the right to ask for the decision to be reviewed by the Administrative Appeals Tribunal (AAT). Your letter of notification will advise you where you can lodge an application for review. You should lodge your application with the AAT as soon as possible.

STEP 10 – Attend a citizenship ceremony

After you have received notification that your application has been successful you may need to attend a citizenship ceremony and make a pledge of commitment to complete the process of becoming an Australian citizen.

Usually, your ceremony will be held within 6 months of your application being approved.

If your children are under 16 years of age, they are not required to make the pledge but are welcome to attend a ceremony. They will become Australian citizens when you make the pledge.

You must attend your citizenship ceremony within 12 months of your application being approved otherwise the decision to approve your application for citizenship may be cancelled.

If you have not been contacted about attending a citizenship ceremony within 6 months, please call the Citizenship Information Line for advice.

You are not required to attend a citizenship ceremony or make the pledge of commitment if you:

•have a permanent or enduring physical or mental incapacity, or

•were born to a former Australian citizen, or

•were born in Papua, or

•were stateless when born in Australia.

Passports and travel

You will be able to apply for an Australian passport once you have attended a ceremony and made the pledge. For information on Australian passports visit www.passports.gov.au You should travel out of and into Australia on your Australian passport.

New Zealand citizens

Not all New Zealand citizens are permanent residents. To be eligible to apply you must:

•hold a permanent resident visa, or

•have been in Australia on 26 February 2001 on a Special Category visa (SCV), or

•have spent a period(s) totalling 12 months in Australia on a SCV in the 2 years immediately before 26 February 2001, or

•have a Centrelink certificate issued prior to 26 February 2004 stating that you were residing in Australia at a particular time.

Children of New Zealand citizens

If your children were born in Australia, they may already be Australian citizens if they were:

•born in Australia and reached 10 years of age having lived in Australia most of their life, or

•born in Australia on or after 27 February 2001 and you held an Australian permanent resident visa or were present in Australia on 26 February 2001 as the holder of a SCV, or

•born in Australia between 1 September 1994 and

26 February 2001 and you held a permanent visa or a SCV, or

•born in Australia between 26 January 1949 and 19 August 1986 and you were a New Zealand citizen, unless you or your spouse were entitled to diplomatic privileges.

Eligible New Zealand citizens will still have to meet the residence requirement, Step 2 of the application process.

Special residence requirements applicants

You may apply for Australian citizenship under one of the following special residence categories if you meet all other eligibility criteria for citizenship including the good character requirements, if you satisfy the following requirements.

1.You are seeking to engage in activities that are supported by particular organisations, such as the Australian Olympic and Paralympics committees, Tennis Australia, Cricket Australia or a federal government agency.

To be residentially eligible you must have been a permanent resident for the 2 years immediately before making the application. During that 2 year period you must have been lawfully present in Australia for at least 180 days, including 90 days in the 12 months immediately before making the application.

2.You have been engaged in particular kinds of work requiring regular travel outside Australia for at least 2 of the 4 years before you apply for citizenship. Relevant occupations are:

•a member of the crew of a ship or aircraft, or

•a worker on a resources installation or a sea installation, or

•a Chief Executive Officer or Executive Manager of an S&P/ASX All Australian 200 listed company, or

•a Scientist employed by:

–an Australian university who has attained a PhD in their field of speciality and is undertaking research and development of benefit to Australia, or

–the Commonwealth Scientific and Industrial Research Organisation (CSIRO), or

–a medical research institute which is a member of the Association of Australian Medical Research Institutes (AAMRI), or

•a medical specialist, internationally renowned in their field, who is a fellow of an organisation listed in Schedule 4 – Part 1 of the Health Insurance Regulations 1975 (Cth) and holds a relevant qualification in relation to the organisation, or

•a person who is a writer or is engaged in the visual or performing arts and who is the holder of, or has held, a Distinguished Talent Visa.

To be residentially eligible you must have held a valid Australian visa for 4 years, immediately before applying, including one year as a permanent resident immediately before applying.

You must also have been living in Australia for a total of 480 days during the 4 years before you apply, with at least 120 days of that time in the year immediately before your application.

Applications must include supporting documents. See checklist Evidence for the special residence requirement on page 6.

The special residence requirement cannot be used in conjunction with Ministerial discretions 3, 5 and 6. Children under 16 may be included in your application. See Step 2 – Residence requirement on page 2.

Applicants can apply for citizenship and be approved when outside Australia.

Identity declarations – list of professions

People currently working in a profession or occupation listed below can complete identity declarations and endorse photographs.

They must:

•be an Australian citizen, or

•if applying from outside Australia, a citizen of your country of residence if no Australian citizen is known to you

AND

•have known you for at least one year

•not be related to you by birth, marriage or de facto relationship

•be easy to contact by telephone during normal working hours.

1.Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)

2.Bailiff

3.Bank officer with 5 or more years of continuous service

4.Building society officer with 5 or more years of continuous service

5.Chiropractor (licensed or registered)

6.Clerk of court

7.Commissioner for Affidavits

8.Commissioner for Declarations

9.Credit union officer with 5 or more years of continuous service

10.Dentist (licensed or registered)

11.Fellow of the National Tax Accountants’ Association

12.Finance company officer with 5 or more years of continuous service

13.Judge of a court

14.Justice of the peace

15.Legal practitioner (licensed or registered)

16.Magistrate

17.Marriage celebrant licensed or registered under Sub- division C of Division 1 of Part IV of the Marriage Act 1961

18.Master of a court

19.Medical practitioner (licensed or registered)

20.Member of Chartered Secretaries Australia

21.Member of Engineers Australia, other than at the grade of student

22.Member of the Association of Taxation and Management Accountants

23.Member of the Australian Defence Force with 5 or more years of continuous service

24.Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practicing Accountants or the Institute of Public Accountants

25.Member of the Parliament of the Commonwealth, a State, a Territory Legislature, or a local government authority of a State or Territory

26.Minister of religion licensed or registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961

27.Nurse (licensed or registered)

28.Optometrist (licensed or registered)

29.Permanent employee of Commonwealth, State or local government authority with at least 5 or more years of continuous service

30.Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service

31.Pharmacist (licensed or registered)

32.Physiotherapist (licensed or registered)

33.Police officer

34.Psychologist (licensed or registered)

35.Registrar, or Deputy Registrar, of a court

36.Sheriff

37.Teacher employed on a full-time basis at a school or tertiary education institution

38.Veterinary surgeon (licensed or registered).

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.

Personal identifiers collected under the Australian Citizenship Act 2007 are generally photographs. The department and the Department of Foreign Affairs and Trade (DFAT) have signed an arrangement in accordance with the Australian Citizenship Act 2007 that permits disclosure of your personal identifiers for the purposes of administering the Australian Passport Act 2005. If your application for Australian citizenship is approved, your photograph, client number, name, date of birth and gender will be provided to DFAT. More information on personal identifiers is contained in form 1243i Your personal identifying information. Form 1243i is available from the department’s website www.border.gov.au/allforms/

Citizenship testing in regional Australia by the Department of Human Services

Under the Australian Citizenship Act 2007, the department has authorised selected officers of the Department of Human Services to be citizenship test administrators and conduct citizenship appointments on behalf of the department in selected regional centres.

Test administrators are authorised to collect and access your identifying information such as your photograph and signature, and use it along with personal and identifying information provided to the Department of Human Services by the department to verify your identity and confirm that you are eligible to sit the citizenship test. Personal and identifying information includes your name, date of birth, address, photograph, signature and copies of identity documents.

At the conclusion of your test appointment, the test administrator will electronically transmit the documents and photograph that were used to verify your identity, to the department for storage in the department’s records management system. The test administrator will then securely destroy the personal and identifying information, including electronic records, except for a record of your name, date of birth and the date of your appointment.

Consent to communicate electronically

The department may need to convey sensitive information about your application to you. Electronic communication, unless adequately encrypted, is not secure and may be viewed by others or interfered with. 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.

Home page

Citizenship Information Line

www.border.gov.au/citizenship

Telephone 131 880 during business hours

in Australia to speak to an operator (recorded information available outside these hours).

If you are outside Australia, please contact your nearest Australian mission.

Application for Australian citizenship

Other situations

Form

1290

Please read the information pages before completing this application

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

Tick where applicable 3

Part A – Your details

2Your full name (this will appear on your evidence of citizenship)

Family name

Given names

(including all middle names)

3Have you been known by any other names?

(including name at birth, previous married names, aliases, patronymic names, clan or tribal names, alternative spellings or full spelling of all names)

No

PHOTOGRAPH

You must attach the endorsed photograph of yourself

AND

all children included in your application to this page.

Photographs must be attached individually without obscuring the image, or can be placed in a plastic sleeve and stapled to this page.

8Place of birth Town/city State/province Country

Box File Number

Family name

Given names

Reason for change of name

If you have been known by more than one other name, attach additional details on a separate sheet.

9Residential addresses over the last 5 years

If insufficient space, attach a separate signed sheet with details

Current address

Note: You must tell the department if your address changes after you lodge this form.

POSTCODE

Previous address 1 (if applicable)

5Have you previously identified as being a different gender to the one selected at Question 4?

No Yes

DAY MONTH YEAR

6 Date of birth

7Have you ever had a different date of birth to the one shown at Question 6?

POSTCODE

Previous address 2 (if applicable)

POSTCODE

10Current postal address

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

Note: You must tell the department if your address changes after you lodge this form.

POSTCODE

11Telephone numbers

12If you are 18 years of age or over, do you have any email addresses?

(including work, business, personal, home or other emails) Do not include migration agent email addresses.

No

13Do you agree to the department communicating with you by email or other electronic means?

No

Email address

14Have you previously been an Australian citizen? No

15Do you hold or have you ever held citizenship of any other country? No

Date ended

16List all the countries where you hold permanent residence and are not a citizen

17Your occupation

18Passport details

Passport number

Country of passport

Date of expiry

Issuing authority/ Place of issue as shown in your passport

19Do you ever use Chinese Commercial Code Numbers for the name shown in the passport at Question 18?

No

20Do you currently have, or have you ever had, any national identity documents or numbers (including birth registration numbers, social security cards, etc.)?

No

1. Family name

Given names

Type of document

Identity number

Country of issue

2. Family name

Given names

Type of document

Identity number

Country of issue

3. Family name

Given names

Type of document

Identity number

Country of issue

21Which of the following circumstances apply to you?

I am aged 60 years or over

I am aged under 18 years

I have a permanent or enduring physical or mental incapacity

I have a permanent loss or substantial hearing, speech or sight impairment

I was born in Papua before 16 September 1975

I was born to a former Australian citizen

I am a stateless person

23Have you ever held an Australian visa other than your current permanent visa?

Were you in Australia at the time?

Yes

24Do you have an Australian driver licence?

No

Australian driver licence number

Issuing state/territory

25Do you have an Australian firearms licence?

No

Firearms licence number

Issuing state/territory

26Are you seeking a residence exemption or discretion? (See Step 2 – Residence requirement on page 2)

No

You will need to provide a statement and attach documents to support your claim

Part B – Your children

•Provide details of your children under 16 years of age that you have responsibility or legal custody for, and whom you are including in this application for Australian citizenship, at Questions 27 to 29

•Provide details of all your other children, at Question 30

(Note: Details of your other children are required in this application. If these children want to apply for Australian citizenship they will need to complete their own application)

Children includes biological or adopted children, step-children, deceased children and adult children

27Do you have any children under 16 years of age, that you have responsibility or legal custody for, and whom you are including in this application?

Yes

Child 1

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Child 2

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Male

Female

Other

Male

Female

Other

DAY MONTH YEAR

DAY MONTH YEAR

DAY MONTH YEAR

DAY MONTH YEAR

Other child 1 (not included in this application)

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

List all countries where this child holds permanent residency

Is this child included in another citizenship application? No

Yes

Has this child ever held citizenship of any country?

No

Yes

Other child 2 (not included in this application)

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

List all countries where this child holds permanent residency

Is this child included in another citizenship application? No

Yes

Has this child ever held citizenship of any country?

No

Yes

Other child 3 (not included in this application)

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

List all countries where this child holds permanent residency

Is this child included in another citizenship application? No

Yes

Has this child ever held citizenship of any country?

No

Yes

Other child 4 (not included in this application)

Relationship to you

Child’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

List all countries where this child holds permanent residency

Is this child included in another citizenship application? No

Yes

Has this child ever held citizenship of any country?

No

Yes

31Parent 1

Relationship to you Parent/adoptive parent’s full name Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

32Parent 2

Relationship to you Parent/adoptive parent’s full name Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Parent/adoptive parent’s date of birth

Place of birth

Town/city

State/ province

Country

Other

DAY MONTH YEAR

Parent/adoptive parent’s date of birth

Place of birth

Town/city

State/ province

Country

Other

DAY MONTH YEAR

Has this parent/adoptive parent ever been known by or used any other names, dates of birth or gender?

Other names include alternative spellings, patronymic names, maiden names, clan or tribal names

No

If insufficient space, attach additional details

Give reason for change(s)

Has this parent/adoptive parent ever held Australian citizenship?

Date parent/adoptive parent ceased to be an Australian citizen (if known)

Present country(s) of citizenship (if not living, write ‘DECEASED’)

Has this parent/adoptive parent ever been known by or used any other names, dates of birth or gender?

Other names include alternative spellings, patronymic names, maiden names, clan or tribal names

No

If insufficient space, attach additional details

Give reason for change(s)

Has this parent/adoptive parent ever held Australian citizenship?

Date parent/adoptive parent ceased to be an Australian citizen (if known)

Present country(s) of citizenship (if not living, write ‘DECEASED’)

Part D – Associated family

33Do you have any other immediate family members whose details have not been provided in this application?

Immediate family members include full, half, adopted and step brothers and sisters, a spouse or de facto partner including if deceased No

Family member 1

Relationship to you

Person’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

Family member 2

Relationship to you

Person’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

Family member 3

Relationship to you

Person’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

Family member 4

Relationship to you

Person’s full name

Family name

Given names

Name in Chinese Commercial Code Numbers (if applicable)

Place of birth

Town/city

State/ province

Country

Country of current residence

(if not living, write ‘DECEASED’)

Part E – Identity documents

34If you are 16 years of age or over, you must provide at least

3 documents which collectively contain your:

•photograph

•signature

•current address

•date of birth, birth name and gender.

You must also provide proof of any changes of name, if applicable, and a completed Part F – Identity declaration.

Attach certified copies of your documents to this application.

If you do not provide these documents your application will not be accepted and will be returned to you.

Do not post original documents to the department. Bring the original documents to your appointment.

Please list the identity documents you are providing (see Step 4 – Original documents on page 3)

Part F – Identity declaration

35This part is NOT to be completed by the applicant

This part is to be completed by a person who:

•is an Australian citizen, and

•has known the applicant for at least one year, and

•is currently working in a profession or occupation listed on pages 9–10, and

•is not related to the applicant by birth, marriage, or de facto relationship, and

•is easy to contact by telephone during normal working hours, should we need to make contact.

The person who completes this declaration must also endorse each applicant’s photograph, which must be no more than 6 months old.

Example

Applicants 16 years of age or over

A current document with your photograph and signature

Evidence of your current residential address

Evidence of your date of birth, birth name and any changes of name

Evidence of your identity in the community

PHOTOGRAPH FRONT

PHOTOGRAPH BACK

“This is a true photograph of”

JOHN CITIZEN

(full name of applicant)

PSMITH

(signature)

Part F – Identity declaration

Children

Evidence of the child’s date of birth and birth name

A document with the child’s photograph and current name

Evidence of any changes of name, if applicable

Evidence of the child’s identity in the community

Part F – Identity declaration

See Identity declaration on page 4 for more information including photograph requirements.

Details of person making this declaration

Family name Given names Telephone numbers

Work

Home

Mobile/cell

Signature of person making this declaration

-

Work

Home

Mobile/cell

Signature of person making this declaration

-

No

Yes

List all countries, in date order, that you have lived in or travelled to.

Include reason for travel, for example:

•work, study or training

•business

•visit family

•holiday or leisure, including visits to your country of origin

•military deployment.

No

Yes

Provide an original penal clearance certificate from each country you have spent more than 90 days in

(See Overseas penal clearance certificates on page 5)

38Please answer the following questions for yourself and any children included in your application:

(a)Have you been convicted of, or found guilty of, ANY offences overseas or in

(i)Have you ever been removed or deported

(j)Have you ever been involved in activities

If you answered ‘Yes’ to any of the questions at Question 38, you must 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.

39Consent

•I consent to my personal information being provided to the National Police Checking Service (NPCS) for the purpose of the NPCS conducting a National Police check in relation to me as part of my application for Australian citizenship.

•I understand that this is for the purposes of assessing whether I am of good character and whether the Offences provision, as defined in section 24(6) of the Australian Citizenship Act 2007, applies to me.

•I understand that more than one police check may be requested by the department, including a further check that may be undertaken if I am not approved as an Australian citizen and I request an appeal of the decision.

•I acknowledge that my personal information will be disclosed to Australian police agencies for them to use for their respective law enforcement purposes including the investigation of any outstanding criminal offences.

•I acknowledge that I have read the National Police Checking Service – General Information and understand the spent convictions legislation.

•I understand that spent convictions of specific offences (10 years from the date of conviction for adults, or 5 years from the date of conviction for juvenile offenders) will be disclosed to the department by Australian police agencies for the purposes outlined above.

See www.border.gov.au/citizenship for information about good

character, the Offences provision, spent convictions and the National

Police Checking Service – General Information.

Signature of applicant

-

DAY MONTH YEAR

Date

Part H – Supporting documents

40Do you need to provide supporting documents? (See Step 4 – Original documents on page 3)

No

Evidence of eligibility

Evidence for exemptions, discretions or fee concessions

Evidence of residence for New Zealand and

British migrants

Evidence of the special residence requirement

Documents relating to children

Documents relating to the responsible parent applying on behalf of a child under 16 years of age

Part I – Nomination of representative

41Do you want to nominate a person to make enquiries about your application on your behalf?

Nominated person

Family name

Given names

DAY MONTH YEAR

Date of birth

Relationship to main applicant

Telephone numbers

42Authority to disclose information

I hereby authorise the Department of Immigration and Border Protection to release information about my application to the person named above. I understand that the authority will remain effective until my application is finalised and should I wish to cancel or change this authorisation I may do so by advising the department in writing.

Signature of

applicant

-

DAY MONTH YEAR

Date

Part J – Preferences for ceremony

43Which Australian Citizenship Pledge would you like to make? Pledge 1 is made ‘under God’ and Pledge 2 is not.

Pledge 1 From this time forward, under God,

I pledge my loyalty to Australia and its people,

whose democratic beliefs I share,

whose rights and liberties I respect, and

whose laws I will uphold and obey.

OR

Pledge 2 From this time forward,

I pledge my loyalty to Australia and its people,

whose democratic beliefs I share,

whose rights and liberties I respect, and

whose laws I will uphold and obey.

44What is the name of your local council?

45If you wish to attend the ceremony with a particular person(s) who is also an applicant for Australian citizenship, give their details below.

1. Family name

Given names

DAY MONTH YEAR

Date of birth

2. Family name

Given names

DAY MONTH YEAR

Date of birth

46The department occasionally conducts citizenship ceremonies which may attract media interest. Please tick the box below if you do not want to take part in such a ceremony.

I do not want to be involved in a ceremony which may attract media attention

Part K – Proposed overseas travel

In some circumstances your application cannot be approved while you are outside Australia.

The following applicants do not need to be in Australia at the time of approval:

•person under 18 years

•person born to a former Australian citizen

•person born in Papua.

It is important that you notify the department of any proposed travel while your application is being processed.

47Do you intend to spend time outside Australia within the next 12 months?

No

DAY MONTH YEAR

Date of proposed departure

Length of proposed absence

Part L – Payment details

Ensure you pay the correct fee. See form 1298i Citizenship fees for information on fees, concessions and exemptions. Form 1298i is available from www.border.gov.au/allforms/

If you are eligible for a fee concession or exemption, you must provide evidence of this with your application as detailed in form 1298i

Citizenship fees.

48Are you eligible for a fee concession (discounted fee)? No

Citizenship fees

Go to Question 50

49Are you eligible for a fee exemption (nil fee)? No

Go to Part M – Declaration

50How will you pay your application fee?

If applying in Australia, credit card is the preferred method of payment. If paying by bank cheque or money order please make payable to the Department of Immigration and Border Protection.

If applying from outside Australia, credit card payments or Australian dollars (AUD) bank cheques are accepted. If you do not have access to a credit card or AUD bank cheque, contact your nearest Immigration Office outside Australia to find out about alternative forms of payment.

Note: A surcharge may apply to payments made by credit card. Further information is available from www.border.gov.au/trav/visa/fees/how-to-pay-for-an-application

As the cardholder I acknowledge and accept that a credit card surcharge may apply to the transaction.

Signature of cardholder

-

Credit card information will be used for fee paying purposes only.

Part M – Declaration

WARNING: It is an offence under section 50 of the Australian Citizenship Act 2007 to deliberately make, or cause to make, a false or misleading statement, or conceal circumstances in relation to an application.

51Please read the following carefully before signing.

Complete this declaration if you are the main applicant and are aged 16 years or over.

•I declare that I intend to reside or continue to reside in Australia, or maintain a close and continuing association with Australia.

•I declare that the information I have supplied in this form is complete, truthful and correct in every detail.

•I acknowledge that this application constitutes an application for evidence of Australian citizenship.

•I recognise that by becoming an Australian citizen I will become a formal member of the community of the Commonwealth of Australia.

•I understand that Australian citizenship is a shared identity, a common bond which unites all Australians while respecting their diversity.

•I understand that:

–Australian society values respect for the freedom and dignity of the individual, freedom of religion, commitment to the rule of law, parliamentary democracy, equality of men and women and a spirit of egalitarianism that embraces mutual respect, tolerance, fair play and compassion for those in need, and the pursuit of the public good

–Australian society values equality of opportunity for individuals, regardless of their race, religion or ethnic background

–the English language, as the national language, is an important unifying element of Australian society.

•I accept that Australian citizenship involves reciprocal rights and responsibilities. The responsibilities of citizenship include obeying Australian laws, including those relating to voting at elections and serving on a jury.

•In seeking to become an Australian citizen, I undertake to accept these responsibilities and respect the values of Australian society.

•I recognise that a prosperous, successful and peaceful Australia depends upon the support of all Australians, including me, for those things that we value and share.

•I have read the information contained in form 1442i Privacy notice.

•I understand the department may collect, use and disclose my personal information (including biometric information and other sensitive information) as outlined in form 1442i Privacy notice.

Signature of applicant

-

DAY MONTH YEAR

Date

Office use only

Name of decision maker

Signature of decision maker

Date

Children aged under 16 years

The responsible parent is to complete the following declaration.

•I declare that I am the responsible parent of the applicant.

•I declare that the information I have supplied in this form is complete, truthful and correct in every detail.

•I consent to the conferral of Australian citizenship to the applicant with my full acceptance of the consequences resulting from that acquired citizenship status at law.

•I acknowledge that this application constitutes an application for evidence of Australian citizenship.

•I have read the information contained in form 1442i Privacy notice.

•I understand the department may collect, use and disclose my personal information (including biometric information and other sensitive information) as outlined in form 1442i Privacy notice.

Children aged 16 or 17 years

The responsible parent is to complete the following declaration.

•I declare that I am the responsible parent of the applicant.

•I consent to the applicant’s personal information being provided to the National Police Checking Service (NPCS) for the purpose of the NPCS conducting a National Police check in relation to the applicant as part of their application for Australian citizenship.

•I understand that this is for the purposes of assessing whether the Offences provision, as defined in section 24(6) of the Australian Citizenship Act 2007, applies to the applicant.

•I understand that more than one police check may be requested by the department, including a further check that may be undertaken if the applicant is not approved as an Australian citizen and an appeal of the decision is requested.

•I acknowledge that the applicant’s personal information will be disclosed to Australian police agencies for them to use for their respective law enforcement purposes including the investigation of any outstanding criminal offences.

•I acknowledge that I have read the National Police Checking Service – General Information and understand the spent convictions legislation.

•I understand that spent convictions of specific offences (5 years from the date of conviction for juvenile offenders) will be disclosed to the department by Australian police agencies for the purposes outlined above.

•I have read the information contained in form 1442i Privacy notice.

•I understand the department may collect, use and disclose my personal information (including biometric information and other sensitive information) as outlined in form 1442i Privacy notice.

See www.border.gov.au/citizenship for information about the Offences provision, spent convictions and the National Police Checking Service – General Information.

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