147 - Application for a New Zealand Citizen Family Relationship

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Application for a
New Zealand Citizen Family Relationship
(subclass 461) visa
The Department of Immigration and Border Protection (the
department) acknowledges that Aboriginal and Torres Strait
Islander peoples are the traditional custodians of the Australian
land.
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.
Life in Australia – Australian values
The Australian Government encourages people to gain an
understanding of Australia, its people and their way of life,
before applying for a visa to live in Australia. As part of this
every person aged 18 years or over must declare that they will
respect Australian values, as outlined below and obey the laws
of Australia.
Australian values include 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
pursuit of the public good.
Australian society also values equality of opportunity for
individuals, regardless of their race, religion or ethnic
background.
It is also important to understand that English is the national
language.
Further information is contained in the Life in Australia
booklet, however, you are not required to read the booklet.
The booklet is available in a wide range of languages. If you
would like a copy of the booklet it can be obtained from
www.border.gov.au
About this visa
The New Zealand Citizen Family Relationship (subclass 461)
visa allows a person, or persons who do not hold a New Zealand
passport but are members of the family unit of a New Zealand
citizen who holds, or will hold upon entry to Australia, a Special
Category (subclass 444) visa (SCV) to travel to, enter, reside and
work in Australia on a temporary basis.
This visa:
• is valid for 5 years;
• permits unlimited travel to and from Australia;
• does not require formal sponsorship or nomination; and
• does not include any work or study restrictions; but
• may include either or both conditions 8303 and 8501.
Condition 8303 states you must not become involved in
activities disruptive to, or violence threatening harm to, the
Australian community or a group within the Australian
community.
Condition 8501 states you must maintain adequate
arrangements for health insurance while you are in Australia.
Form
147
About this application
This form may be used by both primary and secondary
applicants who are members of the family unit of a New Zealand
citizen SCV holder who wish to apply for temporary residence
in Australia. All members of the family unit of the New Zealand
citizen SCV holder intending to travel with or join them in
Australia, to reside with them should be included in this
application.
A secondary applicant for this application is a member of the
family unit of the primary applicant and may include a child
under 18. It may also include a relative who is over the age of
18 and is dependent on the primary applicant. To meet the
requirements of this visa, however, the secondary applicant
must also be a member of the family unit of the New Zealand
citizen SCV holder.
Your application for a New Zealand Citizen Family Relationship
(subclass 461) visa is not valid if you currently hold a criminal
justice entry visa, a domestic worker visa, or if you are a detainee
who has not made an application within the prescribed time
limits, or if you hold a visa subject to a condition that prevents
the grant of a substantive visa while you remain in Australia.
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.
Visa Application Charge
Refer to Part K – Payment details of this form to calculate the
correct charge and make payment.
Refer to www.border.gov.au/trav/visa/fees 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.
© COMMONWEALTH OF AUSTRALIA, 2015
147 (Design date 10/15) - Page 1
Outside Australia
Method of payment
In Australia
If you are outside Australia when you lodge your application,
refer to the department’s website
www.border.gov.au/about/contact/offices-locations for
information about your nearest office.
To make a payment, please pay 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.
What happens after you lodge the visa application?
Outside Australia
In Australia
Before making a payment outside Australia, please check with the
Australian Government 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.
If you are in Australia when you lodge your application, this
form also serves as an application for a bridging visa class A, C
or E, depending on which one you may be eligible to apply for.
Health insurance requirements
You may be required, as a condition of this visa, to maintain
adequate private medical and hospital health insurance while
in Australia. This insurance cover does not have to be held with
an Australian insurer – arrangements made in your home
country may be assessed as being acceptable. You need to
ensure your health insurance cover will provide for medically
necessary treatment for the entire period of your stay.
If you need to travel outside Australia before your application
is decided, you should contact the processing office regarding
a bridging visa that would enable you to return to Australia.
For information on bridging visas, refer to the information
form 1024i Bridging visas available from the department’s
website www.border.gov.au/allforms/
The above condition may not apply if you are covered by
reciprocal health care arrangements with your home country.
You will be advised by a case officer if you are required to
arrange private health insurance.
Your bridging visa will usually have the same work conditions
as your existing visa. If you are seeking to change the work
conditions which will apply to your bridging visa before this
application is decided, you should apply on form 1005
Application for a bridging visa available from the department’s
website www.border.gov.au/allforms/
This form should be sent to the New Zealand Family
Relationship Centre.
How to apply
In and outside Australia
Step 1 – Complete this application
Once a decision has been made on your application, you will
be notified of that decision in writing.
Please use a black or blue pen, and write neatly in English using
BLOCK LETTERS.
If your application is refused, you will be given reasons for the
refusal as well as information about review rights.
If you need more space to answer questions or wish to provide
additional relevant information, attach a signed and dated sheet
giving the required details.
Residential address
Any alterations made before you lodge the form must be
initialled and dated.
You will need to supply 2 recent passport-sized photographs of
each person included in your application.
Step 2 – Lodge your application
When lodging your visa application, please ensure you have:
• completed ALL questions in this form; and
• included the Visa Application Charge; and
• included any additional attachments (if required); and
• included the checklist.
For additional documentary requirements and the checklist
refer to the department’s website
www.border.gov.au/trav/visa-1/461-/new-zealand-citizenfamily-relationship-(temporary)-visa-(subclass-461)document-checklist
In Australia
If you are in Australia when you lodge your application, to assist
us in processing your application, we request that you send
your application along with all accompanying documents by
post to:
New Zealand Relationship Visa Centre
GPO Box 9984
SYDNEY NSW 2001
Or courier to:
Level 3
26 Lee St
SYDNEY NSW 2001
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.
Let the department know if you change your 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.
Communication about your application can be sent to another
person that you have authorised, but you will be taken to have
received the communication that the department sends to that
person. The department must be informed (in writing) of any
address change for either you or your authorised person.
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 mission or office of
the department.
If you do not provide us with the details of any new or
additional passports you use to travel to Australia, you
may experience significant delays at the airport and may
be denied permission to board your plane.
Do NOT send your passport with your visa application.
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© COMMONWEALTH OF AUSTRALIA, 2015
Provide with your visa application a certified copy of the page
from your passport showing your photo and details. We will
advise you if your application has been approved. Please keep
a copy of the Visa Grant Notification in a safe place for your
reference.
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.
Important information about privacy
Information on migration agents, including a list of registered
migration agents, is available on the Office of the MARA website
www.mara.gov.au
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.
Form 1163i Health requirement for temporary entry to
Australia provides additional information on Australia’s visa
health requirements. Form 1163i is available at offices of the
department or from the department’s website
www.border.gov.au/allforms/
When sponsorship is 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.
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.
You can also access information about migration agents on the
department’s website www.border.gov.au
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 J – 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.border.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
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.
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 J – 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.border.gov.au/allforms/
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.
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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.
Home page www.border.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
147 (Design date 10/15) - Page 4
© COMMONWEALTH OF AUSTRALIA, 2015
Application for a
New Zealand Citizen Family Relationship
(subclass 461) visa
Please use a pen, and write neatly in English using BLOCK LETTERS.
Tick where applicable
Please attach required
photographs of yourself
Do not complete these questions until you have read the information
pages at the front of this form. They contain important information
about the visa and application process.
DAY
MONTH
147
PHOTOGRAPH
Intended date of arrival
(If you are already in Australia, write ‘N/A’)
Form
AND
each member of your
family unit included in
this application.
YEAR
Part A – Your details
1
2
8
Your full name
Do you currently hold a New Zealand Citizen Family Relationship
(subclass 461) visa?
Family name
No
Go to Part B
Given names
Yes
Give details of the New Zealand citizen relative your visa
application was based on for the grant of you current visa
Have you been known by any other names?
(including name at birth, previous married names, aliases)
Family name
Given names
No
Yes
Give details
DAY
MONTH
Family name
Date of birth
Given names
Are you still a member of
this person’s family unit?
If you have been known by other names, attach a page giving the names
3
Sex
4
Date of birth
5
Place of birth
Female
Male
DAY
MONTH
YEAR
No
Date relationship ended
DAY
MONTH
YEAR
Yes
YEAR
Town/city
Country
6
7
Relationship status
Married
Separated
Engaged
Divorced
De facto
Widowed
Never married or
been in a de facto
relationship
Your present country/countries of citizenship
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147 (Design date 10/15) - Page 5
Part B – Your contact details
9
Your current residential address
Note: A post office box address is not acceptable as a residential
address. Your application is invalid without a residential address.
Part C – Your identification, passport and
visa details
14 Are you in Australia when applying for this visa?
No
Yes
Give details of the visa you currently hold
Visa subclass
POSTCODE
DAY
10 Your postal address
MONTH
YEAR
Visa expiry date
(If the same as your residential address, write ‘AS ABOVE’)
15 Are you, or any secondary persons included in this application, a
Foreign Affairs or an AusAID supported student?
No
POSTCODE
Yes
11 Your telephone numbers
COUNTRY CODE
AREA CODE
NUMBER
Office hours
(
) (
)
After hours
(
) (
)
16 Do you hold a valid passport?
No
Yes
12 Do you agree to the department communicating with you by fax, email
or other electronic means?
Give details
Passport number
Country of issue
No
Yes
Attach a copy of the letter of support from the
Foreign Minister or the former AusAID Minister
DAY
Give details
COUNTRY CODE
Fax number
(
Email address
13 Your current occupation
AREA CODE
) (
NUMBER
)
MONTH
YEAR
Date of issue
Date of expiry
Issuing authority/
Place of issue as
shown in your
passport
Note: 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 mission 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 the plane.
17 Details 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
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© COMMONWEALTH OF AUSTRALIA, 2015
Part D – Secondary visa applicants
18 Are you including secondary applicants who are NOT holders of a New
Zealand passport in this application?
No
Go to Part E
Yes
Give details of all secondary visa applicants who are included
in this application
(If there are more than 6 secondary applicants, please copy
this page and attach it to this form with additional details)
1. Family name
3. Family name
Given names
Given names
Sex
Female
Male
DAY
MONTH
Sex
Female
Male
YEAR
DAY
MONTH
YEAR
Date of birth
Date of birth
Country of birth
Country of birth
Citizenship(s)
Citizenship(s)
Relationship
to you
Other names they have been known by
Relationship
to you
Other names they have been known by
Passport number
Passport number
Country of issue
of passport
Country of issue
of passport
DAY
MONTH
YEAR
DAY
MONTH
YEAR
Date of issue
Date of issue
Date of expiry
Date of expiry
Issuing authority/Place of issue as shown in passport
Issuing authority/Place of issue as shown in passport
2. Family name
4. Family name
Given names
Given names
Sex
Female
Male
DAY
MONTH
Sex
Female
Male
YEAR
DAY
MONTH
YEAR
Date of birth
Date of birth
Country of birth
Country of birth
Citizenship(s)
Citizenship(s)
Relationship
to you
Other names they have been known by
Relationship
to you
Other names they have been known by
Passport number
Passport number
Country of issue
of passport
Country of issue
of passport
DAY
MONTH
YEAR
DAY
MONTH
YEAR
Date of issue
Date of issue
Date of expiry
Date of expiry
Issuing authority/Place of issue as shown in passport
Issuing authority/Place of issue as shown in passport
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147 (Design date 10/15) - Page 7
Part E – New Zealand citizen’s details
5. Family name
19 Provide details of the New Zealand citizen with whom you claim
Given names
Sex
a family relationship for the purpose of this application
Family name
Female
Male
DAY
MONTH
YEAR
Date of birth
Given names
Country of birth
Other names the New Zealand citizen is known by or has been
known by (include name at birth, previous married names, aliases)
Citizenship(s)
Family name
Relationship
to you
Other names they have been known by
Given names
Reason for name change
Passport number
DAY
Country of issue
of passport
MONTH
YEAR
Date of birth
DAY
MONTH
YEAR
Date of issue
Place of birth
Town/city
Date of expiry
Country
Issuing authority/Place of issue as shown in passport
Sex
Female
Male
Current
citizenship
6. Family name
Current residential address
Given names
Sex
POSTCODE
Female
Male
DAY
MONTH
YEAR
Date of birth
Postal address
(If the same as your residential address, write ‘AS ABOVE’)
Country of birth
Citizenship(s)
POSTCODE
Relationship
to you
Other names they have been known by
COUNTRY CODE
Telephone
number
(
) (
NUMBER
)
New Zealand citizen’s
passport number
Passport number
DAY
Country of issue
of passport
Date of issue
DAY
MONTH
YEAR
Date of issue
Date of expiry
Date of expiry
Issuing authority/
Place of issue as
shown in passport
Issuing authority/Place of issue as shown in passport
147 (Design date 10/15) - Page 8
AREA CODE
© COMMONWEALTH OF AUSTRALIA, 2015
MONTH
YEAR
Part F – Your relationship with the
New Zealand citizen
Part G – Health
23 Do you hold health insurance cover?
No
20 Is the New Zealand citizen your child, parent or sibling?
Yes
No
Yes
Type of health insurance cover
Give details
Child
Name of health insurer
Parent
Go to Part G
Sibling
Period covered by health insurance
DAY
21 Relationship status
DAY
Married
Date of marriage
De facto
Date relationship began
Separated
Divorced
DAY
MONTH
MONTH
YEAR
YEAR
DAY
MONTH
YEAR
to
24 In the last 5 years, have you, or any other person included in this
application, visited, or lived, outside your country of passport for more
than 3 consecutive months?
YEAR
No
Date
Yes
Widowed
Note: You must provide evidence to demonstrate that your
relationship is genuine and continuing (including a marriage
certificate if you are married). See Booklet 1 Partner Migration, for
information on what evidence may be provided.
Give details
1. Person’s
name
Country
visited/lived in
DAY
citizen, have you lived separately or apart for any period of time?
Not applicable
No
Give details of the period of separation and the reasons
MONTH
YEAR
Date from
22 If you are married or in a de facto relationship with the New Zealand
Yes
MONTH
from
DAY
MONTH
YEAR
DAY
MONTH
YEAR
DAY
MONTH
YEAR
to
2. Person’s
name
Country
visited/lived in
DAY
MONTH
YEAR
Date from
to
3. Person’s
name
Country
visited/lived in
DAY
Date from
MONTH
YEAR
to
25 Do you, or any other person included in this application, intend to enter
a hospital or a health care facility (including nursing homes) while in
Australia?
No
Yes
Give details
26 Do you, or any other person included in this application, intend to work
as, or study to be, a doctor, dentist, nurse or paramedic during your stay
in Australia?
No
Yes
© COMMONWEALTH OF AUSTRALIA, 2015
Give details
147 (Design date 10/15) - Page 9
27 Do you, or any other person included in this application, intend to work,
31 Do you, or any other person included in this application, require assistance
or be a trainee, at a child care centre (including preschools and creches)
while in Australia?
with mobility or care due to a medical condition?
No
Yes
Yes
No
Give details
Give details
32 Have you, or any other person included in this application, undertaken a
28 Do you, or any other person included in this application, intend to be in
a classroom situation for more than 3 months (eg. as either a student,
teacher, lecturer, or observer)?
No
Yes
health examination for an Australian visa in the last 12 months?
No
Yes
Give details
29 Have you, or any other person included in this application:
• 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
30 During your proposed stay in Australia, do you, or any other person
included in this application, 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
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© COMMONWEALTH OF AUSTRALIA, 2015
Give details (including HAP ID if available)
Part H – Character
If you answered ‘Yes’ to any of the questions at Question 33, you
must state who it applies to and give ALL relevant details below.
33 Have you, or any of the secondary applicants
included in this application, ever:
• been charged with any offence that is
currently awaiting legal action?
No
Yes
• been convicted of an offence in any country
(including any conviction which is now
removed from official records)?
No
Yes
• been the subject of an arrest warrant or
Interpol notice?
No
Yes
• been found guilty of a sexually based offence
involving a child (including where no
conviction was recorded)?
No
Yes
• been named on a sex offender register?
No
Yes
• been acquitted of any offence on the grounds
of unsoundness of mind or insanity?
No
Yes
• been found by a court not fit to plead?
No
Yes
• been directly or indirectly involved in, or
associated with, activities which would
represent a risk to national security in
Australia or any other country?
No
Yes
• been charged with, or indicted for: genocide,
war crimes, crimes against humanity, torture,
slavery, or any other crime that is otherwise of
a serious international concern?
No
Yes
• been associated with a person, group or
organisation that has been/is involved in
criminal conduct?
No
Yes
• been associated with an organisation
engaged in violence or engaged in acts of
violence (including war, insurgency, freedom
fighting, terrorism, protest) either overseas or
in Australia?
No
Yes
• served in a military force, police force, state
sponsored/private militia or intelligence
agency (including secret police)?
No
Yes
• undergone any military/paramilitary training,
been trained in weapons/explosives or in the
manufacture of chemical/biological products?
No
Yes
• been involved in people smuggling or people
trafficking offences?
No
Yes
• been removed, deported or excluded from any
country (including Australia)?
No
Yes
• overstayed a visa in any country (including
Australia)?
No
Yes
• had any outstanding debts to the Australian
Government or any public authority in
Australia?
No
Yes
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.
(If you need more space to answer, attach a signed and dated sheet
giving the required details)
© COMMONWEALTH OF AUSTRALIA, 2015
147 (Design date 10/15) - Page 11
Part I – Assistance with this form
Part J – Options for receiving written
communications
34 Did you receive assistance in completing this form?
No
Go to Part J
Yes
Please give details of the person who assisted you
Title:
Mrs
Mr
38 All written communications about this application should be sent to:
Miss
Ms
(Tick one box only)
Myself
Other
OR
Family name
Authorised
recipient
Given names
Address
OR
Migration agent
OR
POSTCODE
Exempt person
Telephone number or daytime contact
COUNTRY CODE
Office hours
(
AREA CODE
) (
NUMBER
)
Mobile/cell
35 Is the person an agent registered with the Office of the Migration Agents
Registration Authority (Office of the MARA)?
No
Yes
Go to Part J
36 Is the person/agent in Australia?
No
You should complete form 956A Appointment
or withdrawal of an authorised recipient
Go to Part J
Yes
37 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
147 (Design date 10/15) - Page 12
© COMMONWEALTH OF AUSTRALIA, 2015
Your migration agent/exempt person should
complete form 956 Advice by a migration
agent/exempt person of providing
immigration assistance
Part K – Payment details
39 IMPORTANT: You must refer to the department’s website at www.border.gov.au/trav/visa/fees to complete this part of your application.
The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
Visa subclass you are applying for
Base Application Charge
Write the amount shown on the reference table for your visa subclass
AUD
(1)
+
Non-internet Application Charge (if applicable)
AUD
Additional Applicant Charge aged 18 years or over at the time your application is lodged
Write the amount shown on the
reference table for your visa subclass
(2)
+
Number of additional applicants
aged 18 years or over
AUD
=
X (multiplied by)
AUD
Additional Applicant Charge under 18 years of age at the time your application is lodged
Write the amount shown on the
reference table for your visa subclass
(3)
+
Number of additional applicants
under 18 years of age
AUD
=
X (multiplied by)
AUD
Subsequent Temporary Application Charge (if applicable)
Write the amount shown on the
reference table for your visa subclass
(4)
+
Number of applicants
AUD
=
X (multiplied by)
AUD
(5)
=
Total
Total (1) + (2) + (3) + (4) + (5)
AUD
You must pay the total amount or your visa application will not be valid.
Note: A second instalment of the Visa Application Charge must also be
paid before we can grant some visas.
40 How will you pay your application charge?
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
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 outside Australia, please check with the Australian Government 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.
Bank cheque
Money order
Credit card
Give details below
Payment by (tick one box)
Australian Dollars
MasterCard
Diners Club
American Express
JCB
COUNTRY CODE
Telephone
number
(
AREA CODE
) (
NUMBER
)
Address
AUD
Visa
POSTCODE
Credit card number
:
:
:
:
:
:
:
:
MONTH
YEAR
:
:
Expiry date
Cardholder’s name
:
:
:
:
:
:
:
:
:
:
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 charge paying purposes only.
© COMMONWEALTH OF AUSTRALIA, 2015
147 (Design date 10/15) - Page 13
Part L – Documentation to be attached to
this application
41 This document checklist details the information and supporting
documents (personal, health and character) required to assist with the
lodgement of a complete application. You may also need to provide
additional information and documentation after you have made your
application, if the department requires it, however, a decision on the
visa application may be made solely on the information provided at the
time of application.
Original documents should NOT be provided unless requested. Please
provide certified copies of original documentation. Documents not in
English must be accompanied by accredited English translations.
This checklist, as well as additional information can be accessed from
the department’s website
www.border.gov.au/trav/visa-1/461-/new-zealand-citizenfamily-relationship-(temporary)-visa-(subclass-461)document-checklist
Certified copy of passport bio data page
Certified copies of birth certificates or other evidence
of age, showing names of both parents.
If you are married, please provide certified copies of
marriage certificate and evidence you are in a
genuine and continuing relationship.
If you are in a de facto relationship, please provide
independent evidence that you have been living in a
genuine and continuing relationship.
If you have been divorced or permanently separated,
please provide certified copies of the divorce
document(s) or a statutory declaration/separation
certificate.
If you have been widowed, please provide certified
copy of the death certificate(s).
A completed form 80
Tick when completed
If in Australia, evidence that you have applied for an
Australian Federal Police check in the last 12 months.
Forms, fees and charges
Two (2) recent passport photographs for all people
included in the application (including dependants
who are not migrating).
A completed form 147
Correct Visa Application Charge
Evidence of your relationship with the New Zealand citizen
Evidence of your relationship with the New Zealand
citizen. This can include:
• certified copies of birth certificates for each
person claiming a relationship with the
New Zealand citizen
• marriage certificates
• death certificates
• adoption certificates
• family status certificates or family books (if these
documents are officially issued and maintained).
Personal documents
If any applicant included in the application is a
Foreign Affairs or AusAID student or recipient, please
provide a letter of support from the Foreign Minister
or former AusAID Minister.
Military discharge certificate for any applicant
included in the application (if applicable).
Evidence of any change of name (for example deed
poll certificate).
Evidence that the New Zealand citizen holds or is
eligible for a Special Category visa. This can include:
• certified copy of the New Zealand citizen’s birth
certificate
• New Zealand passport.
A family tree/diagram of your relationship to the
New Zealand citizen.
147 (Design date 10/15) - Page 14
© COMMONWEALTH OF AUSTRALIA, 2015
Part M – Signatures
42 BIOMETRICS DECLARATION AND CONSENT
This declaration and consent must be signed by the main applicant and
each accompanying person aged 16 years or over.
Signature of
primary
applicant
If I am requested or required to provide my fingerprints and facial image:
DAY
MONTH
YEAR
Date
I consent to:
• the collection of my fingerprints and facial image; and
• if applicable, the collection of the fingerprints and facial image of
each accompanying person under 16 years of age.
Signatures of secondary applicants
I declare that:
Signature
• I understand that my fingerprints and facial image and my
biographical information (and those of each accompanying person
under 16 years of age) held by the department may be given to
Australian law enforcement agencies to help identify me and each
accompanying person, to help determine my eligibility and the
eligibility of each accompanying person for grant of the visa applied
for, and for law enforcement purposes.
Name
Signature
Name
I consent to:
• Australian law enforcement agencies disclosing my biometric,
biographical and criminal record information (and that of each
accompanying person under 16 years of age) to the department for
any of the purposes outlined above; and
• the department using the information obtained for the purposes of
the Migration Act 1958 or the Australian Citizenship Act 2007.
Signature
Name
Signature
Name
Signature
Name
Signature
Name
© COMMONWEALTH OF AUSTRALIA, 2015
147 (Design date 10/15) - Page 15
43 DECLARATION
Signature of
primary
applicant
WARNING: Giving false or misleading information or documents is a
serious offence.
This declaration and consent must be signed by the main applicant and
each accompanying person over 18.
DAY
MONTH
YEAR
Date
I declare that:
• the information that has been provided on this form, and on any
attachments to it, is complete, correct and up-to-date.
Signatures of secondary applicants
• I acknowledge that I have read the notes at the front of this application.
I am aware of the conditions that may apply and that I am required
to abide by them.
Signature
• any registration or licensing that is required before I can begin
employment in Australia will be my responsibility.
Name
• I am aware that I must advise the department immediately I am aware
of a change in circumstances relating to any information I have
provided in or with this application.
Signature
• I understand that if condition 8501 is imposed on my visa, it will be
indicated on the visa label or in documents given to me by the
department about the grant of my visa by the condition code ‘8501’.
Name
Signature
• I understand that if my visa is granted it may be subject to
condition 8501.
• I will respect Australian values as listed on this form, during my stay
in Australia and will obey the laws of Australia.
Name
• I have read the information contained in form 1442i Privacy notice.
Signature
• 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.
Name
• I understand that if any fraudulent documents or false or misleading
information has been provided with this application, or if I fail to satisfy
the Minister of my identity, my application may be refused and I, and
any other member of my family unit, may become unable to be
granted a visa for specified periods of time.
Signature
Name
• if documents are found to be fraudulent or information to be incorrect
after the grant of a visa, the visa may subsequently be cancelled.
Signature
Name
We strongly advise that you keep a copy of your application
and all attachments for your records.
Office use only
Decision
Approved
Single
Entry
Rejected
Multiple
Conditions
Reasons for refusal/comment
DAY
MONTH
YEAR
Date of entry
validity
Length of stay
Subclass
Signature of
authorised
officer
DAY
Class
147 (Design date 10/15) - Page 16
Date
© COMMONWEALTH OF AUSTRALIA, 2015
MONTH
YEAR
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