<<Date>> ACKNOWLEDGEMENT OF CONDITIONS OF FINANCIAL ASSISTANCE FINANCIAL ASSISTANCE FOR: MR/MS << client’s full name>> By accepting financial assistance from the Australian Government, you should be aware of the following conditions which may affect the validity of your Australian travel document: a) The travel document may be cancelled if you do not repay the loan in full by the due date and if alternative repayment arrangements are not in place. This cancellation may occur while you are outside Australia. b) The travel document may be cancelled upon your return to Australia. c) If cancelled, travel documents will no longer be valid for travel and cannot be reinstated. d) An application for a replacement travel document may be refused until the debt is repaid in full. e) You will need to pay the standard passport application fees when replacing a cancelled passport. f) The travel document may be demanded for surrender upon your return to Australia. Failure to surrender an Australian travel document on demand by an authorised officer may be a criminal offence. Section 48 of the Australian Passports Act 2005 provides for a right of review for decisions including when a travel document is cancelled or demanded for surrender. The Freedom of Information Act 1982 provides you with a right to apply for access to documents about this decision. Further information regarding the department’s Freedom of Information policy is available at http://dfat.gov.au/foi/. Please sign the acknowledgement below stating that you have read and understood the conditions surrounding financial assistance in relation to your Australian travel document. The point of contact for this debt is: TELs Officer, CCD DCU, DFAT Canberra, contactable on (02) 6261 3836. I, <<client’s full name >> have read and understood the information provided above. Signed: <<Client>> ........................................................................ Date: ____/____/20____ NOTICE OF RIGHTS OF REVIEW 1. You may apply in writing for an internal review of the decision in accordance with section 49 of the Australian Passports Act 2005 (the Act). The Act requires the Department of Foreign Affairs and Trade (DFAT) to undertake an internal review of a decision before you can apply for review by the Administrative Appeals Tribunal. 2. You are not required to pay any fees for an internal review of the decision. 3. The Minister for Foreign Affairs has delegated power to review decisions of this kind to the Corporate Counsel, Corporate Legal Branch, DFAT. This officer has had no part in the original decision and has the power to affirm, vary or set aside and substitute a new decision for the original decision. 4. Your application for review must be made within 28 days after you receive this notice and must set out your reasons for making the application. Applications should be sent by email to legalcpl@dfat.gov.au or by mail to: Corporate Counsel Corporate Legal Branch Department of Foreign Affairs and Trade R G Casey Building John McEwen Crescent BARTON ACT 0221 5. To review the decision, the internal reviewer will have access to all documents related to the original passport decision. Under the Freedom of Information Act 1982, you also have a right to apply for access to these documents should you wish. Applying under Freedom of Information is a separate process which will not affect the outcome of the internal review. Note that the information you can obtain under Freedom of Information is limited. In particular, if you are seeking to access information provided to DFAT by someone other than you, we are required to consult with that person before releasing their information to you. 6. If you wish to make a Freedom of Information application, it must be in writing, provide sufficient information to allow DFAT to identify the documents sought and include a telephone number and an address (or email address) to which notifications are to be sent. Applications should be sent by email to foi@dfat.gov.au or by mail to: Director Freedom of Information and Privacy Law Section Corporate Legal Branch Department of Foreign Affairs and Trade R G Casey Building John McEwen Crescent BARTON ACT 0221 7. Further information on Freedom of Information requests is available on the DFAT website, www.dfat.gov.au/foi.