Details of Relatives

Please include all parents, brothers, sisters and children whether or not they wish to enter Australia. Full, half, step and adopted relatives
must be included. If deceased, please write deceased in country of residence column.

Applicant (name):

Spouse (name):

Full Name

Full Name

A. PARENTS

Country of
Residence
(including Australia)

Age

Sex

Married/
Single

A. PARENTS

Country of
Residence
(including Australia)

Age

B. ALL BROTHERS AND SISTERS (including married sisters)

B. ALL BROTHERS AND SISTERS (including married sisters)

C. ALL CHILDREN

C. ALL CHILDREN OF SPOUSE (if not shown opposite)

Sex

Married/
Single

I certify that the information provided above is true and correct in all details:
Signature Date

Full name (please print)