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McMILLAN PRINT © COMMONWEALTH OF AUSTRALIA, 2003 47SK (Design date 07/03) - Page 1
Who the form covers Custody requirement
The application form covers a family unit, namely a primary DIMIA will seek to ensure that allowing a child to migrate is not
applicant and, if applicable, spouse and dependants. in contravention of Australia’s international obligations in relation
to the prevention of child abduction. If your application includes
If you have a spouse, consider which of you is most likely to meet
a child under 18 and the child’s other parent is not migrating
visa requirements before filling in the form. That person should
with you or there is any other person who has the legal right to
be the primary applicant and complete Part B ‘Your details’.
determine where the child can live, you will need to provide a
If you are applying for one of the sponsored categories, the Statutory Declaration from each of them giving permission for
family member who is being sponsored must complete the child to migrate. Alternatively, you can provide a certified
Parts B and H as the primary applicant. copy of a valid court order showing that you/your spouse has
the legal right to remove the child from the country.
Dependent children
A dependent child may be your natural child, adopted child Supporting documents
or step-child. ‘Step-child’ means a natural or adopted child of The documents you must provide are listed in Part J of your
your current spouse or a natural or adopted child of your application. It is recommended that you also read General
former spouse where the child is under 18 and you have a legal Skilled Migration booklet 6 and use the checklist provided
responsibility to care for them (for example, where your former in Part 2 to help you complete your application. Enclose all
spouse is deceased and you have legal custody of the child). documents with your application. You may be asked to provide
You will need to provide a certified copy of the overseas or other documents during processing.
Australian court order which you have in relation to the child. ‘Certified copies’ of documents mean copies authorised or
A child of any age is not considered dependent if he or she is stamped as being true copies of originals by a person or agency
married or in a de facto/common law relationship or is engaged recognised by the law of your country. In Australia, they must
to be married. be certified by a Justice of the Peace or Commissioner for
Declarations or by a person before whom a statutory declaration
A child 18 or over will not be considered dependent unless you may be made.
can show that they are wholly or substantially reliant on you for
financial support for their basic needs of food, shelter and Documents in languages other than English must be
clothing. You must also show that you have provided that accompanied by an English translation completed by a
support for a substantial period and that the child is more translator accredited by the National Accreditation Authority for
reliant on you than on any other person or source. Unless you Translators and Interpreters (NAATI). Refer to the Yellow Pages
can provide evidence of this, they should apply separately. You or the NAATI website www.naati.com.au for a list of available
should also be aware that a child aged 25 or over will generally translation services in your State/Territory.
not be considered dependent. Note: You must include both a certified copy of the
Children of any age who have a total or partial loss of bodily or original language document and a certified copy of the
mental functions which stops them earning a living are regarded translated document with your application. Do not send
as dependent and part of the family unit (whether or not they original documents (except health reports).
migrate with you). Give details of such children and whether
they are in your care or in an institution. About the information you give in this form
In all cases you should attach evidence of your child’s The Department of Immigration and Multicultural and Indigenous
dependency on you. Affairs (DIMIA) is authorised to collect information provided
on this form under Part 2 of the Migration Act 1958 ‘Control of
Arrival and Presence of Non-citizens’. The information provided
Other dependants will be used by DIMIA for assessing your eligibility for a visa to
You may include other relatives in your application if they are travel, enter and remain in Australia and for other purposes
wholly or substantially reliant on you for financial support for relating to the administration of the Migration Act, for example,
their basic needs of food, shelter and clothing and they have to assist migrants with settling in Australia or for ensuring
been reliant on you for that support for a substantial period. compliance with the Migration Act.
They must also be more reliant on you for support than on any The information on this form, including the results of tests for
other person or source. Human Immunodeficiency Virus (HIV), will be used to assess
A relative may also be considered dependent on you if they are your health for an Australian visa. A positive HIV or other test
reliant on you for financial support because they have a mental result will not necessarily lead to a visa being denied. Your
or physical disability which stops them from earning a living to result(s) may be disclosed to the relevant Commonwealth,
support themselves. State and Territory health agencies to advise of necessary
arrangements, particularly where Health Undertakings have
Other relatives dependent on you or your spouse may include,
been made.
for example, an aged, unmarried relative.
The information provided might also be disclosed to agencies
If you have dependants who are aged 18 years or over,
who are authorised to receive information relating to adoption,
please obtain a form 47A Details of child or other
border control, business skills, citizenship, education, health
dependent family member aged 18 years or over.
assessment, health insurance, health services, law enforcement,
A form 47A must be completed for each dependant
payment of pensions and benefits, taxation, review of decisions
aged 18 years or over, whether migrating or not.
and registration of migration agents.
The collection, access, storage, use and disclosure by DIMIA
of the information you provide in this form is governed by
the Privacy Act 1988 and, in particular, by the 11 Information
Privacy Principles. The information form 993i Safeguarding
your personal information, available from DIMIA offices,
gives details of agencies to which your personal information
might be disclosed.
When lodging your application do NOT place the application in a binder, folder or plastic sleeve.
Please read pages 1 to 3 carefully before you complete this application.
Skilled – Independent (Class BN, subclass 136) 4 Type of visa you currently hold
DAY MONTH YEAR
Skilled – State Territory Nomination Independent
Date of expiry
(Class BN, subclass 137)
Place of issue
Office hours ( ) ( )
After hours ( ) ( )
Country
24 If you are applying from outside Australia:
What is the value of money, goods and assets which you (and your
33 Details from your spouse’s passport
spouse) intend to bring to Australia?
Passport number
Local currency
Country of issue
Australian dollar equivalent A$
DAY MONTH YEAR
Date of issue
If you do not have a spouse go to Part D
Date of expiry
Family name
Given names
37 Spouse’s telephone numbers (if different to yours)
COUNTRY CODE AREA CODE NUMBER
Office hours ( ) ( )
After hours ( ) ( )
Date of birth
Sex Male Female
DAY MONTH YEAR
Country of
residence
Date of birth
Citizenship
Country of
residence Passport Number
Citizenship DAY MONTH YEAR
Date of birth
Sex Male Female
DAY MONTH YEAR
Country of
residence
Date of birth
Citizenship
Country of
residence Passport Number
Citizenship DAY MONTH YEAR
Date of expiry 40 Are all these children in your care and legal custody?
No Give details
Full name Yes
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
residence
Citizenship
Passport Number
DAY MONTH YEAR
Full name No
Yes Give details
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
residence
Citizenship
Passport Number
DAY MONTH YEAR
Date of expiry
Full name
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
43 Are any of these children married or engaged to be married? residence
(’Married’ includes a de facto/common law relationship)
Citizenship
No
Yes Give details Full name
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
residence
Citizenship
Date of birth
Country of
residence
Citizenship
Full name
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
residence
Citizenship
Full name
Sex Male Female
DAY MONTH YEAR
Date of birth
Country of
residence
Citizenship
Each dependant listed above must complete a form 47A, whether migrating or not.
Form 47A is available from any Australian mission.
Brothers and sisters (including full, half, step and adopted brothers and sisters)
If you answered ‘Yes’ to any of the above questions, you must state who
it applies to and give ALL relevant details. If the matter relates to a
criminal conviction, please give the nature of the offence, full details of
Note: DIMIA is authorised to collect information on this form under the sentence and dates of any period of imprisonment or other detention.
Migration ACT 1958. The information on this form, including the results
of any tests for Human Immunodeficiency Virus (HIV), will be used to
assess your health for an Australian visa. A positive HIV or other test
result will not necessarily lead to a visa being denied. Your result(s) may
be disclosed to the relevant Commonwealth, State and Territory health
agencies.
Form 1071i Health requirement for permanent entry to Australia
provides additional information on Australia’s visa health requirements.
This form is available at DIMIA offices or from the DIMIA website
www.immi.gov.au
If you answered ‘Yes’ to any of the above questions, you must Date of arrival
state who it applies to and give ALL relevant details. Date of departure
Full name
Purpose of stay in Australia
DAY MONTH YEAR
Date of arrival
Date of departure
Full name
Purpose of stay in Australia
DAY MONTH YEAR
Date of arrival
Date of departure
Yes Give full names, and enclose evidence of service, discharge Purpose of stay in Australia
and rank on discharge DAY MONTH YEAR
Date of arrival
Date of departure
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
FROM
Self Spouse
TO
Have you obtained a suitable skills assessment from No You should not apply
the relevant assessing authority for your nominated Yes
occupation?
Are you aged 18 years or over but under 45? No You should not apply
Yes
Do you have at least vocational English? No The only category under which you may be eligible is one of the Skilled –
Yes Designated Area sponsored categories, in which case a lower level of
English may be acceptable in certain circumstances. For more information,
see the General Skilled Migration booklet 6.
55 Employment history
List employment history, with the most recent experience first
Has your spouse obtained a suitable skills No Your spouse’s skills cannot be considered for this application
assessment from the relevant assessing authority Yes
for his/her nominated occupation?
Skill
Age
Australian qualifications
Regional Australia/low population
growth Metropolitan areas
Spouse skills
Bonus points
Relationship –
add 15 points to the higher score above 15
59 If you are applying for bonus points, please specify which kind of bonus
points you are applying for (You can only select one kind).
Capital investment in Australia
Australian work experience
Fluency in one of Australia’s community languages
60 English language ability – to determine liability for the second instalment charge for those who do not have functional English
Give the following details for each person over the age of 18 included in this application
63 Date of birth
POSTCODE
After hours ( ) ( )
Fax number ( ) ( )
E-mail address
68 Country of birth
74 Nominated occupation
ASCO code –
POST TO COMPLETE AND SEND TO MIGRATION PROGRAM SECTION CENTRAL OFFICE CANBERRA
DAY MONTH YEAR
Age less than 45 No Yes Not Skill matching A (met pass mark – Independent visa applicant)
assessed database code
Post secondary quals No Yes Not B (met pool mark – Independent visa applicant)
assessed
Vocational English No Yes Not Total points
assessed
6 month work experience No Yes Not C (Skill matching visa applicant)
assessed
D (Registered – Independent applicant)
80 Date of birth
POSTCODE
POSTCODE
After hours ( ) ( )
Fax number ( ) ( )
E-mail address
POST TO COMPLETE AND SEND TO MIGRATION PROGRAM SECTION CENTRAL OFFICE CANBERRA
DAY MONTH YEAR
Age less than 45 No Yes Not Skill matching A (met pass mark – Independent visa applicant)
assessed database code
Post secondary quals No Yes Not B (met pool mark – Independent visa applicant)
assessed
Vocational English No Yes Not Total points
assessed
6 month work experience No Yes Not C (Skill matching visa applicant)
assessed
D (Registered – Independent applicant)
Evidence of English language ability For each person included in your application, certified
copies of each birth certificate or the family book,
Other work related documents showing names of both parents
A copy of your curriculum vitae (a statement of your For each dependant aged 18 or over in your application,
work and educational history) evidence of dependency on you
A copy of any employment licence or association If your spouse does not intend to migrate with you, a
membership you hold note explaining why and whether your spouse intends
to join you later
If you are claiming points for these factors
If you are separated, a statutory declaration that gives
Evidence of specific work experience the name of your spouse, date of marriage and date of
separation, and (if the separation is permanent) states
Evidence of job offer (if claiming points for occupation that you are getting, or intend getting, a divorce
in demand with job offer)
If you or anyone in your application is married or has
Evidence of Australian qualifications been married, a certified copy of the marriage certificate
Evidence of having studied and lived in regional If anyone in your application has been divorced, a
Australia/low population growth Metropolitan areas certified copy of the divorce decree absolute
for at least 2 years
If anyone in your application has been widowed, a certified
Evidence that your spouse satisfies the basic copy of the death certificate of the deceased spouse
requirements
If anyone in your application has changed their name
Evidence required for bonus points (for example by marriage or deed poll), a certified copy
of evidence of the name change
If you are applying under one of the overseas student categories
For each person included in your application, evidence If you or your spouse have any children who are not
of the required health examinations for this application included in this application, certified copies of
documents to verify custody and access arrangements
For each person aged 16 years or over included in for children under 18 years of age
your application, attach proof that the Australian Federal
Police have completed a check of criminal records If any child under 18 years of age included in your
application is adopted, a certified copy of the adoption
papers
Address Authorised
Go to Question 100
person
Note: This is a person authorised to receive
written communications other than a migration
agent. All written communications that would
POSTCODE
otherwise have been sent to you in relation to
this application will be sent to that person.
97 Is the person a registered migration agent?
No Part M – Authorised person details
Yes What is his/her Migration Agent Registration Note: Do NOT complete this section if you are a
Number (MARN)? migration agent, go to Part N
: : : : : (7 DIGITS) 100 Provide the name and address of the person who is authorised on your
behalf to receive all written communications about this application.
98 Did you pay the person and/or give a gift for this assistance? Title: Mr Mrs Miss Ms Other
No
Family name
Yes How much did you pay?
A$ Given names
AND/OR
What kind of gift did you give? (eg. jewellery) Authorised person’s postal address
101 As the authorised person named on this form, do you agree to DIMIA
communicating with you by fax or email?
No
Yes Give details
COUNTRY CODE AREA CODE NUMBER
Fax number ( ) ( )
E-mail address
Note: If this visa application is refused, you will be notified by mail
Date
Telephone number ( ) ( )
105 I understand and accept that I am the person appointed by the
applicant to receive all written communications and act as his/her Address
migration agent.
Signature of
migration
agent
POSTCODE
DAY MONTH YEAR
Date Signature of
cardholder
Credit card information will be used for charge paying purposes only
Name
Signature
Name
Signature
Name
Signature
Name
Signature
Name