Professional Documents
Culture Documents
Important – Please read this information carefully before you Please use a pen, and write neatly in English using BLOCK LETTERS.
complete this form. Once you have completed this form we
Tick where applicable 3
strongly advise that you keep a copy for your records.
If you need more space for any answers, give details at Part T –
This form is to be completed in English by applicants who are
Additional information
16 years of age or over, as requested by the office processing the
application.
Integrity of application
The Department of Immigration and Border Protection (the
Part A – Applicant details
department) is committed to maintaining the integrity of the visa
and citizenship programs. Please be aware that if you provide us 1 Please provide your details as they appear in your official documents.
with fraudulent documents or claims, this may result in For example, passport, identity document, travel document, birth
processing delays and possibly your application being refused. certificate.
Note: If you have one name only, please write it in the ‘Family name’
Important information about privacy field.
Your personal information is protected by law, including the Family name
Privacy Act 1988. Important information about the collection,
ZUBAIR
use and disclosure (to other agencies and third parties, including
overseas entities) of your personal information, including All given names
sensitive information, is contained in form 1442i Privacy notice.
Form 1442i is available from the department’s website MUHAMMAD
www.border.gov.au/allforms/ or offices of the department.
You should ensure that you read and understand form 1442i
before completing this form. Sex Male ✔ Female
Day Month Year
Day, month and year
Date of birth 01-Jan-1995
MUST be provided
Country PAKISTAN
2 Do you ever use a Chinese Commercial Code Number for your names
shown in the passport/travel document at Question 1?
No ✔
Yes Chinese Commercial Code Number (in full)
5 Have you ever had a different date of birth to the one shown at
Question 1? Yes ✔
No ✔ Day Month Year Day Month Year
7 Do you hold or have you held citizenship from any other country
(including dual citizenships and all previous citizenships)?
No ✔
Yes Country
From to
Note: If you still have the citizenship, write ‘CURRENT’.
If more than one country, give details at Part T – Additional
information
Nationality Nationality
Place of issue/issuing authority Place of issue/issuing authority
Name on the document (if the same as Question 1, write ‘SAME AS Name on the document (if the same as Question 1, write ‘SAME AS
QUESTION 1’) QUESTION 1’)
Family name Family name
Mobile/cell +923125709060
Other +923018953024
Aug-2019 Sep-2019 PAKISTAN GOVERNMENT WORKED AS A INTERNEE PTCL NOC, STREET #06,SECTOR PAKISTAN
TELECOMMUNICATION TROUBLESHOOTING H-9/1 ISLAMABAD,43000 PUNJAB
COMPANY LIMITED
ARMY PUBLIC COLLEGE INTERMEDIATE Completed ✔ GHORA CHOWK ARMY CENTRE PAKISTAN
Aug-2012 Aug-2014
ATTOCK CANTT Withdrew ATTOCK CANTT,43600 PUNJAB
Currently enrolled
26 List the towns/cities you will visit during your further stay in Australia
23 Do you have any proposed or booked travel dates for your journey to
Australia?
No
Yes ✔ Give details of proposed arrival in Australia
Day Month Year 27 Give details of your arrival in Australia
Arrival date 01-Nov-2020 Day Month Year
Arrival date
Flight number or vessel details (if known)
N/A City of arrival
Departure date
24 Are you applying for a temporary visa? Flight number or vessel details (if known)
No Go to Part I
Yes ✔ Give details of proposed final departure from Australia
Day Month Year City of departure
Departure date 31-Mar-2022 Give details of countries you will visit after your departure from Australia
(write ‘N/A’ if not applicable)
Flight number or vessel details (if known)
N/A
N/A
Now go to Part I
Mobile/cell
If you will stay at any other address(es), give details at Part T –
Additional information.
Now go to Part J
Child 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 5
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 6
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Parent 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
MOTHER NASREEN F 26-Aug-1968 N/A
Parent 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Parent 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Sibling 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
BROTHER REHMAN ATEEQ UR M 26-Oct-1990 N/A
Sibling 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
SISTER PARVEEN ABIDA F 04-Sep-1992 N/A
Sibling 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Sibling 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Family member 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Family member 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
If more than 2 other family members, give details at Part T – Additional information
Date of birth
Nationality
Country Your personal contact’s current residential address
Note: A post office box is not acceptable.
Nationality
Address (including building/unit/house number and street name)
Your personal contact’s current residential address
Note: A post office box is not acceptable.
Address (including building/unit/house number and street name)
Signature of
applicant
Organisation/Business commercial address (including building number -
and street name) Day Month Year
Date
If you do not have enough space to give all the necessary information, attach a separate statement to this form with further details
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