Professional Documents
Culture Documents
Managment Exam PDF
Managment Exam PDF
Where can you lodge this application? Interviews and requests for more information
Generally, your application for a Class XB visa should be lodged
Interviews are not always necessary. We will advise you if you
at the nearest office of the department (eg. an Australian
are required to attend an interview or if you need to provide
processing centre; or an Embassy, High Commission, Consulate
more documents or information.
or Consulate-General overseas).
Note: Applicants wishing to be considered for a Class XB visa
under either the Global Special Humanitarian Program (subclass
Change of circumstances
202), the ‘split family’ provisions for immediate family members If your circumstances change in any way after you have lodged
or the Community Proposal Pilot, must lodge this form in this form (eg. if you or a family member enters into a new
accordance with the addresses specified below: relationship, becomes engaged, or marries), you must inform
the office where the application was lodged. If a child is born
• For applicants residing in the Middle East*, Afghanistan or
to you (or any other person included in this application)
Pakistan and all applicants in the Community Proposal Pilot,
after the application is lodged, the child will be included
applications must be lodged at the following address:
in your application if details are provided before a final
Victoria Offshore Humanitarian Processing Centre decision is made on your application.
By Post:
GPO Box 241 Processing information
Melbourne VIC 3001 You should be aware that there is strong interest in this class of
AUSTRALIA visa and it may take a long time to finalise your application.
By Courier (no hand deliveries) You may need to have a medical and an x-ray examination as
2 Lonsdale Street part of the assessment of your application. You may also be
Melbourne VIC 3001 asked to undergo medical treatment as part of the assessment
AUSTRALIA of the visa application. The Australian Government reserves the
right to conduct character checks on all adult applicants. Details
(* Countries include Bahrain, Iran, Iraq, Jordan, Kuwait, of your application are not passed on to your home country.
Lebanon, Oman, Qatar, Saudi Arabia, Syria, Turkey, United Arab
Emirates and Yemen.) The Australian Government will pay the costs related to medical
examinations for all humanitarian visa applicants, except visa
applicants in the Community Proposal Pilot. All visa subclasses,
except Global Special Humanitarian (subclass 202) visa holders
and visa holders in the Community Proposal Pilot, will also have
their travel costs paid by the Australian Government.
Note: For applicants in the Community Proposal Pilot, the APO
must pay the costs of medical examinations and, if a visa is
granted, the cost of airfares to Australia.
Please use a pen, and write neatly in English using BLOCK LETTERS. Tick where applicable PHOTOGRAPHS
Please attach eight (8) recent
Part A – Summary of people included in this application passport sized photographs
of yourself
• Only include members of your family who are dependent on you or your partner.
• A dependant is a person who is wholly or substantially dependent on you or your partner for financial, psychological AND
or physical support. all members of your family
• The term ‘partner’ in this form, means your spouse or de facto partner (including same-sex partners). unit included in this
application
• Non-dependent family members (eg. adult independent children, married children or children over 18 who have their
own income) should complete their own application form. However you should still list any non-dependent children Note: Clearly write the name
of the person on the back of
at Question 13 and Question 14 of Part D on this form.
each photograph
• You must attach evidence of the identity of each person (eg. certified copy of birth certificate, marriage certificate,
passport), wherever this is available. If you do not have identity documents, please attach an explanation as to why
you no longer have them.
• For each person included who is not the main applicant’s partner or child under 18 years, you must attach a
statement explaining why this person is dependent on the main applicant.
• It is important that all names are spelled correctly and dates of birth are accurate.
Place of birth Town/city Do you currently have more than one partner (other than any partner
Country included in this visa application)?
Citizenship No
If stateless, write your previous country of citizenship Yes Please provide details
Country Country
Citizenship Citizenship
If stateless, write your previous country of citizenship If stateless, write your previous country of citizenship
Relationship status Relationship status
Married legally Engaged Widowed Married legally Engaged Widowed
Married by De facto Never married or Married by De facto Never married or
tradition/custom been in a de facto tradition/custom been in a de facto
Separated Separated
Married religiously relationship Married religiously relationship
Divorced Divorced
Relationship to Relationship to
main applicant main applicant
Is this person biologically related to the main applicant? Is this person biologically related to the main applicant?
No Explain how they are related to the main applicant No Explain how they are related to the main applicant
Yes Describe the precise biological relationship Yes Describe the precise biological relationship
Country Country
Citizenship Citizenship
If stateless, write your previous country of citizenship If stateless, write your previous country of citizenship
Relationship status Relationship status
Married legally Engaged Widowed Married legally Engaged Widowed
Married by De facto Never married or Married by De facto Never married or
tradition/custom been in a de facto tradition/custom been in a de facto
Separated Separated
Married religiously relationship Married religiously relationship
Divorced Divorced
Relationship to Relationship to
main applicant main applicant
Is this person biologically related to the main applicant? Is this person biologically related to the main applicant?
No Explain how they are related to the main applicant No Explain how they are related to the main applicant
Yes Describe the precise biological relationship Yes Describe the precise biological relationship
Country Country
Citizenship Citizenship
If stateless, write your previous country of citizenship If stateless, write your previous country of citizenship
Relationship status Relationship status
Married legally Engaged Widowed Married legally Engaged Widowed
Married by De facto Never married or Married by De facto Never married or
tradition/custom been in a de facto tradition/custom been in a de facto
Separated Separated
Married religiously relationship Married religiously relationship
Divorced Divorced
Relationship to Relationship to
main applicant main applicant
Is this person biologically related to the main applicant? Is this person biologically related to the main applicant?
No Explain how they are related to the main applicant No Explain how they are related to the main applicant
Yes Describe the precise biological relationship Yes Describe the precise biological relationship
If you need more space, please attach a separate page with the details
Attach evidence of identity of each person included in this application
(eg. certified copies of birth certificates, marriage certificates,
passport, national identity card)
No
Yes Give details
Name Refugee Mandate number(s) Country of mandate
6 Address where we should write to you about this application if different E-mail address
from your residential address Note: If you wish to nominate a person other than yourself to receive
Note: You must tell us if your address changes after you lodge this form written communications about this application, you must indicate this
at Part M.
POSTAL CODE
Telephone number ( ) ( )
Mobile/cell ( ) ( )
No
Yes Give details of each person below Previous partner’s
full name
Date of birth
1. Family name
Relationship
Given names to you
Full name of
DAY MONTH YEAR biological father
Date of birth
Full name of
Relationship biological
to you mother
Full name of
biological
mother
Whereabouts of biological parents Has this child been adopted (formally, customarily or traditionally)
(if deceased or unknown, please state) by the main applicant and/or partner?
No DAY MONTH YEAR
Has this child been adopted (formally, customarily or traditionally) If you need more space, please attach a separate page with the details
by the main applicant and/or partner? For each adopted child, attach a certified copy of the adoption
No DAY MONTH YEAR papers (if available) or attach a statement which explains the
Yes Date custody commenced circumstances of the adoption
2. Family name
Given names
Date of birth
Relationship
to you
Full name of
biological father
Full name of
biological
mother
1. Family name
Date of birth (DAY/MONTH/YEAR)
Given names Relationship
to you
DAY MONTH YEAR Last contact
(when, where
Date of birth and how you
Relationship were separated)
to you
Reason they are not applying with you Full residential
address
(if known)
POSTAL CODE
Full residential
address
(if known)
3. Family name
POSTAL CODE
Given names
3. Family name
DAY MONTH YEAR
Relationship
to you
Date of birth (DAY/MONTH/YEAR)
Reason they are not applying with you
Relationship
to you
Last contact
(when, where
and how you
were separated)
If you need more space, please attach a separate page with the details
Full residential
address
(if known)
POSTAL CODE
If you need more space, please attach a separate page with the details
Your brothers and sisters Select Select Select ‘Relationship to main applicant’
codes
PB = Parent – Biological
PA = Parent – Adoptive
PS = Parent – Step
PO = Parent – Other
(attach explanation)
SB = Sibling – Biological (full)
SA = Sibling – Adoptive
SS = Sibling – Step
SO = Sibling – Other
(attach explanation)
CB = Child – Biological
CA = Child – Adoptive
CS = Child – Step
CO = Child – Other
(attach explanation)
If you need more space, please attach a separate page listing further names
Relationship
to main Status in ‘Relationship status’ codes
Relationship applicant’s country of N = Never married or been in a
Sex Date of birth status partner Country where they residence de facto relationship
(use codes (use codes (use codes M = Married legally
Name M/F DAY MONTH YEAR on right) Place and country of birth on right) are now living on right)
E = Engaged to be married
Your partner’s parents Select Select Select S = Separated
F = In a de facto relationship
D = Divorced
W = Widowed
MT = Married by tradition/custom
Your partner’s mother’s maiden name
MR = Married religiously
Your partner’s brothers and sisters Select Select Select ‘Relationship to main
applicant’s partner’ codes
PB = Parent – Biological
PA = Parent – Adoptive
PS = Parent – Step
PO = Parent – Other
(attach explanation)
SB = Sibling – Biological (full)
SA = Sibling – Adoptive
SS = Sibling – Step
SO = Sibling – Other
(attach explanation)
CB = Child – Biological
CA = Child – Adoptive
CS = Child – Step
CO = Child – Other
(attach explanation)
Your partner’s non-dependent children (all children who are not included as dependants in this application) ‘Status in country of residence’
Select Select
codes
C = Citizen
PR = Permanent resident
TR = Temporary resident
S = Student
V = Visitor/Tourist
R = Refugee
I = Illegal resident
A = Asylum/protection applicant
O = Other – give details on a
separate page
If you need more space, please attach a separate page listing further names
842 (Design date 11/13) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2013
Part E – Links to Australia
15 Has any person included in this application ever applied for
an Australian visa (permanent or temporary) before?
No
Yes Give details
Family and given name (If all persons included Date of Application approved?
application Where was the application lodged? File number
in this application, write ‘ALL’) (if known) No Yes Not decided
DAY MONTH YEAR
If you need more space, please attach a separate page with the details
16 Do you or your partner have any relatives NOT INCLUDED IN THIS VISA APPLICATION
who have current Australian visa applications under consideration?
No
Yes Give details
Date of
Family and given name application Where was the application lodged? File number Type of visa application
DAY MONTH YEAR
(if known) (if known)
If you need more space, please attach a separate page with the details
17 Is any person included in this application being proposed (on form 681 or form 1417)
for entry to Australia by a person or organisation in Australia?
No
Yes Give details of your proposer or Approved Proposing Organisation (in case of a Community Proposal Pilot application)
Family name
Given names
OR
Organisation name
Contact person
Relationship of the
proposer to you
Address of the proposer
POSTCODE
Note: Proposers in the Global Special Humanitarian (subclass 202) program must complete form 681 Refugee and Special Humanitarian
Proposal and lodge both form 681 and this form (form 842) together. There is no charge for lodging or processing form 681.
Note: APOs under the Community Proposal Pilot must complete form 1417 Proposal for refugee and special humanitarian entrants by
Approved Proposing Organisation and lodge both form 1417 and this form (form 842) together. For charges associated with lodging and
processing form 1417, refer to the Visa Pricing Table www.immi.gov.au/fees-charges/visa-pricing-table.htm
These forms are available from the department's website www.immi.gov.au
No
Yes Give details of the immediate family member who was granted the visa
Family name
Given names
Attach a completed form 681 Refugee and Special Humanitarian Proposal to this application (there is no charge
for lodging or processing form 681)
Your proposer should complete form 681 for lodgement with this visa application. Form 681 is available from
any office of the department, or from the department’s website www.immi.gov.au
Attach a certified copy of the immediate family member’s Australian visa and evidence of the
relationship (eg. a marriage certificate, birth certificate etc.) if available
Provide details of humanitarian claims at Part G, Questions 24 – 36
Resident
Date of birth status in
Name Australia Address Given names Relationship to applicant
(use codes
DAY MONTH YEAR below)
1.
2.
3.
4.
5.
If you need more space, please attach a separate page with the details
Education
Employment
Business
‘Resident status in Australia’ codes
Friend C = Citizen
PR = Permanent resident
Other TR = Temporary resident
S = Student
V = Visitor/Tourist
I = Illegal resident
U = Unlawful non-citizen
O = Other – give details on a
separate page
21 Give details of any valid travel documents (eg. passports) or identity Does this person have a travel or identity document?
cards/documents held by all people included in this application No Attach a statement explaining what happened
Note: If you do not have any documents, please explain why – do not to your documents
obtain fraudulent documents. Yes Give details
Select
Type of document (use codes below)
A1 Main applicant
Passport number
Do you have a travel or identity document? (or document number)
Date of issue
A4 Given names
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document) Does this person have a travel or identity document?
No Attach a statement explaining what happened
to your documents
Yes Give details Select
Type of document (use codes below)
Other applicants
Passport number
(or document number)
A2 Given names
Country of issue
Does this person have a travel or identity document?
DAY MONTH YEAR
No Attach a statement explaining what happened Date of issue
to your documents
Yes Give details Date of expiry
Select
Issuing authority/Place of issue as shown in passport (or other document)
Type of document (use codes below)
Passport number
(or document number)
Country of issue
DAY MONTH YEAR A5 Given names
Date of issue
Does this person have a travel or identity document?
Date of expiry No Attach a statement explaining what happened
Issuing authority/Place of issue as shown in passport (or other document) to your documents
Yes Give details Select
Type of document (use codes below)
Passport number
(or document number)
Country of issue
DAY MONTH YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
Country of passport
DAY MONTH YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
A7 Given names
Country of issue
DAY MONTH YEAR
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport (or other document)
If you need more space, please attach a separate page with the details
Attach certified copies of the travel documents and identity
documents, if available
If you need more space, please attach a separate page with the details
23 For EACH person included in this application list every address where they
have lived during the last 10 years
Town Country
Previous addresses Period at this address Given names of people included in this application
who lived at this address (if all, write ‘ALL’)
1. FROM MONTH YEAR
TO MONTH YEAR
Town Country
TO MONTH YEAR
Town Country
TO MONTH YEAR
Town Country
TO MONTH YEAR
Town Country
TO MONTH YEAR
Town Country
24 For ALL the people included in this application list the ethnic group to which
they belong, their religion and any political party/group to which they belong
Given names Ethnic group or clan Religion (if any) Membership of political party/group
(if any)
A1 Main applicant
Other applicants
A2
A3
A4
A5
A6
A7
If you need more space, please attach a separate page with the details
© COMMONWEALTH OF AUSTRALIA, 2013 842 (Design date 11/13) - Page 23
25 What is the name of the country you have a
fear of returning to?
27 Why did you leave the country you fear returning to?
Your answer should pay special attention to what happened to you, not the general situation in that country.
If you need more space, please attach a separate page with details
29 What do you believe may happen to you, or the people included in your application, if you were to return to that country?
You should give full details of what you think may happen to you and reasons why that would happen
If you need more space, please attach a separate page with details
30 Who do you think may harm or mistreat you if you go back to that country?
If you need more space, please attach a separate page with details
32 Did you travel through, or stay, in any other countries before arriving in the country where you are now living?
No
Yes Give details including length of stay and dates
Dates
From To
Country DAY MONTH YEAR DAY MONTH YEAR
33 Has this application been lodged based on the United Nations High Commissioner for Refugees (UNHCR)
referring you to Australia for refugee resettlement?
No
Yes Attach a full copy of your UNHCR Resettlement Registration Form (RRF)
Given names
Country served
If you need more space, please attach a separate page with the details
Attach certified copies of any discharge papers if available
TO
2. FROM
TO
3. FROM
TO
4. FROM
TO
5. FROM
TO
6. FROM
TO
If you need more space, please attach a separate page with the details
36 If selected for an interview about your application, will you need an interpreter?
No
Yes Which language(s)?
If you are selected for an interview we will advise you if you are required to provide your own interpreter
Dates of employment Name of employer Location of employer Type of business Occupation and main duties
DAY MONTH YEAR
A1 Main applicant
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Other applicants
A2 Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A3 Name
FROM
TO
FROM
TO
FROM
TO
A4 Name
FROM
TO
FROM
TO
FROM
TO
Dates of employment Name of employer Location of employer Type of business Occupation and main duties
DAY MONTH YEAR
A5 Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A6 Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
A7 Name
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Name
FROM
TO
FROM
TO
FROM
TO
Name
FROM
TO
FROM
TO
FROM
TO
If you need more space, please attach a separate page with the details
A1 Main applicant
Other applicants
A2
A3
A4
A5
A6
A7
If you need more space, please attach a separate page with the details
39 For EACH person included in this application, give details of their education
TO TO TO
Other applicants
A2 FROM FROM FROM
TO TO TO
TO TO TO
TO TO TO
TO TO TO
TO TO TO
TO TO TO
TO TO TO
TO TO TO
If you need more space, please attach a separate page with the details
Family name
Given names
Organisation
Part K – Character Address
• been charged with any offence that is Telephone number or daytime contact
currently awaiting legal action? No Yes
COUNTRY CODE AREA CODE NUMBER
• been found guilty or acquitted of any criminal Office hours ( ) ( )
or other offence on the grounds of mental
illness, insanity or unsoundness of mind? No Yes Mobile/cell
• been deported from any country? No Yes
43 Is the person an agent registered with the Office of the Migration Agents
• left any country voluntarily prior to the Registration Authority (Office of the MARA)?
execution of a deportation order? No Yes
No
• been excluded from or required to leave
Yes Go to Part M
any country? No Yes
• been involved in any activities that would 44 Is the person/agent in Australia?
represent a risk to Australian national security? No Yes
No Go to Part M
• committed or been involved in the
Yes
commission of war crimes or crimes
against humanity or human rights? No Yes
45 Did you pay the person/agent and/or give a gift for this assistance?
• been involved in any activity, or been
convicted of any offence, relating to the No
illegal movement of people to any Yes
country (including Australia)? No Yes
• had any outstanding debts to the
Australian Government or any public
Part M – Options for receiving written
authority in Australia? No Yes communications
• served in a military force or state
sponsored/private militia, undergone any 46 All written communications about this application should be sent to:
military/paramilitary training, or been trained in (Tick one box only)
weapons/explosives use (however described)? No Yes Myself
If you answered ‘Yes’ to any of the above questions, provide all details OR
below. If the matters relate to a criminal conviction, please give the
nature of the offence, full details of sentence and dates of any period Proposer All written communications will be sent to the
of imprisonment or other detention. address of the proposer provided in this form.
OR Note: If you are applying in the Community
Proposal Pilot, you should select this option.
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
Signature of
dependent
applicant
Name
48 This declaration and consent must be signed by you (the main applicant) WARNING: Giving false or misleading information is a serious offence.
and ALL persons aged 18 or over included in this application.
• I declare the information I have supplied on and with this form is Signature or mark
complete, correct and up-to-date in every detail.
of applicant
• I declare that I did not marry or enter a de facto relationship to become
eligible for entry to Australia. Date (DAY/MONTH/YEAR)
• I understand that if I have given false or misleading information, my
application may be refused, or, if a visa has been granted, the visa
Signature or mark
may be cancelled and I could be removed from Australia.
• I understand that if I am granted a visa, any person not included in
of partner
(if applicable)
this application will not have automatic right of entry to Australia by
way of this application. Date (DAY/MONTH/YEAR)
• I undertake to inform the Australian Government of any material
changes to my circumstances while my application is being Signatures of persons aged 18 years or over who are
considered, or before I am immigration cleared. included in this application (if applicable)
(Note: Your visa may be cancelled and you could be removed if you
do not advise of changes in circumstances).
Signature or mark
• I authorise the Australian Government to make any enquiries necessary
to determine my eligibility for entry to Australia, and to use any
information supplied in this application for that purpose.
Date (DAY/MONTH/YEAR)
• I understand that unless my qualifications have already been
recognised by an Australian assessing authority before my departure,
they may not be recognised after my arrival.
Signature or mark
• I understand that it is my personal responsibility to assess my own
employment prospects in Australia and acknowledge that labour
market conditions there can vary significantly from time to time and
Date (DAY/MONTH/YEAR)
between regions.
• I understand that grant of a visa provides no guarantee of employment
once in Australia.
Signature or mark
For offshore applicants who are required to provide their fingerprints and
facial image:
• I understand that my fingerprints and facial image and my biographical Date (DAY/MONTH/YEAR)
information held by the Department of Immigration and Border
Protection may be given to Australian law enforcement agencies to
help identify me, to help determine my eligibility for grant of the visa Signature or mark
I have applied for, and for law enforcement purposes.
• I consent to:
– Australian law enforcement agencies disclosing my biometric, Date (DAY/MONTH/YEAR)
biographical and criminal record information to the Department of
Immigration and Border Protection for any of the purposes outlined
above; and Signature or mark
– the Department of Immigration and Border Protection using the
information obtained for the purposes of the Migration Act 1958
or the Citizenship Act 2007. Date (DAY/MONTH/YEAR)
For applicants applying in the Community Proposal Pilot:
• I understand that my Approved Proposing Organisation will be lodging Signature or mark
this application on my behalf; and
• I understand that the information that I provide in this form may be
shared with my Approved Proposing Organisation and that my Date (DAY/MONTH/YEAR)
Approved Proposing Organisation may also share this information
with any Supporting Community Organisations it works with in order We strongly advise that you keep a copy of your application and
to provide services to help me settle in Australia. all attachments for your records.
Important – If your circumstances change after you lodge this application (eg. you change your address, marry or become engaged to be married, or have
a baby), you must notify the office where you lodge this application. If your application is supported by a proposal form 681 Refugee and special humanitarian
proposal or form 1417 Proposal for refugee and special humanitarian entrants by Approved Proposing Organisations and your proposer’s circumstances
change after you have lodged this application, you should also notify the office where you lodge this application.
A form 681 completed by your immediate *In Australia, copies of documents must be certified as true copies of the original
family member in Australia who is by a Justice of the Peace, Commissioner for Declarations, or a person before
proposing you whom a Statutory Declaration may be made under the Statutory Declarations
Note: If applying under ‘split family’ Act 1959.
provisions, form 681 must be lodged with *Outside Australia, copies of documents must be certified by a person who is the
the form 842 at the time you submit this equivalent of a Justice of the Peace or Commissioner for Declarations in the
application country where the documents are being certified.