Form

Consent to grant an Australian visa

to a child under the age of 18 years 1229
Department of Home Affairs

Important – Please read this information carefully before you Transaction Reference Number
complete this consent form. Once you have completed this
consent form we strongly advise that you keep a copy for your This Transaction Reference Number is required if this consent
records. relates to an electronic visa application.
Transaction
Who should use this form? Reference Number EGOMT6KSC8
Where children under 18 years of age intend to travel to Australia,
their non-accompanying parent(s) or person(s) with parental
responsibility (anyone who can lawfully determine where the
child/children is/are to live) may be required to sign a consent
form to give permission for the child/children to be granted an
Australian visa for the purpose of travel to stay temporarily or
permanently in Australia. If one parent, or person(s) with
parental responsibility, has lawfully been made solely responsible
for making decisions as to where the child/children is/are to live,
then only that parent or person needs to sign the consent form.

How to complete this form

This form must be completed in English. The completed and
signed form (Parts A and B) and any additional documentation
should be sent to the office nominated in your application.
You must attach to this form:
• a certified copy of the child’s/children’s birth certificate(s),
(if it is not already lodged with the application.);
• a certified copy of the personal details page of the
non-accompanying parent’s, or person(s) with parental
responsibility’s passport, driver’s licence, National Identity
Card (ID card) or birth certificate; and
• a certified copy of any relevant evidence making you solely
responsible for making decisions about where the
child/children is/are to live (if applicable).
To attach this form and the required documentation to your
electronic visa application, please use the electronic attachment
facility available on the eVisa website.
To access this facility via the eVisa online services page see
www.homeaffairs.gov.au
To attach documents electronically you will need to identify your
application by entering:
• your Transaction Reference Number;
• your date of birth; and
• the password that you supplied when your application was
lodged and saved.
Note: This form is not for the use of Electronic Travel Authority
(ETA) or eVisitor applicants who are under 18 years of age.

Important information about privacy

Your personal information is protected by law, including the
Privacy Act 1988. Important information about the collection,
use and disclosure (to other agencies and third parties, including Home page www.homeaffairs.gov.au
overseas entities) of your personal information, including
sensitive information, is contained in form 1442i Privacy notice. General Telephone 131 881 during business hours
Form 1442i is available from the Department of Home Affairs (the enquiry line in Australia to speak to an operator (recorded
Department) website information available outside these hours).
www.homeaffairs.gov.au/about/corporate/information/forms If you are outside Australia, please contact
or offices of the Department. You should ensure that you read your nearest Australian mission.
and understand form 1442i before completing this form.

Please keep this information page for your reference

© COMMONWEALTH OF AUSTRALIA, 2018 1229 (Design date 10/18) - Page 1
This page is intentionally blank
 Form
Consent to grant an Australian visa
to a child under the age of 18 years 1229
Department of Home Affairs

Please open this form using Adobe Acrobat Reader. Transaction

Reference Number EGOMT6KSC8
Either type (in English) in the fields provided or print this form
and complete it (in English) using a pen and BLOCK LETTERS.
Tick where applicable 3

Part A – Child’s/Children’s details

1 Purpose of travel to Australia 2 Give details of each child for whom you give permission to be granted
Temporary visit an Australian visa
Provide details as shown in passport
Permanent residence
Both
A. Family name Al jadher
Given names Ali
Day Month Year

Date of birth 18 Jan 2012

Country of
passport Saudi arabia
Passport
number U851345

B. Family name Al jadher

Given names Areej
Day Month Year

Date of birth 05 Apr 2010

Country of
passport Saudi arabia
Passport
number U851344

C. Family name

Given names
Day Month Year

Date of birth
Country of
passport
Passport
number

D. Family name

Given names
Day Month Year

Date of birth
Country of
passport
Passport
number

If insufficient space, attach additional details

© COMMONWEALTH OF AUSTRALIA, 2018 1229 (Design date 10/18) - Page 3

 Part B – Details of Parent(s)/Person with
parental responsibility
3 Parent/Person with parental responsibility 1 4 Parent/Person with parental responsibility 2
Family name Almomen Family name AL JADHER
Given names Eman Given names Ahmed

Address King abdulaziz street Address Saihat

Dammam
Postcode 3491 Postcode 31257
Country code Area code Number Country code Area code Number

Telephone ( ) ( ) Telephone ( ) ( )

Mobile phone 00966500155923 Mobile phone N/A

Relationship to child/children Father Mother Other Relationship to child/children Father Mother Other
Passport or ID card or driver’s licence number Passport or ID card or driver’s licence number
U193625 N/A

Parent/Person with parental responsibility 1 – Declaration
WARNING: Giving false or misleading information or documents is a
serious offence.
I declare that:
• the information supplied on this form is complete, correct and
up-to-date;
• I have provided all documentary evidence as required;
• I have read the information contained in form 1442i Privacy notice;
• I understand the Department may collect, use and disclose my
personal information (including biometric information and other
sensitive information) as outlined in form 1442i Privacy notice.
Parent/Person with parental responsibility 2 – Declaration
WARNING: Giving false or misleading information or documents is a
serious offence.
I declare that:
• the information supplied on this form is complete, correct and
up-to-date;
• I have provided all documentary evidence as required;
• I have read the information contained in form 1442i Privacy notice;
• I understand the Department may collect, use and disclose my
personal information (including biometric information and other
sensitive information) as outlined in form 1442i Privacy notice.

Signature Signature
N/A
✍ ✍
Day Month Year Day Month Year

Date 07 July 2019 Date 07 July 2019

1229 (Design date 10/18) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2018