You are on page 1of 6

Details of child Form

or other dependent family member 47A


aged 18 years or over
Department of Home Affairs

A separate form 47A must be completed for each member of the 7 Other names the member of the family unit is, or has been, known by
family unit aged 18 years or older whether migrating or not. (including name at birth, previous married names, aliases)
If there is insufficient space to answer, provide details under ‘Additional
information’ at the end of this form.
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form For other names, provide required details at Part E – Additional
and complete it (in English) using a pen and BLOCK LETTERS. information
Tick where applicable 3
8 Member of the family unit’s sex
Indeterminate /
Male Female ✔
Part A – Main visa applicant’s details Intersex / Unspecified

9 Member of the family unit’s date of birth


1 Full name of main visa applicant Day Month Year

Marcelo Wierzynski de Oliveira 01/07/2004 Age 18

10 Member of the family unit’s place of birth


2 Main visa applicant’s date of birth Town/city Porto Alegre
Day Month Year
12/08/1977 Country Brazil

3 Main visa applicant’s file number 11 Of which countries is the member of the family unit a citizen?
Brazil

Part B – Member of the family unit’s details 12 Member of the family unit’s country of current residence
Brazil
4 Full name of the member of the family unit
(as shown in the member of the family unit’s passport or travel document)
Family name 13 Details from the member of the family unit’s passport
Wierzynski Passport number GC488679

Given names Country of passport Brazil


Manoela Day Month Year

Date of issue 10/05/2021


5 Name of the member of the family unit in their own language or script
(if applicable) Date of expiry 09/05/2026
Issuing authority/place of issue as shown in the member of the family
unit’s passport

SR/DPF/RS
6 Other ways you spell the name of the member of the family unit
Family name
14 If applicable, details of identity card or identity number issued to the
member of the family unit by their government eg. National identity card.
Given names Note: If the member of the family unit is the holder of multiple identity
numbers because they are a citizen of more than one country, provide
the identity number on the card from the country the member of the
family unit is a permanent resident of, or resides in.
Identity number 6111609308

Country of issue Brazil

© COMMONWEALTH OF AUSTRALIA, 2020 47A (Design date 10/20) - Page 3


15 Does this member of the family unit have any other identification 18 Member of the family unit’s telephone numbers
numbers (eg. Chinese commercial code number, social security card or Country code Area code Number
alien registration)? Office hours ( ) ( )
No
Yes ✔ Give details After hours ( ) ( )

1. Country Brazil Mobile/cell +55 51 91172020

Type of ID Physical Person Registration (CPF)


19 Will this member of the family unit migrate with the main visa applicant?
Number 04952579077 No Why not

2. Country

Type of ID

Number Yes ✔ If the visa is granted, which state or territory of Australia


does this member of the family unit propose to live in?
Australian Capital Territory Tasmania
3. Country
New South Wales ✔ Victoria
Type of ID Northern Territory Western Australia
Queensland External Territory
Number
South Australia Don’t know

16 Member of the family unit’s current relationship status 20 Member of the family unit’s main language
Never married or ✔ Portuguese
been in a de facto
relationship
21 How well does this member of the family unit communicate in English?
Widowed
Better than functional Functional ✔
Divorced Limited Not at all
Separated
Engaged to Name of intended spouse 22 Other languages this member of the family unit reads, understands,
be married speaks and writes fluently
Spanish

Date of intended marriage 23 Give full details of the member of the family unit’s education including
Day Month Year details of qualifications
Please enclose evidence of qualifications obtained by the member of the
family unit
Married or in a Name of partner
1. Name of institution
de facto
relationship Colégio Leonardo da Vinci

Date of marriage or date


Location
de facto relationship began
Day Month Year Av. Cabral, 555. Porto Algre Brazil
Type of institution
(eg. primary, secondary, tertiary or other post-secondary)
17 Does this member of the family unit live at the same address as the main Secondary
visa applicant?
Day Month Year
No Provide this member of the family unit’s address
Commencement date 18/02/2019

Finish date 19/11/2021

Postcode Qualification

Yes ✔
Language(s) of institution
Portuguese/English/Spanish

47A (Design date 10/20) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2020


2. Name of institution 25 Is this member of the family unit currently employed?
No ✔ Give reasons why the member of the family unit is not
employed. If the member of the family unit has a disability
which stops them from working, you must provide a report
Location from a qualified medical practitioner to support your claim

Manoela just tuned 18 and finished the high


school and intend to enter business college or
Type of institution medicine college. Family can afford her for
(eg. primary, secondary, tertiary or other post-secondary) living while she prepares to college.

Day Month Year

Commencement date

Finish date
Qualification

Language(s) of institution Yes Name and address of the member of the family unit’s
employer

3. Name of institution
Postcode

Date commenced
Day Month Year
Location

Number of hours worked per week


Type of institution
(eg. primary, secondary, tertiary or other post-secondary)
Weekly earnings in local currency
Day Month Year

Commencement date

Finish date
Qualification

Language(s) of institution

24 Give details of the member of the family unit’s previous employment history (list most recent experience first)
Period Name and address of employer Type of business Occupation
Month Year
From

To

From

To

From

To

From

To

© COMMONWEALTH OF AUSTRALIA, 2020 47A (Design date 10/20) - Page 5


26 Give details of the member of the family unit’s main source of financial Give details of any OTHER sources of financial support for the dependant
support (eg. relative, government welfare Department) including the type and amount of support provided by that source
Full name of person or source Manoela receives financial support from both parents for
Marcelo Wierzynski de Oliveira living and to her sports and studies. As a teenager she does
not work yet.
Address Basically, she receives all the support while she lives with
Rua Monteiro Lobato, 114 her parents.
Porto Alegre RS Brazil
90620270 Postcode

Type of support provided to the member of the family unit


(eg. money, food, clothing, rental assistance)
food, clothing, insurances, and everything
If money is provided to the member of the family unit:
• Give the amount in local currency
per week

• What is the money used to purchase?

• Period that support has been provided


Day Month Year Day Month Year

from 01/07/2004 to 23/08/2022

Part C – Member of the family unit’s family details


27 Give details of this member of the family unit’s family members
(If not living, write ‘DECEASED’ in country of current residence column. If whereabouts unknown, write ‘UNKNOWN’)
Relationship If in Australia,
Sex Date of birth Country of current
Full name status immigration status
residence
M/F/X Day Month Year (use codes below) eg. permanent
Member of the family unit’s parents Select
Marcelo Wierzynski de Oliveira M 12/08/1977 M Brazil
Lilian Saldanha Paiva F 11/01/1978 M Brazil
All brothers and sisters (including full, half, step and adopted brothers and sisters) of the member of the family unit
Antonio Wierzynski M 12/11/2007 N Brazil

Any dependent children of this member of the family unit (including from previous marriages/relationships)

‘Relationship status’ codes


M = Married D = Divorced
E = Engaged W = Widowed
F = De facto N = Never married or been in a
S = Separated de facto relationship

47A (Design date 10/20) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2020


Part D – Member of the family unit’s Part E – Additional information
previous addresses
29 Question
Additional information
number
28 List all addresses where this member of the family unit has lived for
12 months or more in the last 10 years. Show all addresses in Australia
for any period, including visits
(This question must be answered, even if the member of the family unit
has only lived at one address in the last 10 years)
Month Year Month Year

1. From 07/2004 to fev 2009

Country Brazil

Address Rua |Jamil Antonio Jose,137/201


Porto Alegre Brazil
Postcode 90830290

Month Year Month Year

2. From 02/2009 to 10/2012

Country Brazil

Address Av Vicente da Fontoura, 3007/402


Porto Alegre
Postcode 90460065

Month Year Month Year

3. From 10/2012 to 08/2022

Country Brazil

Address Rua Monteiro Lobato, 114


Porto Alegre
Postcode 90620270

Month Year Month Year

4. From to

Country

Address

Postcode

If you do not have enough space to give all the necessary information,
attach a separate sheet to this form with further details

© COMMONWEALTH OF AUSTRALIA, 2020 47A (Design date 10/20) - Page 7

You might also like