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“Tansee Retoence Nunber (TN) EGOTMIBWDIO one ‘Application contest curertioaten © (Ge deals fe appears curt mca, cure eaten vienun ego sits ‘zen = ‘curertaeptcaon ‘inane cpa by epee te og er say Asano is sa These No®. as no appcant bon grant an etre usa ona Wtng Hoa sa (Sc 417) Dee? Nee eNee ashe ast Wor ana Hay vishal by te appar COMID-19 ected vss? Nee # NO epics Tp ‘Selec ne pe of wrk ana otdey vs the apple apply "Ss Nok an Hoy Ws (ses 482) @ © Seaoné Werk ard Holy vsa(subeass 42) (Tha Wark ana Hotday sa (subs 462) as ppc been grand anata Aso et Wor ni Hay wise 452 Doe? Ne aNee. Proposed aa te Propsed sl data raug022 ine ‘coverment supp ‘oes theapricant havea tr of pve suport tach oh vs applicator? Seow Noe. (= Prweas [sso [Brat > Goto my account) — (ieee opt ed nt ri pg ren gh bees ago m a i938 a sseeaey es = ewan eats caomotenenner reoet IETS? anes rs perenne eee cone Application for a Work and Holiday visa Transaction Reference Number (TRN): EGOTMBWDIO 416 _ Critical data confirmation Al information provided is important to the processing of this application If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if, visa has been grantod, Confirm that the following information is correct and that it is in the correct fields. Family name NGUYEN® Given names VANAO Sex Male Date of birth 1 Jul 2000 Country of birth VIETNAM@® Passport number 123886 Country of passport VIET NAM - VNM Is the above information correct? ® Yos OND @ “© Previous | fei Save | EPrint | > Go to my account Next om a Wor nd Holiday visa ‘Transaction Reference Number (TRN): EGOTMC9SEF Additional identity questions Provide futher details below, where available, Previous travel to Australia His this applicant previously trvelled to Australia or previously applied fora visa? O ves @ No. Previous | fea Save | Print | > Goto my account Next> 616 ‘Contact details ‘Couey efseidene ‘Usual coumry of esdence ETNA ve Deparment oce ‘The applica maybe sequsedtoatend a Avatalia Goverment Oe fran terse. Which the vest fice tthe applica cen ieee once Wisma Heat - Residential dns @ [Note tat set dress required. post office adress cannot be acepted 3 reside aes cousey VETNAM og Address eX HUVEN, TN ° Soba Town BUYEN Sate ec Proiane ANGLING ¥ Postal code Naten aio Pow aes const telotone mers @ ler aus aly wih 0 pace. Hone plone posisiasisers Besos phase Motil Cel phone posseraassers sll ais all aes (pbeGomaiLcom e (Srinius|sisae [Sime] > wey ase] (sae 716 Authorised recipient Does the applicant authorise another person to receive written correspondence on their behalf? ‘Tis authorises the department to send the authorised person all witten correspondence that would etherwie be sect directly 1o the applicant. @xo D Yes, a registered migration agent O Yes, a legal practitioner O¥es, another person This person is efesed to asthe ‘authorised secipient. © Electronic communication © The Deparment prefers to communicate electronically 2s this provides a faster method of communication. All corespondence, inch notification ofthe outsome oft application wil be sete: Email address be comm je Note: The holder ofthis email address may receive a verification email from the Department ifthe address has not already been verified. Ifthe address, holder receives 2 vertication emal, they should click on the link to verify their address before this application is submitted [SoPrevious [fea Save [ BPrint [/} Go to my account Next oer eer Transaction Reference Number (TRN)- EGOTMC9SEF Tustilution name can only contain sandazd ish alphabetic characte including numeric, whitespace and punctuation chsact 916 Education history usltication Bachelor Degree (Other) v\e@ Course name [gba i (ae ag Wig a) someri, whitespace ns panctation character: Instnaion name eee eee Institution name can only contain standard Enzlish alphabetic characters. | q including numeri, watespace and punctuation characters. County of institution Sa v Date fiom 0s Sep 2018, ia Duero 22 hun 2022 a stats ceaduses v Cancal | Language © Diese api acaet sip fom he USA, UK, Cad New Zea ocho ofan! New so he pire access Sethe cro wich reese pref of esprit ig nol Egish 1 conletn of Enh neg roe et fot Roo eel ws hfe ote "Conon fa ngage posi et fa a fon Engi dete Gir des oft mot rc Fala et Raneoties PIE Acai ve Dassen BMwmon cy Tote camber rg ° Cony whee ea were VETNAM 2 Langs ats Vicncal ¥]@ Mainsce| Maiiangsge Vieanee ve Heath delartons Sire yen. si ilove mide compen ft in 3 oie ne ei ie in Ann Doe mye ia aa hc ac io i nna? Dosey pci werk or ye os ei me pei ii ya? Dvr cine kore ach ree id hn ec whe Ava? owt ay apie in som ie meta oto rsdn ce ear oy ae morte Yes No uring opis Anna Sos apt expe tr meds to eu net mc ln po 1 eget or mdr tie de Ech e" [ERIS cone trim ce onion oc es oer my slic ee mses wii rc de ame cnn? eke ‘Har gpaarnoen Te fe nce de gh Fe pei, pe a meieeaesincemaacaniicale 1 Meta ppd ‘smh rs a OTT aie eae Ceeccrrrer mE cnlittien —ameeoene teoeerrnegninercnt cet techn Da eaearaeeet ‘pint ote pd hin pin ey ae ie in it ‘Transaction Reference Number (TRN}: EGOTMC9SEF sas ‘Work and Holiday declarations ‘Warning: Giving false or misleading information sa serious offence. ‘The applicant declares tha they: ‘Understand that shey must abide bythe conditions ofthe vis, © Yes ONo ‘Understand tht te visa they are applying for doesnot permit them to be employed in Avstali with one employer for more tan 6 months without peor permission. @ Yes ONO ‘Understand tht the visa hey are applving for dose aot permit them to waders sides oe trining for more ta 4 months 8 Yes ONO Have sufficient fade fr the intl period oftheir tay in Ausaia ad fo the fe other intended overseas destination on letving Avstaia, (8 Yes ONo Understand tha aay employment is ineientl to thee holiday in Ausuali and the purpose of Working st supplement thet holiday funds Yer ON (Previn [Gi Seve |B Pit [> Go tomy account] mtn teem gmap fe anf yn nn ‘sinew ape ni mens bean ami fai ny aig aang i apn hee SAS ee esa una ee ie ee un ue ih ep ba pat a ee resumtseDoate ig te opt ated ih si ft pgs eta A ssc ‘etm my ec te tt ie im eg ohne etn ep Eg yrs intent tempi ho on Gree Ai i as te a i [ora loelaRaeeal NEVES, ANA A005 ost tm © Pest ra Hocus [ion kag ts ton Ossi Cala NOOR VANA GHAZI) ei = nam Dosa Bet Fase Foret) Deseoe ASC o cE Hlesane ‘np indascipaeSve c NOON aaa g2009 Dosa pe j Gaps Sco _ Non eER YAN LAp200) Regi Demet ed (oer cgeciy RACMINHCA NEN AEST) [Soni ase cotep at doectoe Szsmadal Ocalnes _ NOOYEN NANA 44g) Rees Deco Tipe ‘Esrnea Cao Dente Diane) Desapisa AN@DAIHOe Peet (Chon ase span os se Submit Application ‘This application is aow ready to subin You can subast sow ce returs to your accouat and svbaut a later date. ‘Your application will not be processed until afters submited ‘Verify Email ‘The email address below was specified asthe adress forall communication about this application: abe@gmail.com ‘This addeess has uct been verified bythe email accoust holden ‘You can saquest anew verification email Submit Now Frnt | > Gotomy “etl aplication carges $285.00 (AUD) Payment options {you pay now, your aplication willbe sent to the Rustalin Government. ‘Your decision to pay wil be fina, your payment cannot be disputed, ever you cl Lage your mind about your application. eect pamment oti Debierast card O PayPal O UnionBay oto at 5 o susnascta (=)

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