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Application Checklist
Application Checklist
Don't wait! You only have until 18 Jul 2023 to lodge your checklist.
If you don’t lodge it by then, you’ll have to create a new one.
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OAAdult_1121
*1234
BZ417605 P
18072023
1
A1A 1
SIZE
DD MM YYYY
c Collect
Passport
Office
I have confirmed the information provided in this application Lodgement officer’s signature c PPT Cancelled (N9067278)
for an Australian passport against original documentation
presented. I have attached copies of original documentation Work Centre Code # attachments
where required and a true photo of the applicant – for
applicants 16 and over, present at lodgement.
Warning: Making a false or misleading statement Date signed (DD / MM / YYYY) Lodgement officer’s ID
and/or giving false or misleading
information is a serious offence. / /
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