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WorkandHolidayVis
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 Information

Alert

All travellers coming to Australia are required to provide critical health information prior to their departure.

If you are arriving by air, use the Digital Passenger Declaration(DPD). You can start your DPD 7 days before your flight, but must submit it before you depart for Australia.
If you are arriving by sea, use the Maritime Travel Declaration (MTD). You can start your MTD 10 days before travel, but must submit it within 72 hours before you depart for
Australia.

Find out more about Australia’s COVID-19 travel and border arrangements.

Login to ImmiAccount
Fields marked * must be completed.

Username * required 
Password * required 

Cancel Login

I have forgotten my ImmiAccount username or password

Create an ImmiAccount
Create an ImmiAccount to access the Department of Home Affairs's online services.

Create ImmiAccount 

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ImmiAccount

Create an ImmiAccount - Step 1 of 2

Services Required
Fields marked * must be completed.

What type of online services do * Individual 


you need? Organisation (including agents) 

New User Details


Family name * LUNA 
Given names LUCINTA 
Phone * 628123456789
Mobile phone
Specify an email address to be used for account notifications - such as password resets.

This should be an address where only you read the emails rather than a group email address.

Email address * lucintalunamanjalitah@yahoo.com 


Confirm email address * lucintalunamanjalitah@yahoo.com

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ImmiAccount

Create an ImmiAccount - Step 2 of 2

Account details
Login details
You can use your email address as a username or enter a different username if you prefer.

After you have created your account you will not be able to change your username.

Username * lucintalunamanjalitah@yahoo.com 
Password must be a minimum of nine (9) characters and include at least one (1) character from three (3) of the four (4) groups below:

lower-case characters (a-z)


upper-case characters (A-Z)
digits (0-9)
punctuation and special characters (~`!@#$%^&*()_+=-{}\,.?/)

New password * •••••••••••••••••


Password strength: OK
Re-type new password * •••••••••••••••••
Passwords match

Secret questions and answers


Note: you will need to remember the exact answers to these questions if you forget your password.

Question 1 * What is your favourite animal? 


Answer 1 * Cat

Question 2 * Where were you born?


Answer 2 * Indonesia

Question 3 * Name your favourite holiday destination.


Answer 3 * House

Security alerts
ImmiAccount will send you alerts to help protect the security of your account. Select whether you wish to receive alerts about the following:

Change name details


Successful logon
Change password
You can change these preferences in the future if required.

Declaration
Terms and conditions
View the ImmiAccount terms and conditions
* I accept the ImmiAccount terms and conditions to access the Department of Home Affairs services and agree to
an ImmiAccount being created in my name. All details on this form are correct.

Security check
* I am not a robot

Previous Submit

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ImmiAccount

Login successful

 Information

Your account has successfully been created.


An email will be sent to the email address you provided, with your username and to confirm your email address.

If you do not confirm your email address you will not be able to:

Retrieve a forgotten username


Reset your password
Receive account notifications.

It is important that you do this as you may end up locked out of your account, which could delay your application or result in you missing important deadlines.
Error when making payment for an application: ‘Declined’

If you receive the error message ‘declined’ when making a payment with a debit of credit card this may be due to:

a daily transaction limit on your credit card


your bank blocking the completion of a security check that is run by Home Affairs payment systems
you have entered a billing address on the payment page that does not match the billing address that is recorded with your bank for your debit or credit card account

To proceed with payment the card holder must contact their bank to confirm their daily transaction limit. Tell the bank that the Department is using 3-D secure to authenticate
payment transactions.

If you are using someone else's card to make a payment, you must have their permission. The cardholder must be present or able to be contacted in case their bank sends them a
security challenge to complete the payment transaction.

Action Required flag still showing:

Please disregard the action required flag if you have already provided the following information and it is still showing as required on your application summary page:

• Biometrics
• Additional payment requirement

This is a known system issue that is currently being investigated by technical teams and does not affect the processing of your application.

Note: Citizenship applications are not affected.

Last successful login


Last password changed 11/06/2022 13:42:49

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My applications My payments  Manage groups Related links  Help and support 

My applications summary

New application Import application Submit applications

 Advanced search

List of applications
Sort by Last updated   Refresh

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My applications My payments  Manage groups Related links  Help and support 

New application

 482 - Temporary Skill Shortage


 Air & Sea Crew
 APEC
 Citizenship
 Family
 Labour Agreement
 Refugee & Humanitarian
 Resident Return
 Skilled
 Standard Business Sponsorship
 Status Resolution
 Student
 Temporary Work (Activity)
 Visitor
 Working Holiday Maker
Work and Holiday Visa (462)
Working Holiday Visa (417)

Cancel

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Online Lodgement
Application for a Work and Holiday visa Related Links

1/16 Subclass 462 information


Health details
Visa Pricing Estimator
Terms and Conditions Processing times
View Terms and Conditions

View Privacy statement Help and Support


I have read and agree to the terms and conditions
Contact us
Client service charter
Client feedback
ImmiAccount support
Translation services

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2/16 Subclass 462 information


Health details
Visa Pricing Estimator
Application context Processing times

Current location 
Give details of the applicant's current location. Help and Support

Contact us
Current location INDONESIA
Client service charter
Legal status Citizen Client feedback
ImmiAccount support
Current application Translation services
Will the applicant be accompanied by dependent children at any time during their stay in Australia on this visa?
Yes No 
Has the applicant been granted and entered Australia on a Working Holiday visa (subclass 417) before?
Yes No 

COVID-19 affected visa details


Was the last Work and Holiday visa held by the applicant a COVID-19 affected visa?
Yes No 

Application Type
Select the type of work and holiday visa the applicant is applying for:
First Work and Holiday visa (subclass 462) 
Second Work and Holiday visa (subclass 462)
Third Work and Holiday visa (subclass 462)
Has the applicant been granted and entered Australia on a first Work and Holiday visa (subclass 462) before?
Yes No 

Proposed arrival date


Proposed arrival date 01 Aug 2022 

Government support
Does the applicant have a letter of government support to attach to this visa application?
Yes No 

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Application for a Work and Holiday visa Related Links

Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


3/16 Health details
Visa Pricing Estimator
Processing times
Applicant
Information: Entering names incorrectly may result in denial of permission to board an aircraft to Australia, or result in delays in
border processing on arrival to Australia, even if the applicant has been granted a visa. Help and Support

Contact us
Passport details  Client service charter
Enter the following details as they appear in the applicant's personal passport. Client feedback
ImmiAccount support
Family name LUNA  Translation services

Given names LUCINTA 


Sex Female Male Other
Date of birth 16 Jun 1995 
Passport number X5201314
Country of passport INDONESIA - IDN
Nationality of passport holder INDONESIA - IDN
Date of issue 16 Jun 2021 
Date of expiry 16 Jun 2026 
Place of issue / issuing authority SOUTH JAKARTA / SOUTH JAKARTA IMMIGRATION OFFICE
It is strongly recommended that the passport be valid for at least six months.

National identity card


Does this applicant have a national identity card?
Yes No 
Family name Given names Identification number Country of issue Actions 
LUNA LUCINTA 3271611696980003 INDONESIA Edit Delete
Add

Place of birth 

Town / City JAKARTA


State / Province DKI JAKARTA
Country of birth INDONESIA 

Relationship status
Relationship status Divorced 

Other names / spellings


Is this applicant currently, or have they ever been known by any other names?
Yes No 
Family name Given names Reason Actions 
MUHAMMAD FATAH Deed Poll Edit Delete
Add

Citizenship
Is this applicant a citizen of the selected country of passport (INDONESIA)?
Yes No 
Is this applicant a citizen of any other country?
Yes No 

Other passports
Does this applicant have other current passports?
Yes No 

Other identity documents


Does this applicant have other identity documents?
Yes No 
Family name Given names Type of document Identification number Country of issue Actions 
LUNA LUCINTA Birth certificate 5961/U/JE/2003 INDONESIA Edit Delete
Add

Health examination
Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
Yes No 

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Health details
Visa Pricing Estimator
National identity card Processing times
Enter details exactly as shown on the national identity card. 
Family name LUNA  Help and Support
Given names LUCINTA 
Contact us
Identification number 3271611696980003 Client service charter
Country of issue Client feedback
INDONESIA
ImmiAccount support
Note: If the National identity card does not have a Date of issue or a Date of expiry, do not enter a date. Leave the field/s blank.
Translation services

Date of issue 16 Jun 2012 


Date of expiry 

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3/16 Subclass 462 information


Health details
Visa Pricing Estimator
Other names / spellings Processing times

Family name MUHAMMAD 


Given names FATAH  Help and Support

Reason for name change Deed Poll  Contact us


Client service charter
Client feedback
Cancel Confirm
ImmiAccount support
Translation services

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3/16 Subclass 462 information


Health details
Visa Pricing Estimator
Other identity documents Processing times
Enter details exactly as shown on the identity document.

Help and Support


Family name LUNA 
Contact us
Given names LUCINTA  Client service charter
Client feedback
Type of document Birth certificate ImmiAccount support
Identification number 5961/U/JE/2003 Translation services

Country of issue INDONESIA

Cancel Confirm

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Application for a Work and Holiday visa Related Links

Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


4/16 Health details
Visa Pricing Estimator
Processing times
Critical data confirmation
All information provided is important to the processing of this application.
Help and Support
If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been
granted. Contact us
Client service charter
Confirm that the following information is correct and that it is in the correct fields. Client feedback
ImmiAccount support
Translation services
Family name LUNA 
Given names LUCINTA 
Sex Female
Date of birth 16 Jun 1995
Country of birth INDONESIA 
Passport number X5201314
Country of passport INDONESIA - IDN

Is the above information correct? Yes No 

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Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


5/16 Health details
Visa Pricing Estimator
Processing times
Additional identity questions
Provide further details below, where available.
Help and Support

Previous travel to Australia Contact us


Has this applicant previously travelled to Australia or previously applied for a visa? Client service charter
Yes No Client feedback
ImmiAccount support
Previous passports Translation services
Does this applicant have previous passports that have been used to travel to Australia?
Yes No

Grant number
Does this applicant have an Australian visa grant number?
Yes No 

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Application for a Work and Holiday visa Related Links

Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


6/16 Health details
Visa Pricing Estimator
Processing times
Contact details

Country of residence Help and Support


Usual country of residence INDONESIA 
Contact us
Department office Client service charter
Client feedback
The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant’s current ImmiAccount support
location? Translation services

Office Indonesia, Jakarta 

Residential address 
Note that a street address is required. A post office address cannot be accepted as a residential address.

Country INDONESIA
Address KUNINGAN PLACE APARTMENT 

H. KAVLING STREET NO 15
Suburb / Town SOUTH JAKARTA
State or Province JAKARTA RAYA
Postal code 12980

Postal address
Is the postal address the same as the residential address?
Yes No 
Country INDONESIA
Address THE RESIDENCES AT DHARMAWANGSA 

DHARMWANGSA VIII STREET NO 26


Suburb / Town SOUTH JAKARTA
State or Province JAKARTA RAYA
Postal code 12160

Contact telephone numbers 


Enter numbers only with no spaces.

Home phone
Business phone
Mobile / Cell phone 628123456789

Email address
Email address lucintalunamanjalitah@yahoo.com 

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Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


7/16 Health details
Visa Pricing Estimator
Processing times
Authorised recipient
Does the applicant authorise another person to receive written correspondence on their behalf?
Help and Support
This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.
Contact us
No Client service charter
Yes, a registered migration agent Client feedback
ImmiAccount support
Yes, a legal practitioner
Translation services
Yes, another person
This person is referred to as the 'authorised recipient'. 

Electronic communication 
The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address lucintalunamanjalitah@yahoo.com 

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the
address holder receives a verification email, they should click on the link to verify their address before this application is submitted.

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Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


9/16 Health details
Visa Pricing Estimator
Processing times
Education
Does the applicant meet the education requirements for this visa?
Yes No  Help and Support

Give details of all past and current studies undertaken at secondary level or above. Contact us
Client service charter
Qualification Institution name Course name Date from Date to Actions  Client feedback
ImmiAccount support
Bachelor Degree in Science, Business or PADJADJARAN BUSINESS 20 Jun 20 Oct Edit Delete Translation services
Technology UNIVERSITY MANAGEMENT 2012 2016
Add

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9/16 Health details
Visa Pricing Estimator
Processing times
Education history
Qualification Bachelor Degree in Science, Business or Technology 
Help and Support
Course name BUSINESS MANAGEMENT
Institution name PADJADJARAN UNIVERSITY Contact us
Client service charter
Country of institution INDONESIA Client feedback
ImmiAccount support
Date from 20 Jun 2012  Both dates CANNOT BE EMPTY Translation services
Date to 20 Oct 2016  If you don't remember the Date from, just count
Status Graduated backwards from Date to

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10/16 Health details
Visa Pricing Estimator
Processing times
Employment Fill in your Usual occupation. If you're a student, type in Student
Usual occupation If you're unemployed, just fill in your previous employment
Help and Support
Usual occupation PRESENTER

Intended employment Contact us


Client service charter
Industry type Information Media and Telecommunications  Client feedback
ImmiAccount support
Translation services
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11/16 Health details
Visa Pricing Estimator
Processing times
Language 
Does the applicant hold a current passport from the USA, UK, Canada, New Zealand, or the republic of Ireland? Help and Support
Yes No
Does the applicant have at least functional English language ability? Contact us
Yes No  Client service charter
Select the options which represent proof of the applicant having functional English  Client feedback
ImmiAccount support
Completion of an English language proficiency test of at least functional level within the last 12 Translation services
months
Completion of an English language proficiency test of at least functional level
Completed all years of primary education and at least 3 years of secondary education at
educational institutions in which all instruction was conducted in English
Completed at least 5 years of secondary education at institutions in which all instruction was
conducted in English
Completed, in Australia, at least 1 year of full-time study or equivalent part-time study towards
a degree, higher degree, diploma, or associate diploma, at an institution or institutions where all
instruction was conducted in English
Successfully completed the 'Bagrut Exam' in the level of 3 study units
Holds a degree, a higher degree, a diploma or a trade qualification that required at least 2
years of full-time study or training, and all instruction for that award was conducted in English
Other

English test details


Give details of the most recent English test.

Name of test IELTS 

Date of test 19 May 2022 


Test reference number 22ID001167LUNL018G DON'T INPUT CANDIDATENUMBER HERE
Country where test was undertaken INDONESIA
Language ability Competent 

Main language
Main language Indonesian 

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Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


13/16 Health details
Visa Pricing Estimator
Processing times
Health declarations Fill this part HONESTLY
In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include
time spent in Australia. Help and Support
Yes No
Contact us
Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while in Australia?
Client service charter
Yes No
Client feedback
Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia? ImmiAccount support
Yes No Translation services
Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia?
Yes No
Does any applicant intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer)?
Yes No
Has any applicant:

ever had, or currently have, tuberculosis?


been in close contact with a family member that has active tuberculosis?
ever had a chest x-ray which showed an abnormality?
Yes No
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require treatment or medical follow up for:

blood disorder
cancer
heart disease
hepatitis B or C and/or liver disease
HIV infection, including AIDS
kidney disease, including dialysis
mental illness
pregnancy
respiratory disease that has required hospital admission or oxygen therapy
other?
Yes No
Does any applicant require assistance with mobility or care due to a medical condition?
Yes No

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14/16 Health details
Visa Pricing Estimator
Processing times
Character declarations
If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details. For combined applications, state which
applicant the declaration applies to. Help and Support

If the matter relates to a criminal conviction, provide: Contact us


Client service charter
the date and nature of the offence Client feedback
full details of the sentence ImmiAccount support
dates of any period of imprisonment or other detention. Translation services
Has any applicant ever been charged with any offence that is currently awaiting legal action?
Yes No
Has any applicant ever been convicted of an offence in any country (including any conviction which is now removed from official records)?
Yes No
Has any applicant ever been the subject of a domestic violence or family violence order, or any other order, of a tribunal or court or other similar
authority, for the personal protection of another person?
Yes No 
Has any applicant ever been the subject of an arrest warrant or Interpol notice?
Yes No
Has any applicant ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?
Yes No
Has any applicant ever been named on a sex offender register?
Yes No
Has any applicant ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?
Yes No
Has any applicant ever been found by a court not fit to plead?
Yes No
Has any applicant ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in
Australia or any other country?
Yes No
Has any applicant ever been charged with, or indicted for: genocide, war crimes, crimes against humanity, torture, slavery, or any other crime
that is otherwise of a serious international concern?
Yes No
Has any applicant ever been associated with a person, group or organisation that has been or is involved in criminal conduct?
Yes No
Has any applicant ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency,
freedom fighting, terrorism, protest) either overseas or in Australia?
Yes No
Has any applicant ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?
Yes No
Has any applicant ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of
chemical/biological products?
Yes No
Has any applicant ever been involved in people smuggling or people trafficking offences?
Yes No
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
Yes No
Has any applicant ever overstayed a visa in any country (including Australia)?
Yes No
Has any applicant ever had any outstanding debts to the Australian Government or any public authority in Australia?
Yes No

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Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


15/16 Health details
Visa Pricing Estimator
Processing times
Work and Holiday declarations
Warning:
Giving false or misleading information is a serious offence. Help and Support

The applicant declares that they: Contact us


Client service charter
Understand that they must abide by the conditions of the visa. Client feedback
Yes No ImmiAccount support
Translation services
Understand that the visa they are applying for does not permit them to be employed in Australia with one employer for more than 6 months
without prior permission.
Yes No
Understand that the visa they are applying for does not permit them to undertake studies or training for more than 4 months.
Yes No
Have sufficient funds for the initial period of their stay in Australia and for the fare to their intended overseas destination on leaving Australia.
Yes No
Understand that any employment is incidental to their holiday in Australia and the purpose of working is to supplement their holiday funds.
Yes No

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16/16 Health details
Visa Pricing Estimator
Processing times
Declarations
Warning:
Help and Support
Giving false or misleading information is a serious offence.
Contact us
The applicants declare that they: Client service charter
Client feedback
Have read and understood the information provided to them in this application. ImmiAccount support
Yes No Translation services
Have provided complete and correct information in every detail on this form, and on any attachments to it.
Yes No
Understand that if any fraudulent documents or false or misleading information has been provided with this application, or if any of the applicants
fail to satisfy the Minister of their identity, the application may be refused and the applicant(s), and any member of their family unit, may become
unable to be granted a visa for a specified period of time.
Yes No
Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be
cancelled.
Yes No
Understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia.
Yes No
Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there
is any change relating to information they have provided in or with this application, while it is being considered.
Yes No
Have read the information contained in the Privacy Notice (Form 1442i).
Yes No
Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other
sensitive information) as outlined in the Privacy Notice (Form 1442i).
Yes No
Give consent to the collection of their fingerprints and facial image if required.
Yes No
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical
information held by the Department may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility
for grant of the visa being applied for, and for law enforcement purposes.
Yes No
Give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the
Department to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes.
Yes No
Give consent to the Department using the applicant's biometric, biographical and criminal record information obtained for the purposes of the
Migration Act 1958 or the Citizenship Act 2007.
Yes No
As an applicant:

I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-
citizen under the Migration Act 1958. As such, I will be expected to depart from Australia, and be subject to removal under the Migration Act
1958.
Yes No

Australian values
Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian
society and values, and agrees to the Australian values statement.
Yes No
Life in Australia booklet

Australian values statement

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Accessibility Online Security Privacy Copyright & Disclaimer (E-1208 (Internet) 18/11/2016.1)
LUNA, LUCINTA Logout

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Application for a Work and Holiday visa Related Links

Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


Health details
Review Page Visa Pricing Estimator
Please check that the information provided is correct before you continue. Processing times

Application context Help and Support


Click here to edit the Application context
Contact us
Current location  Client service charter
Give details of the applicant's current location. Client feedback
ImmiAccount support
Translation services
Current location INDONESIA
Legal status Citizen

Current application
Will the applicant be accompanied by dependent children at any time during their stay in Australia on this visa?
No 
Has the applicant been granted and entered Australia on a Working Holiday visa (subclass 417) before?
No 

COVID-19 affected visa details


Was the last Work and Holiday visa held by the applicant a COVID-19 affected visa?
No 

Application Type
Select the type of work and holiday visa the applicant is applying for:
First Work and Holiday visa (subclass 462) 
Has the applicant been granted and entered Australia on a first Work and Holiday visa (subclass 462) before?
No 

Proposed arrival date


Proposed arrival date 01 Aug 2022 

Government support
Does the applicant have a letter of government support to attach to this visa application?
Yes 

Applicant
Click here to edit the Applicant
Information: Entering names incorrectly may result in denial of permission to board an aircraft to Australia, or result in delays in
border processing on arrival to Australia, even if the applicant has been granted a visa.

Passport details 
Enter the following details as they appear in the applicant's personal passport.

Family name LUNA 


Given names LUCINTA 
Sex Female
Date of birth 16 Jun 1995
Passport number X5201314
Country of passport INDONESIA - IDN
Nationality of passport holder INDONESIA - IDN
Date of issue 16 Jun 2021
Date of expiry 16 Jun 2026
Place of issue / issuing authority SOUTH JAKARTA / SOUTH JAKARTA IMMIGRATION OFFICE
It is strongly recommended that the passport be valid for at least six months.

National identity card


Does this applicant have a national identity card?
Yes 

National identity card


Enter details exactly as shown on the national identity card. 
Family name LUNA 
Given names LUCINTA 
Identification number 3271611696980003
Country of issue INDONESIA
Note: If the National identity card does not have a Date of issue or a Date of expiry, do not enter a date. Leave the field/s blank.

Date of issue 16 Jun 2012


Date of expiry

Place of birth 

Town / City JAKARTA


State / Province DKI JAKARTA
Country of birth INDONESIA 

Relationship status
Relationship status Divorced 

Other names / spellings


Is this applicant currently, or have they ever been known by any other names?
Yes 

Other names / spellings


Family name MUHAMMAD 
Given names FATAH 
Reason for name change Deed Poll 

Citizenship
Is this applicant a citizen of the selected country of passport (INDONESIA)?
Yes 
Is this applicant a citizen of any other country?
No 

Other passports
Does this applicant have other current passports?
No 

Other identity documents


Does this applicant have other identity documents?
Yes 

Other identity documents


Enter details exactly as shown on the identity document.

Family name LUNA 


Given names LUCINTA 
Type of document Birth certificate
Identification number 5961/U/JE/2003
Country of issue INDONESIA

Health examination
Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
No 

Critical data confirmation


Click here to edit the Critical data confirmation
All 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 a visa has been
granted.

Confirm that the following information is correct and that it is in the correct fields.

Family name LUNA 


Given names LUCINTA 
Sex Female
Date of birth 16 Jun 1995
Country of birth INDONESIA 
Passport number X5201314
Country of passport INDONESIA - IDN

Is the above information correct? Yes 

Additional identity questions


Click here to edit the Additional identity questions
Provide further details below, where available.

Previous travel to Australia


Has this applicant previously travelled to Australia or previously applied for a visa?
Yes

Previous passports
Does this applicant have previous passports that have been used to travel to Australia?
No

Grant number
Does this applicant have an Australian visa grant number?
No 

Contact details
Click here to edit the Contact details

Country of residence
Usual country of residence INDONESIA 

Department office
The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant’s current
location?

Office Indonesia, Jakarta

Residential address 
Note that a street address is required. A post office address cannot be accepted as a residential address.

Country INDONESIA
Address KUNINGAN PLACE APARTMENT 
H. KAVLING STREET NO 15
Suburb / Town SOUTH JAKARTA
State or Province JAKARTA RAYA
Postal code 12980

Postal address
Is the postal address the same as the residential address?
No 
Country INDONESIA
Address THE RESIDENCES AT DHARMAWANGSA 
DHARMWANGSA VIII STREET NO 26
Suburb / Town SOUTH JAKARTA
State or Province JAKARTA RAYA
Postal code 12160

Contact telephone numbers 


Enter numbers only with no spaces.

Home phone
Business phone
Mobile / Cell phone 628123456789

Email address
Email address lucintalunamanjalitah@yahoo.com 

Authorised recipient
Click here to edit the Authorised recipient
Does the applicant authorise another person to receive written correspondence on their behalf?

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

No
This person is referred to as the 'authorised recipient'. 

Electronic communication 
The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address lucintalunamanjalitah@yahoo.com 

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the
address holder receives a verification email, they should click on the link to verify their address before this application is submitted.

Education
Click here to edit the Education
Does the applicant meet the education requirements for this visa?
Yes 

Give details of all past and current studies undertaken at secondary level or above.

Education history
Qualification Bachelor Degree in Science, Business or Technology 
Course name BUSINESS MANAGEMENT
Institution name PADJADJARAN UNIVERSITY
Country of institution INDONESIA
Date from 20 Jun 2012
Date to 20 Oct 2016
Status Graduated

Employment
Usual occupation
Usual occupation PRESENTER
Intended employment
Industry type Information Media and Telecommunications 

Language 
Click here to edit the Language
Does the applicant hold a current passport from the USA, UK, Canada, New Zealand, or the republic of Ireland?
No
Does the applicant have at least functional English language ability?
Yes 
Select the options which represent proof of the applicant having functional English 
Completion of an English language proficiency test of at least functional level within the last 12
months
Completion of an English language proficiency test of at least functional level

English test details


Give details of the most recent English test.

Name of test IELTS 


Date of test 19 May 2022
Test reference number 22ID001167LUNL018G 
Country where test was undertaken INDONESIA
Language ability Competent 

Main language
Main language Indonesian 

Health declarations
Click here to edit the Health declarations
In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include
time spent in Australia.
No
Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while in Australia?
No
Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia?
No
Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia?
No
Does any applicant intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer)?
No
Has any applicant:

ever had, or currently have, tuberculosis?


been in close contact with a family member that has active tuberculosis?
ever had a chest x-ray which showed an abnormality?
No
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require treatment or medical follow up for:

blood disorder
cancer
heart disease
hepatitis B or C and/or liver disease
HIV infection, including AIDS
kidney disease, including dialysis
mental illness
pregnancy
respiratory disease that has required hospital admission or oxygen therapy
other?
No
Does any applicant require assistance with mobility or care due to a medical condition?
No

Character declarations
Click here to edit the Character declarations
If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details. For combined applications, state which
applicant the declaration applies to.

If the matter relates to a criminal conviction, provide:

the date and nature of the offence


full details of the sentence
dates of any period of imprisonment or other detention.
Has any applicant ever been charged with any offence that is currently awaiting legal action?
No
Has any applicant ever been convicted of an offence in any country (including any conviction which is now removed from official records)?
No
Has any applicant ever been the subject of a domestic violence or family violence order, or any other order, of a tribunal or court or other similar
authority, for the personal protection of another person?
No 
Has any applicant ever been the subject of an arrest warrant or Interpol notice?
No
Has any applicant ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?
No
Has any applicant ever been named on a sex offender register?
No
Has any applicant ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?
No
Has any applicant ever been found by a court not fit to plead?
No
Has any applicant ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in
Australia or any other country?
No
Has any applicant ever been charged with, or indicted for: genocide, war crimes, crimes against humanity, torture, slavery, or any other crime
that is otherwise of a serious international concern?
No
Has any applicant ever been associated with a person, group or organisation that has been or is involved in criminal conduct?
No
Has any applicant ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency,
freedom fighting, terrorism, protest) either overseas or in Australia?
No
Has any applicant ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?
No
Has any applicant ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of
chemical/biological products?
No
Has any applicant ever been involved in people smuggling or people trafficking offences?
No
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
No
Has any applicant ever overstayed a visa in any country (including Australia)?
No
Has any applicant ever had any outstanding debts to the Australian Government or any public authority in Australia?
No

Work and Holiday declarations


Click here to edit the Work and Holiday declarations
Warning:
Giving false or misleading information is a serious offence.

The applicant declares that they:

Understand that they must abide by the conditions of the visa.


Yes
Understand that the visa they are applying for does not permit them to be employed in Australia with one employer for more than 6 months
without prior permission.
Yes
Understand that the visa they are applying for does not permit them to undertake studies or training for more than 4 months.
Yes
Have sufficient funds for the initial period of their stay in Australia and for the fare to their intended overseas destination on leaving Australia.
Yes
Understand that any employment is incidental to their holiday in Australia and the purpose of working is to supplement their holiday funds.
Yes

Declarations
Click here to edit the Declarations
Warning:

Giving false or misleading information is a serious offence.

The applicants declare that they:

Have read and understood the information provided to them in this application.
Yes
Have provided complete and correct information in every detail on this form, and on any attachments to it.
Yes
Understand that if any fraudulent documents or false or misleading information has been provided with this application, or if any of the applicants
fail to satisfy the Minister of their identity, the application may be refused and the applicant(s), and any member of their family unit, may become
unable to be granted a visa for a specified period of time.
Yes
Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be
cancelled.
Yes
Understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia.
Yes
Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there
is any change relating to information they have provided in or with this application, while it is being considered.
Yes
Have read the information contained in the Privacy Notice (Form 1442i).
Yes
Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other
sensitive information) as outlined in the Privacy Notice (Form 1442i).
Yes
Give consent to the collection of their fingerprints and facial image if required.
Yes
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical
information held by the Department may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility
for grant of the visa being applied for, and for law enforcement purposes.
Yes
Give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the
Department to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes.
Yes
Give consent to the Department using the applicant's biometric, biographical and criminal record information obtained for the purposes of the
Migration Act 1958 or the Citizenship Act 2007.
Yes
As an applicant:

I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-
citizen under the Migration Act 1958. As such, I will be expected to depart from Australia, and be subject to removal under the Migration Act
1958.
Yes

Australian values
Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian
society and values, and agrees to the Australian values statement.
Yes
Life in Australia booklet

Australian values statement

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Online Lodgement
Help and Support 

Application for a Work and Holiday visa

Attach documents
Transaction Reference Number (TRN):EGOTHHE492
Attach the documents listed below then click Next to pay for and submit the application.
If you choose to submit the application without attaching all required documents, you will need to provide a reason.
Applications submitted without all the required documents may take longer to process.
There are specific quality and formatting requirements when scanning documents.
If the applicant does not meet the requirements below, the applicant will be able to lodge but may not be granted a visa.

 Expand all  Collapse all


LUNA, LUCINTA (16 Jun 1995) Vaccination card is not needed here

11 attachments received of 60 maximum.

Required


Travel Document Attach Passport under Passport (duh!)
4 Received Attach other ID docs under Other and write what it is in the description
Add documents Other ID docs may include: birth certificate, family card, KTP, NPWP
SKCK can also be uploaded under Others with description Police Record
Document Type Please select a value...
Description
File names Choose Files No file chosen

Document Type File Name Date Received Action

Passport Passport.pdf 11 Jun 2022 

Driver's License.pdf 11 Jun 2022


Other (specify) - Driver's License 

Family Card translated.pdf 11 Jun 2022 


Other (specify) - Family Card

Other (specify) - National ID Card KTP.pdf 11 Jun 2022 


Evidence of home government support (usually a letter)
1 Received

Add documents

Document Type Letter of Government Support - Working Holiday Maker Programme


Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


Letter of Gov Support.pdf 11 Jun 2022
Letter of Government Support - Working Holiday Maker Programme 


Photograph - Passport

1 Received

Add documents

Document Type Please select a value...


Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


photo.jpg 11 Jun 2022
Photograph - Passport 


Change of Name, Evidence of - FATAH MUHAMMAD

1 Received

Add documents

Document Type Change of Name Certificate


Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


Change of name.pdf 11 Jun 2022 
Change of Name Certificate


Evidence of funds for stay in Australia and departure

1 Received
Attach your Bank Reference here, better be under 3 months old
Add documents and with funds at least 55million and above
(because it needs AUD 5000 + fare to and from Australia)
Document Type Please select a value...
Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


Bank Reference.pdf 11 Jun 2022 
Bank Statement - Personal


Language Ability - English, Evidence of

1 Received

Add documents

Document Type Please select a value...


Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


TRF IELTS.pdf 11 Jun 2022
International English Language Testing System (IELTS) 


Qualifications - Overseas, Evidence of

2 Received

Add documents

Document Type Please select a value...


Description
File names Choose Files No file chosen

Document Type File Name Date Received Action


Transcripts.pdf 11 Jun 2022
Academic Transcript 

Academic Certificate.pdf 11 Jun 2022 


Educational Certificate (Degree, Diploma etc)

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Accessibility Online Security Privacy Copyright & Disclaimer (E-1208 (Internet) 18/11/2016.1)
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Online Lodgement
Application for a Work and Holiday visa Related Links

Transaction Reference Number (TRN): EGOTHHE492 Subclass 462 information


Health details
Submit Application Visa Pricing Estimator
Processing times
This application is now ready to submit. You can submit it now or return to your account and submit it at a later date.

Your application will not be processed until after it is submitted. Help and Support

Verify Email Contact us


The email address below was specified as the address for all communication about this application: Client service charter
Client feedback
lucintalunamanjalitah@yahoo.com ImmiAccount support
Translation services
This address has not been verified by the email account holder.

You can request a new verification email.


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LUNA,LUCINTA

Online payments

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Application charges

Reference no. Name Date of birth Amount (AUD)

EGOTHHE492 LUNA, Lucinta 16 Jun 1995 495.00

Total application charges: $495.00 (AUD)

Payment options

If you pay now, your application will be sent to the Australian Government.
Your decision to pay will be final, your payment cannot be disputed, even if you change your mind about your application.

Select a payment option Debit/credit card PayPal UnionPay BPAY (Australian bank accounts only)

Payment by debit/credit card

Required field *

Cardholder Address
Country * Indonesia

Address 1 * required

Address 2

City * required

State/Province/Region * required

Postcode/ Zip Code * required

Card Details

Debit/credit card number * required

Expiry date (MM/YY) *


Name on debit/credit card * required

Card security code (CSC) * required What is a CSC?

Credit card surcharge (AUD) $ 0.00 What is the surcharge?

Total payment amount (AUD) $ 495.00

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