Australia E-visa Application Form

This application form will take approximately 10 minutes to complete.

Purpose of travel*

Your planned activities in Australia*

Date of arrival*

Date of departure*

Given names*

Surname*

Have you ever been known by any other names?*

Yes

Other name

Other surname

Reason for name/surname change*

Please specify the reason for name/surname change*

Gender*

Male

Female

Marital status*

Date of birth*

Type of Travel Document*

Country of birth*

Place of birth*

Current citizenship*

Was your citizenship at birth different than the current citizenship?*

Yes

Citizenship at birth*

Are you a citizen of any other country?*

Yes

2nd citizenship*

Add another citizenship

3rd citizenship*

Add another citizenship

4th citizenship*

Do you hold a national identity card?*

Yes

National identity card number*

National identity card country of issue*

Is your name/surname on your national identity card different than the name/surname in your passport?*

Yes

National identity card date of issue

National identity card date of expiry

Do you hold any other passports or documents for travel?*

Include any other passport or document for travel that might have been previously used to travel to Australia

Yes

Type of document*

Document number*

Document country of issue*

Document place of issue / issuing authority*

National identity card date of issue

National identity card date of expiry

Are any of your personal details (name, gender, citizenship, date of birth) in this document different than in your current passport?*

Yes

Provide personal details in this document that are different than in your current passport?*

Do you hold any other other identity documents?*

Yes

Identity document type*

Identity document number*

Identity document country of issue*

Is your name/surname on this identity document different than the name/surname in your current passport?*

Yes

Name on this identity document*

Surname on this identity document*

Have you been granted an Australia visa before?*

Yes

Australian visa grant number (if known)

E-mail address*

Home phone number

Business phone number

Mobile phone number*

Country of residence*

Residential address*

City*

Postcode*

Is your postal address same as your residential address?*

Yes

Postal Address*

City*

Postcode*

Have you ever been charged with any offence that is currently awaiting legal action?*

Yes

Provide details*

Offence type | Date | Description

Have you ever been convicted of an offence in any country (including any conviction which is now removed from official records)?*

Yes

Provide details*

Offence type | Date | Description of the conviction including any penalties imposed

Have you 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 protection of another person?*

Yes

Provide details*

Give details of domestic violence order | Date order raised

The visa applicant declares that:

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

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

Please upload a photocopy of your current passport's biodata page (JPG,PNG,PDF)

Alternatively send it to: [email protected]

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 1 MB, Max. files: 2.

If applicable, please upload a photocopy of your other passport's biodata page (JPG,PNG,PDF)

Alternatively send it to: [email protected]

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 1 MB, Max. files: 2.

Phone

This field is for validation purposes and should be left unchanged.

Australia E-visa Application Form

The visa applicant declares that:

As an applicant:

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