澳大利亚签证80表格

80(Designdate10/15)-Page1©COMMONWEALTHOFAUSTRALIA,2015PersonalparticularsforassessmentincludingcharacterassessmentForm80Important–Pleasereadthisinformationcarefullybeforeyoucompletethisform.Onceyouhavecompletedthisformwestronglyadvisethatyoukeepacopyforyourrecords.ThisformistobecompletedinEnglishbyapplicantswhoare16yearsofageorover,asrequestedbytheofficeprocessingtheapplication.IntegrityofapplicationTheDepartmentofImmigrationandBorderProtection(thedepartment)iscommittedtomaintainingtheintegrityofthevisaandcitizenshipprograms.Pleasebeawarethatifyouprovideuswithfraudulentdocumentsorclaims,thismayresultinprocessingdelaysandpossiblyyourapplicationbeingrefused.ImportantinformationaboutprivacyYourpersonalinformationisprotectedbylaw,includingthePrivacyAct1988.Importantinformationaboutthecollection,useanddisclosure(tootheragenciesandthirdparties,includingoverseasentities)ofyourpersonalinformation,includingsensitiveinformation,iscontainedinform1442iPrivacynotice.Form1442iisavailablefromthedepartment’swebsite–AdditionalinformationPartA–Applicantdetails1Pleaseprovideyourdetailsastheyappearinyourofficialdocuments.Forexample,passport,identitydocument,traveldocument,birthcertificate.Note:Ifyouhaveonenameonly,pleasewriteitinthe‘Familyname’field.FamilynameAllgivennamesSexMaleFemaleDateofbirthDayMonthYearDay,monthandyearMUSTbeprovidedSuburbofbirthTown/CityofbirthState/Province/RegionCountry2DoyoueveruseaChineseCommercialCodeNumberforyournamesshowninthepassport/traveldocumentatQuestion1?NoYesChineseCommercialCodeNumber(infull)3AreyouofRussiandescent?NoYesInEnglish,provideyourpatronymicname80(Designdate10/15)-Page2©COMMONWEALTHOFAUSTRALIA,20154Haveyoubeenknownbyanyothername(s)?Include:•nameatbirth•namebeforeoraftermarriage•adoptiveorfostername•aliasorpseudonym•culturalortribalnameorclan/subclanname•preferredname•otherspellingsofnamesNoYesGivedetailsinEnglishTypeofnameFamilynameGivennamesIfmorethanonename,givedetailsatPartT–Additionalinformation5HaveyoueverhadadifferentdateofbirthtotheoneshownatQuestion1?NoYesDifferentdateofbirthDayMonthYear6Doyoucurrentlyhavecitizenshipfromanycountry?No,IamstatelessGivedetailsYesHowdidyougainthiscitizenship(eg.birth,descent,naturalisation)?DateyougainedthiscitizenshipDayMonthYear7Doyouholdorhaveyouheldcitizenshipfromanyothercountry(includingdualcitizenshipsandallpreviouscitizenships)?NoYesCountryHowdidyougainthiscitizenship(eg.birth,descent,naturalisation)?Whendidyouhavethiscitizenship?FromDayMonthYeartoDayMonthYearNote:Ifyoustillhavethecitizenship,write‘CURRENT’.Ifmorethanonecountry,givedetailsatPartT–Additionalinformation8DoyoucurrentlyhavepermanentresidencyrightsinanycountryotherthanthosedeclaredinQuestions6or7?NoYesListallothercountriesPartB–Passport/Traveldocumentdetails9Doyouhaveacurrentpassportortraveldocument?NoGotoQuestion13YesGivedetailsPassport/traveldocumentnumberCountryofpassport/traveldocumentDateofissueDayMonthYearIsthistheoriginalissuedate?NoGiveoriginalissuedateDayMonthYearYesDateofexpiryDayMonthYearNationalityPlaceofissue/issuingauthorityNameonthedocument(ifthesameasQuestion1,write‘SAMEASQUESTION1’)FamilynameGivennames80(Designdate10/15)-Page3©COMMONWEALTHOFAUSTRALIA,201510Doyouhaveanyothercurrentpassportortraveldocument?NoYesGivedetailsPassport/traveldocumentnumberCountryofpassport/traveldocumentDateofissueDayMonthYearDateofexpiryNationalityPlaceofissue/issuingauthorityNameonthedocument(ifthesameasQuestion1,write‘SAMEASQUESTION1’)FamilynameGivennames11Haveyoueverhadanypreviouspassportsortraveldocuments(includingexpired,lostorstolendocuments)?NoGotoPartCYes12Whathappenedtothisdocument(Tickoneonly)ExpiredLost/stolenOtherGivedetails13Doyouhave,orremember,anyofthedocumentdetails?NoYesGiveasmuchinformationaspossiblePassport/traveldocumentnumberCountryofpassport/traveldocumentDateofissueDayMonthYearDateofexpiryNationalityPlaceofissue/issuingauthorityNameonthedocument(ifthesameasQuestion1,write‘SAMEASQUESTION1’)FamilynameGivennamesPartC–Identitydocuments14Doyoucurrentlyhave,orhaveyoueverhad,anynationalidentitydocumentsornumbers(includingbirthregistrationnumbers,socialsecuritycardsetc)?NoYesGivedetailsTypeofidentificationdocumentCountryofissueIdentificationnumbershown(ifapplicable)80(Designdate10/15)-Page4©COMMONWEALTHOFAUSTRALIA,2015PartD–Addressandcontactdetails15Doyouhaveanyemailaddresses?Note:Includeallpersonal,studentandworkemailaddresses.Donotincludemigrationagentemailaddresses.NoYesProvideallofyouremailaddresses17Youraddresshistoryforthelast10years.Note:Ifyouareapplyingforarefugee/humanitarianvisa,youmustprovidealladdressesforthelast30years.Include:•addressesinsideandoutsideAustralia•placesyouresidedforstudy/work•refugeecamps•anyotherplaceyouhaveresidedsuchassharehouses,universityresidencesandtemporaryaccommodation.Note:Provideyo