Temporary Visa Applicant Questionnaire

In addition to the information already provided we will use these details to complete and compile your application. Please provide as much detail as possible.

Family Information

Language and Qualifications

Address and Travel History

Use THIS FORM to give details of all countries where each applicant has spent a total period of time that adds up to 12 months or more in the past 10 years.

Use THIS FORM to provide a list of all travel for each applicant for the past 10 years.

Health Information

Does any applicant have any of the following health conditions that

may incur medical costs, require treatment or medical follow up?

1. Blood Disorder

2. Cancer

3. Heart Condition

4. Hepatitis B or C

5. Liver Disease

6. Kidney Disease

7. Mental Illness

8. Pregnancy

9. Respiratory Illness

10. HIV Infection

11. Diabetes

12. Disability

13. Other

Character Information

Character Declarations

Please answer review the following questions. If the answer is 'Yes' to any questions, please provide additional details at the end:

1. Has anyone who is to be included in this application previously been in Immigration Detention?

2. Has any applicant been convicted of a crime or offence in any

   country (including any conviction removed from official records) or charged with an offence currently awaiting legal action?

3. Has any applicant who is to be included in this application been

   the subject of an arrest warrant or Interpol Notice?

4. Has any applicant been found guilty of a sexually based offence

   involving a child (including where no conviction was recorded)?

5. Has any applicant who is to be included in this application ever

   been named on a sex offender register?

6. Has any applicant been confined in a prison or psychiatric

   institution by order of a court in relation to criminal proceedings?

7. Has any applicant been acquitted of any offence on the grounds

   of mental illness, insanity or unsoundness of mind?

8. Has any applicant who is to be included in this application ever

   been found by a court not fit to plead?

9. Has any applicant ever provided any information or a document to

   the Australian Immigration or Customs authorities which was

   wrong, incorrect, false or misleading?

10. Has any applicant ever been in any country (including Australia)

    and not complied with visa conditions or departed outside their

    authorised period of stay?

11. Has any applicant been removed or deported from any country

    (including Australia) or left any country to avoid being deported or removed?

12. Has any applicant been excluded from or asked to leave any country

    (including Australia)?

13. Has any applicant been refused Citizenship of any country for any

    reason?

14. Has any applicant 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?

15. Has any applicant been directly or indirectly involved in, or

    associated with, any activities that would represent a risk to

    Australian national security or any other country?

16. Does any applicant have an outstanding debt to the Australian

    Government or any public authority in any other country?

17. Has any applicant been involved in any activity or been convicted

    of any offence relating to the illegal movement of people?

18. Has any applicant been associated with a person, group or

    organisation that has been/is involved in criminal conduct?

19. Has any applicant been associated with an organisation engaged in

    violence, or been involved in an act of violence in any country?

Military Service or Training - Please include any compulsory military service completed.

1. Has any applicant been undergone any military/paramilitary

   training, been trained in weapons/explosives or in the manufacture

   of chemical/biological products?

2. Has any applicant ever served in a military force, police force, state

   sponsored militia, private militia, secret police or intelligence

   agency ?

Payments for Sponsorship and Nomination

Declaration