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Culture Documents
1409
1409
1409
Applying online
The department encourages applicants to apply online.
Applications lodged online have quicker processing
times. For information on how to apply online go to the
departments website www.border.gov.au/trav/visa/onli
Integrity of application
The department is committed to maintaining the integrity of
the visa and citizenship programmes. In relation to this
application, if you or a member of your family unit:
provide, or have provided in a previous application,
fraudulent documents or false or misleading information
(knowingly or not); and/or
fail to satisfy, or have failed to satisfy in a previous
application, the Minister of your or their identity;
this visa application may be refused and you, and any
members of your family unit, may become unable to be
granted a visa for specified periods of time, as set out in
migration legislation.
Form
1409
Method of payment
To make a payment, please pay by credit card, bank cheque or
money order made payable to the Department of Immigration
and Border Protection. Credit card is the preferred method of
payment.
An alternate option is to make a payment at the nearest office
of the department, if you are in Australia, or the nearest
overseas Australian mission, if you are outside Australia. If you
choose to pay in this way you must attach the departmental
copy of the receipt to your application form as evidence of
payment.
APPLICATION REQUIREMENTS
Subsequent entrant
You will find the checklist of the documents you must provide
in support of your application on the departments website
www.border.gov.au/trav/visa-1/485-/temporarygraduate-visa-(subclass-485)-document-checklist
The above does not apply if you have enrolled with Medicare
(Australias national health cover). Information on entitlements
to Medicare is available from www.humanservices.gov.au
Health requirements
All applicants must meet Australias health requirements. You
and any family members included in this application may be
required to undergo a chest x-ray and medical examination.
Before you apply, you can use the departments My Health
Declarations service to determine whether health examinations
are required and then proceed to complete any health
examinations. To use the My Health Declarations service, go to
the departments website
www.border.gov.au/trav/visa/heal/meeting-the-healthrequirement/health-undertakings
1409 (Design date 11/16) - Page 4
Custody requirements
The department will seek to ensure that allowing a child to
reside temporarily in Australia is not in contravention of
Australias international obligations in relation to the
prevention of child abduction. If your application includes a
child under 18 years of age and the childs other parent is not
accompanying you or there is any other person who has the
legal right to determine where the child can live, you will need
to provide a Statutory Declaration from each of them giving
permission for the child to accompany you in Australia.
Alternatively, you can provide a certified copy of a valid court
order showing that you, or your partner, has the legal right to
remove the child from the country.
Immigration assistance
Exempt persons
The following people do not have to be a registered migration
agent in order to provide immigration assistance, but they
must not charge a fee for their service:
a close family member (spouse, de facto partner, child,
parent, brother or sister);
a member of parliament or their staff;
an official whose duties include providing immigration
assistance (eg. a Legal Aid provider);
a member of a diplomatic mission, consular post or
international organisation.
Home page
General
enquiry line
www.border.gov.au
Telephone 131 881 during business hours
in Australia to speak to an operator (recorded
information available outside these hours).
Ifyou are outside Australia, please contact
your nearest Australian mission.
Form
Application for a
Temporary Graduate visa
1409
Part A To be completed by
all applicants
Before you fill in the form, it is very important that you read and
understand all the information outlined on pages 1 to 6.
Application overview
Please use a pen, and write neatly in English using BLOCK LETTERS.
TYPE OF APPLICATION
Subsequent entrant
Go to Question 4
OR
Post-Study Work stream
(2, 3 or 4 years visa validity)
No
Yes
No
Yes
Go to Question 4
OR
Temporary Graduate visa as a
subsequent entrant
(Note: The main applicant must
have already been granted their visa)
No
Yes
Family name
Given names
No
Yes
Sex
Male
DAY
Female
MONTH
YEAR
Date of birth
Current visa (Note: Must be a subclass 485)
Visa stream
Passport number
File number (if known)
Your details
No
Go to Question 17
Yes
Give details
Passport number
Given names
Country of passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
Given names
If you change your passport after you have been granted the visa you
must notify the nearest Australian mission or office of the department.
No
Family name
1. Passport number
Yes
Given names
Country of passport
Date of issue
DAY
MONTH
YEAR
DAY
MONTH
YEAR
Date of expiry
Passport place
of issue/issuing
authority
Sex
Male
Female
2. Passport number
DAY
MONTH
YEAR
10 Date of birth
Country of passport
11 Place of birth
Date of issue
Date of expiry
Town/city
Passport place
of issue/issuing
authority
Country
Which countries?
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
NUMBER
Office hours
) (
After hours
) (
COUNTRY CODE
Mobile/cell
Give details
AREA CODE
NUMBER
)
Identity number
electronic means?
Country of issue
No
Yes
Give details
COUNTRY CODE
Fax number
AREA CODE
) (
NUMBER
)
Mobile/cell
Email address
POSTCODE
POSTCODE
COMMONWEALTH OF AUSTRALIA, 2016
23 Relationship status
DAY
MONTH
YEAR
Engaged
Have you, and any other person included in this application who is
aged 16 years or over, applied for an Australian Federal Police National
Police Check?
De facto
Married
Date of marriage
Separated
No
Yes
Give details
List the main applicant details first.
Divorced
Widowed
Go to Question 25
Never married or
been in a de facto
relationship
1. Full name
DAY
MONTH
YEAR
DAY
MONTH
YEAR
DAY
MONTH
YEAR
DAY
MONTH
YEAR
DAY
MONTH
YEAR
Date of request
Reference number
2. Full name
Yes
26 Health insurance
Date of request
Yes
Reference number
3. Full name
Date of request
Reference number
4. Full name
Date of request
Reference number
5. Full name
Date of request
Reference number
Attach a certified copy of the Australian Federal Police National Police
Check for each person listed above if held at the time of lodgement of
this application.
28 Language requirements
Do you hold a valid passport from the USA, UK, Canada, New Zealand
or the Republic of Ireland (to meet English language requirements)?
No
Go to Question 29
Yes
Go to Question 30
29 Have you undertaken an English test within the last 36 months that
demonstrates that you have achieved the minimum English language
test scores required for your visa?
For information on the minimum English language test scores required
as evidence of your English language ability, go to the departments
website www.border.gov.au/trav/visa-1/485No
Yes
Date of test
DAY
MONTH
Course name
Institution name
City/Country
Postcode
of campus
Dates of enrolment
MONTH
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
31 Provide details of Australian and/or overseas post-secondary qualifications held by any dependent applicants.
List the most recent first.
Qualification
Course name
Institution name
City/Country
Postcode
of campus
Dates of enrolment
MONTH
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Applicant skills
32 Are you applying for the Graduate Work stream (18 months visa validity)?
No
Go to Part C
Yes
No
Yes
Give details
35 Skills assessment
Have you applied for a skills assessment from the relevant assessing
authority for your nominated occupation?
No
Yes
MONTH
YEAR
MONTH
YEAR
Part C To be completed by
all applicants
45 Give details of the passport that your partner will use to enter Australia
(Enter these details exactly how they appear in their passport)
Note: It is strongly recommended that the passport be valid for at least
6 months.
Passport number
Give details of all members of your family unit whether or not they
intend to accompany you to Australia.
Please attach evidence of your relationship to each family member
(eg. certified copies of birth certificates or marriage certificate).
If you are in a de facto relationship, please attach evidence that you
have been in cohabitation with your partner for at least 12 months
(eg. joint account statements and utility billing accounts).
Complete all applicable questions.
Country of passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
No
Yes
Family name
1. Passport number
Given names
Country of passport
DAY
MONTH
YEAR
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
2. Passport number
Country of passport
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
42 Sex
Male
DAY
Female
MONTH
YEAR
43 Date of birth
44 Place of birth
Town/city
Country
Country
MONTH
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Give details
Identity number
Country of issue
POSTCODE
AREA CODE
NUMBER
Office hours
) (
After hours
) (
COUNTRY CODE
Mobile/cell
NUMBER
)
2. Family name
Given names
52 Give details of ALL members of your family unit aged under 18 years
DAY
Date of birth
1. Family name
Relationship
to you
Country of birth
Given names
DAY
MONTH
Male
Female
Relationship
to you
Country of birth
Male
Female
Passport number
Country of
passport
Country of
residence
Citizenship
Date of issue
Passport number
Date of expiry
Country of
passport
Passport place
of issue/issuing
authority
DAY
DAY
MONTH
YEAR
Date of issue
Passport place
of issue/issuing
authority
Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
they are a citizen of more than one country they need to enter the
identity number on the card from the country that they are a
permanent resident of, or reside in.
No
MONTH
YEAR
Date of expiry
Yes
YEAR
Country of
residence
Citizenship
YEAR
Date of birth
MONTH
Yes
Identity number
Country of issue
3. Family name
Identity number
Given names
Country of issue
DAY
MONTH
YEAR
Date of birth
Male
Female
Relationship
to you
Country of birth
Country of
residence
Citizenship
Passport number
Country of
passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
they are a citizen of more than one country they need to enter the
identity number on the card from the country that they are a
permanent resident of, or reside in.
No
Yes
Identity number
Country of issue
4. Family name
6. Family name
Given names
Given names
DAY
MONTH
YEAR
Date of birth
DAY
Male
Relationship
to you
Country of birth
Relationship
to you
Country of birth
Country of
residence
Citizenship
Country of
residence
Citizenship
Passport number
Passport number
Country of
passport
Country of
passport
DAY
MONTH
MONTH
YEAR
Date of birth
Female
Male
DAY
YEAR
MONTH
Female
YEAR
Date of issue
Date of issue
Date of expiry
Date of expiry
Passport place
of issue/issuing
authority
Passport place
of issue/issuing
authority
Yes
Yes
Identity number
Country of issue
Identity number
Country of issue
If you have more than 6 children aged under 18 years who are
included in this application, give details at Question 84
Additional information
5. Family name
Given names
DAY
MONTH
YEAR
Date of birth
Male
Female
53 Are all the children aged under 18 years in your care and legal custody?
No
Relationship
to you
Country of birth
Give details
Yes
Country of
residence
Citizenship
Passport number
Country of
passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
No
Yes
Identity number
Country of issue
Give details
2. Family name
Given names
No
Yes
DAY
Give details
MONTH
YEAR
Date of birth
Male
Female
Relationship
to you
Country of birth
Country of
residence
Citizenship
Passport number
Country of
passport
56 Give details of ALL members of your family unit, other than your partner,
DAY
Date of issue
1. Family name
Date of expiry
DAY
MONTH
YEAR
Male
Female
Relationship
to you
Country of birth
Country of
residence
Citizenship
Yes
Passport number
Identity number
Country of issue
Country of
passport
DAY
MONTH
3. Family name
YEAR
Date of issue
Given names
Date of expiry
DAY
MONTH
YEAR
Date of birth
Passport place
of issue/issuing
authority
Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
they are a citizen of more than one country they need to enter the
identity number on the card from the country that they are a
permanent resident of, or reside in.
No
Yes
YEAR
Passport place
of issue/issuing
authority
Given names
Date of birth
MONTH
Male
Female
Relationship
to you
Country of birth
Country of
residence
Citizenship
Passport number
Country of
passport
Identity number
Country of issue
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
they are a citizen of more than one country they need to enter the
identity number on the card from the country that they are a
permanent resident of, or reside in.
No
Yes
Identity number
Country of issue
4. Family name
6. Family name
Given names
Given names
DAY
MONTH
YEAR
Date of birth
DAY
Male
Relationship
to you
Country of birth
Relationship
to you
Country of birth
Country of
residence
Citizenship
Country of
residence
Citizenship
Passport number
Passport number
Country of
passport
Country of
passport
DAY
MONTH
MONTH
YEAR
Date of birth
Female
YEAR
Male
DAY
MONTH
Female
YEAR
Date of issue
Date of issue
Date of expiry
Date of expiry
Passport place
of issue/issuing
authority
Passport place
of issue/issuing
authority
Yes
Yes
Identity number
Country of issue
Country of issue
5. Family name
Given names
DAY
MONTH
YEAR
Date of birth
Male
Female
Relationship
to you
Country of birth
Country of
residence
Citizenship
Passport number
Country of
passport
DAY
MONTH
YEAR
Date of issue
Date of expiry
Passport place
of issue/issuing
authority
Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
they are a citizen of more than one country they need to enter the
identity number on the card from the country that they are a
permanent resident of, or reside in.
No
Yes
Identity number
Country of issue
Identity number
Give details
58 For accompanying members of your family unit aged 16 years or over, provide details of all countries in which they have lived for a total of 12 months or
more during the last 10 years.
Country
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
Select
Sex
M/F
Date of birth
DAY
MONTH
YEAR
Relationship
status
Health requirements
No
Yes
60 In the last 5 years, have you, or any other person included in this
Give details
Give details
1. Full name
Country(s)
DAY
Date
MONTH
DAY
YEAR
from
MONTH
YEAR
No
Yes
to
Give details
2. Full name
Country(s)
DAY
Date
MONTH
DAY
YEAR
from
MONTH
YEAR
to
3. Full name
Country(s)
No
DAY
Date
from
MONTH
YEAR
DAY
MONTH
YEAR
to
Yes
Give details
Give details
Give details
Give details
Give details
Give details
List the main applicant details first.
Date of medical
examination
Full name
DAY
MONTH
City of examination
YEAR
Character requirements
69 Character declarations
Note: All relevant information must be disclosed regardless of age,
minor nature of offence and whether or not the offences are considered
to have expired in home country.
If you answered Yes to any of the questions at Question 69, you must
state who it applies to and give ALL relevant details. If the matter relates
to a criminal conviction, please give the nature of the offence, full details
of sentence and dates of any period of imprisonment or other detention.
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
If you answered Yes to any of the above questions, you must state
who it applies to and give ALL relevant details.
72 Give details of any Australian visa applications that you, or any person accompanying you, are awaiting a decision on (not including this one)
Full name
Type of visa
Date applied
DAY
MONTH
Office applied at
YEAR
73 Have you, or any person accompanying you, previously been to Australia, held or currently hold a visa for travel to Australia?
No
Yes
Give details of any previous visits to Australia by you or any person accompanying you
Full name
Type of visa
Visa number
MONTH
YEAR
FROM
TO
FROM
TO
FROM
TO
FROM
TO
FROM
TO
74 Give details of any Australian entry permit or visa that you, or any other person accompanying you, have had refused
Full name
Date refused
DAY
MONTH
YEAR
Office applied at
75 Give details of any Australian entry permit or visa that you, or any other person accompanying you, had cancelled
Full name
Go to Question 80
Yes
Mrs
Office applied at
Miss
Ms
Other
OR
Authorised
recipient
Given names
OR
Address
Migration agent
OR
POSTCODE
Exempt person
Office hours
AREA CODE
) (
NUMBER
)
Mobile/cell
YEAR
Family name
Yes
MONTH
Title:
Date cancelled
DAY
Go to Question 80
Yes
79 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes
Payment details
81 IMPORTANT: You must refer to the departments website at www.border.gov.au/trav/visa/fees to complete this part of your application.
The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
Visa subclass you are applying for
Base Application Charge
(1)
AUD
Write the amount shown on the reference table for your visa subclass
+
Non-internet Application Charge (if applicable)
Additional Applicant Charge aged 18 years or over at the time your application is lodged
Write the amount shown on the
reference table for your visa subclass
AUD
(4)
AUD
(3)
AUD
Additional Applicant Charge under 18 years of age at the time your application is lodged
AUD
(2)
AUD
+
Number of applicants
X (multiplied by)
AUD
(5)
AUD
=
Total
Total (1) + (2) + (3) + (4) + (5)
AUD
You must pay the total amount or your visa application will not be valid.
Note: A second instalment of the Visa Application Charge must also be
paid before we can grant some visas.
Australian Dollars
MasterCard
Diners Club
American Express
JCB
Telephone
number
Address
AUD
COUNTRY CODE
(
AREA CODE
) (
NUMBER
)
Visa
POSTCODE
MONTH
YEAR
Expiry date
Cardholders name
Credit card information will be used for charge paying purposes only.
COMMONWEALTH OF AUSTRALIA, 2016
Have you completed the visa specific checklist from the departments
website www.border.gov.au/trav/visa-1/485-/temporarygraduate-visa-(subclass-485)-document-checklist
No
Yes
DAY
MONTH
YEAR
MONTH
YEAR
MONTH
YEAR
MONTH
YEAR
MONTH
YEAR
Date
Signature
Family name
Given names
DAY
Date
Signature
Family name
Given names
DAY
Date
Signature
Family name
Given names
DAY
Date
Signature
Family name
Given names
DAY
Date
Additional information
Signature
84
Question number
Additional information
Family name
Given names
DAY
MONTH
YEAR
MONTH
YEAR
Date
Signature
Family name
Given names
DAY
Date
When lodging your application do NOT place the application in
any binder, folder or plastic sleeve.