Application For A Temporary Graduate Visa: Life in Australia - Australian Values

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Form

Application for a
Temporary Graduate visa 1409
Department of Home Affairs

The Department of Home Affairs (the Department) Life in Australia – Australian values
acknowledges that Aboriginal and Torres Strait Islander
The Australian Government encourages people to gain an
peoples are the traditional custodians of the Australian land.
understanding of Australia, its people and their way of life,
before applying for a visa to live in Australia. As part of this
About this form application every person aged 18 years or over must declare
Important – Please read this information carefully before you that they will respect Australian values, as outlined below and
complete your application. Once you have completed your obey the laws of Australia.
application we strongly advise that you keep a copy for your Australian values include respect for the freedom and
records. dignity of the individual, freedom of religion,
commitment to the rule of law, Parliamentary
Who should use this form? democracy, equality of men and women and a spirit of
egalitarianism that embraces mutual respect,
You should use this form if you are eligible to apply for a
tolerance, fair play and compassion for those in need
Temporary Graduate visa (subclass 485).
and pursuit of the public good.
A summary of the streams has been provided on page 3 of this
Australian society also values equality of opportunity
form. Further information about the Temporary Graduate visa
for individuals, regardless of their race, religion or
is available on the Department’s website
ethnic background.
https://immi.homeaffairs.gov.au/visas/getting-a-visa/
visa-listing/temporary-graduate-485 It is also important to understand that English is the national
language.
Applying online Further information is contained in the Life in Australia
booklet, however, you are not required to read the booklet.
The Department encourages applicants to apply online.
The booklet is available in a wide range of languages. If you
Applications lodged online have quicker processing
would like a copy of the booklet it can be obtained from
times. For information on how to apply online go to the
www.homeaffairs.gov.au/trav/life/aust/life-in-australia-
Department’s website www.homeaffairs.gov.au/trav/visa/onli
book

Before completing this form Students and the skilled migration programme
Please read carefully the information below, and the information
Australia has a well-deserved reputation for high-quality
on the Temporary Graduate visa available on the Department’s
education and training. We continue to welcome overseas
website https://immi.homeaffairs.gov.au/visas/getting-a-
students, and appreciate the contribution they make to both
visa/visa-listing/temporary-graduate-485
academic life and the communities in which they live.
People who wish to study in Australia may be granted a
Integrity of application Student visa that entitles them to come to Australia on a
The Department is committed to maintaining the integrity of temporary basis for a specified period to undertake study at an
the visa and citizenship programmes. In relation to this Australian educational institution. While many overseas
application, if you or a member of your family unit: students make a decision to apply for a permanent visa upon
• provide, or have provided in a previous application, completing their studies, this is an entirely separate process
fraudulent documents or false or misleading information and there is no guarantee that, on the basis of having held a
(knowingly or not); and/or Student visa, a person will meet the requirements to be
granted a permanent visa at the end of their studies.
• fail to satisfy, or have failed to satisfy in a previous
application, the Minister of your or their identity;
Visa Application Charge
this visa application may be refused and you, and any
members of your family unit, may become unable to be A Temporary Graduate visa application is subject to a charge.
granted a visa for specified periods of time, as set out in To check the Visa Application Charge, refer to the Department’s
migration legislation. website https://immi.homeaffairs.gov.au/visas/visa-
pricing-estimator
If documents are found to be fraudulent or information to be
incorrect after the grant of a visa, the visa may subsequently Fees may be subject to adjustment at any time. Visa
be cancelled. Application Charges may be subject to adjustment on 1 July
each year. This may increase the cost of a visa.

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 1


Method of payment
Make your payment electronically through the ‘My Payments’
section of ImmiAccount. Sign into, or create, your ImmiAccount
and select My Payments>Manage Payments>Pre-Pay Paper
Service, at www.homeaffairs.gov.au/immiaccount
If you are outside Australia and cannot pay online in
ImmiAccount check the Department’s website for alternative
payment methods for your location
www.homeaffairs.gov.au/locations

Lodging your application


All applications for a Temporary Graduate visa from both
outside Australia and in Australia must be lodged online or
sent by post or courier to the address specified at
https://immi.homeaffairs.gov.au/visas/getting-a-visa/
visa-listing/temporary-graduate-485
Important note: Any application made on this form and not
lodged at the address specified at
https://immi.homeaffairs.gov.au/visas/getting-a-visa/
visa-listing/temporary-graduate-485
cannot be accepted. It will not be a valid application and will
not be processed. Please note that your nearest office of the
Department in Australia may not be the specified address.

For further information


For more details on the Temporary Graduate visa, visit the
Department’s website
https://immi.homeaffairs.gov.au/visas/getting-a-visa/
visa-listing/temporary-graduate-485 or call 131 881.
If you are outside Australia, please contact your nearest
Australian mission.

1409 (Design date 11/19) - Page 2 © COMMONWEALTH OF AUSTRALIA, 2019


Temporary Graduate visa (subclass 485)
PURPOSE APPLICATION REQUIREMENTS
Graduate Work stream Graduate Work stream
This stream is for overseas students who have met the At the time you apply for this visa you must:
Australian study requirement in the last 6 months and have • be in Australia;
skills and qualifications in certain skilled occupations. • be under 50 years of age;
The visa is valid for 18 months and has unrestricted work • hold a valid visa;
and study conditions. • hold or have held an eligible Student visa in the last 6 months;
• have met the Australian study requirement in the last 6 months;
• have applied for a skills assessment in your nominated
occupation from the Skilled Occupation List (SOL);
• have evidence that you, and all persons included in this
application, have adequate health insurance;
• have evidence you have applied for a check of criminal records
with the Australian Federal Police for you and all persons
included in this application who are aged 16 years or over; and
• have evidence of the required level of English at the time you
apply for your visa.
Information regarding these requirements is available on the
Department’s website https://immi.homeaffairs.gov.au/visas/
getting-a-visa/visa-listing/temporary-graduate-485

Post-Study Work stream Post-Study Work stream


This stream is for overseas students who have completed At the time you apply for this visa you must:
an eligible qualification in Australia and have met the • be in Australia;
Australian study requirement in the last 6 months. • be under 50 years of age;
For example, the visa is valid for: • hold a valid visa;
• 2 years for students who complete a Bachelor degree • hold or have held an eligible Student visa in the last 6 months;
(including honours) or Masters by Coursework degree • have met the Australian study requirement in the last 6 months;
or Masters (extended) degree; • have applied for and subsequently been granted your first
• 3 years for students who complete a Masters by Student visa on or after 5 November 2011;
Research degree; • have completed an eligible qualification at an eligible
• 4 years for students who complete a Doctoral degree. institution in the last 6 months;
This visa has unrestricted work and study conditions. • have evidence that you, and all persons included in this
application, have adequate health insurance;
• have evidence you have applied for a check of criminal records
with the Australian Federal Police for you and all persons
included in this application who are aged 16 years or over; and
• have evidence of the required level of English at the time you
apply for your visa.
Information regarding these requirements is available on the
Department’s website https://immi.homeaffairs.gov.au/visas/
getting-a-visa/visa-listing/temporary-graduate-485

Subsequent entrant Subsequent entrant


This form may be filled in for members of the family unit of At the time you apply for this visa you must:
current Temporary Graduate (subclass 485) visa holders • have evidence that you, and all persons included in this
who wish to join the main applicant in Australia. application, have adequate health insurance.
The main applicant must already have been granted a Note: Subsequent entrants may be in or outside Australia at the
subclass 485 visa before the subsequent entrant can apply time they apply to be added to a subclass 485 visa, and in or
for this visa. outside Australia when their visa is granted.
The subsequent entrant’s visa is valid for the same Information regarding these requirements is available on the
duration as specified for the main applicant. Department’s website
https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-
listing/temporary-graduate-485

Further information about this visa


• You must not have previously held a subclass 476 or a
subclass 485 visa that was granted on the basis that you
satisfied the primary criteria for the grant of the visa.
• The visa is valid only between the date it is granted and the
date of expiry. Once granted, the timing of the visa may not
be altered or deferred.

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 3


Making a valid application and supporting documents Health insurance requirements
To make a valid application you must provide certain You are required to hold adequate private medical and hospital
supporting documents with your application. The documents health insurance cover for the entire time you are in Australia
required are different for each type of application. If you do on a Temporary Graduate visa.
not provide the required documents your application may not To meet this requirement you should attach to this application
be valid and may be returned to you. evidence of adequate health insurance, which states the level
You will find the checklist of the documents you must provide of health care provided by the insurance policy. A copy of the
in support of your application on the Department’s website suggested certification letter and further information on the
https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa- minimum level of coverage is available from
listing/temporary-graduate-485 https://immi.homeaffairs.gov.au/visas/getting-a-visa/visa-
You must complete the appropriate checklist from this website listing/temporary-graduate-485
if you are sending your application by mail or courier. If you are The above does not apply if you have enrolled with Medicare
applying online, the electronic form has an in-built checklist. (Australia’s national health cover). Information on entitlements
In either case, enclose/attach copies of all documents listed on to Medicare is available from www.humanservices.gov.au
the relevant checklist with your application.
You may be asked to provide other documents during Skills assessment validity period
processing. ‘Certified copies’ of documents means authorised Skills assessments are valid for 3 years, or a shorter period if
or stamped true copies of originals by a person or agency specified, from the date of issue of the skills assessment.
recognised by law of your country. In Australia, they must be
certified by a Justice of the Peace or Commissioner for Who is covered by this form?
Declarations or by a person before whom a statutory
declaration may be made. The Department also accepts The application form covers the main applicant and, if
documents certified by a registered migration agent. applicable, secondary applicants. Applicants seeking to meet
the criteria as a subsequent applicant can also use this form.
Documents in languages other than English should be
accompanied by an English translation. If the applicant is
onshore, the translation should be undertaken by a translator Including family members in your application
accredited by the National Accreditation Authority for In your visa application you will be asked for information
Translators and Interpreters (NAATI). Failure to do so may about each member of your family unit (such as your partner
significantly affect the processing of your application. or children) even if they do not intend to travel with you.
Translations provided by non-accredited translators overseas Information about which family members are considered to
should be endorsed by the translator with their full name, be a ‘member of your family unit’ for travel purposes is
address, telephone number, and details of their qualifications available by referring to form 1496i Including family members
and experience in the language being translated. in your application. Form 1496i is available from the
Note: You must include both a certified copy of the original Department’s website www.homeaffairs.gov.au/allforms/.
language document and a certified copy of the translated You should ensure that you read and understand form 1496i
document with your application. Do not supply any original before completing this form.
documents with your application, unless you have been asked
to do so. Custody requirements
The Department will seek to ensure that allowing a child to
Character requirements – Australian Federal Police reside temporarily in Australia is not in contravention of
clearance Australia’s international obligations in relation to the
prevention of child abduction. If your application includes a
You must provide evidence of having applied for an Australian
child under 18 years of age and the child’s other parent is not
Federal Police (AFP) ‘National Police Check’ in the 12 months
accompanying you or there is any other person who has the
before you apply for the Temporary Graduate (subclass 485)
legal right to determine where the child can live, you will need
visa. This also applies to all family members listed in your
to provide a Statutory Declaration from each of them giving
application who are aged 16 years or older.
permission for the child to accompany you in Australia.
The AFP ‘National Police Check’ is the only acceptable police Alternatively, you can provide a certified copy of a valid court
certificate. This certificate will have the words ‘Complete order showing that you, or your partner, has the legal right to
Disclosure’ in the heading. Under the sub-heading ‘Purpose for remove the child from the country.
check’, you must select Immigration/Citizenship (Code 33).
Fingerprints are not required.
Important information about privacy
The AFP National Police Check Application Form is available
Your personal information is protected by law, including the
from the AFP website www.afp.gov.au/what-we-do/police-
Privacy Act 1988. Important information about the collection,
checks/national-police-checks.aspx
use and disclosure (to other agencies and third parties,
including overseas entities) of your personal information,
Health requirements including sensitive information, is contained in form 1442i
All applicants must meet Australia’s health requirements. You Privacy notice. Form 1442i is available from the Department’s
and any family members included in this application may be website www.homeaffairs.gov.au/allforms/. You should
required to undergo a chest x-ray and medical examination. ensure that you read and understand form 1442i before
Before you apply, you can use the Department’s ‘My Health completing this form.
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 Department’s website https://immi.homeaffairs.gov.au/
help-support/meeting-our-requirements/health/when-to-
have-health-examinations
1409 (Design date 11/19) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2019
Immigration assistance Appointing a migration agent/exempt person
A person gives immigration assistance to you if he or she uses, To appoint a migration agent/exempt person you should
or claims to use, his or her knowledge or experience in complete Question 80 Options for receiving written
migration procedure to assist you with your visa application, communications.
request for ministerial intervention, cancellation review Your migration agent/exempt person should complete
application, sponsorship or nomination. form 956 Advice by a registered migration agent/exempt
In Australia a person may only lawfully give immigration person of providing immigration assistance.
assistance if he or she is a registered migration agent or is Form 956 is available from the Department’s website
exempt from being registered. Only registered migration www.homeaffairs.gov.au/allforms/
agents may receive a fee or reward for providing immigration
assistance.
Options for receiving written communications
If an unregistered person in Australia, who is not exempt from
registration, gives you immigration assistance they are If you do not appoint a migration agent/exempt person you
committing a criminal offence and may be prosecuted. may still authorise another person, in writing, to receive
written communications on your behalf. This person is called
Migration agents in Australia the authorised recipient.
Migration agents in Australia must be registered with the Authorised recipient information
Office of the Migration Agents Registration Authority (Office of
the MARA) unless they are exempt from registration. All written communication about your application will be sent to
your authorised recipient, unless you indicate that you wish to
Migration agents outside Australia have health and/or character information sent directly to you.
Migration agents who operate outside Australia do not have to The Department will communicate with the most recently
be registered. The Department may give some overseas agents appointed authorised recipient as you may only appoint one
an ID number. This number does not mean that they are authorised recipient at any time for a particular application.
registered. You will be taken to have received any documents sent to that
Note: Some Australian registered migration agents operate person as if they had been sent to you.
overseas. To appoint an authorised recipient you should complete:
Migration agent information • Question 80 Options for receiving written
communications; and
A migration agent is someone who can: • form 956A Appointment or withdrawal of an authorised
• advise you on the visa that may best suit you; recipient.
• tell you the documents you need to submit with your Note: Migration agents/exempt persons do not need to
application; complete form 956A.
• help you fill in the application and submit it; and
Form 956A is available from the Department’s website
• communicate with the Department on your behalf. www.homeaffairs.gov.au/allforms/
If you appoint a migration agent, the Department will assume
that your migration agent will be your authorised recipient, Consent to communicate electronically
unless you indicate otherwise.
The Department may use a range of means to communicate
Your migration agent will be the person with whom the with you. However, electronic means such as fax or email will
Department will discuss your application and from whom it only be used if you indicate your agreement to receiving
will seek further information when required. communication in this way.
You are not required to use a migration agent. However, if you To process your application the Department may need to
use a migration agent, the Department encourages you to use communicate with you about sensitive information, for
a registered migration agent. Registered agents are bound by example, health, police checks, financial viability and personal
the Migration Agents Code of Conduct, which requires them relationships. Electronic communications, unless adequately
to act professionally in their clients’ lawful best interests. encrypted, are not secure and may be viewed by others or
Information on migration agents, including a list of registered interfered with.
migration agents, is available on the Office of the MARA If you agree to the Department communicating with you by
website www.mara.gov.au electronic means, the details you provide will only be used by
You can also access information about migration agents on the the Department for the purpose for which you have provided
Department’s website www.homeaffairs.gov.au them, unless there is a legal obligation or necessity to use
them for another purpose, or you have consented to use for
Exempt persons another purpose. They will not be added to any mailing list.
The following people do not have to be a registered migration The Australian Government accepts no responsibility for the
agent in order to provide immigration assistance, but they security or integrity of any information sent to the Department
must not charge a fee for their service: over the internet or by other electronic means.
• a close family member (spouse, de facto partner, child,
If you authorise another person to receive documents on your
parent, brother or sister);
behalf and they wish to be contacted electronically, their
• a member of parliament or their staff; signature is required on form 956 or 956A to indicate their
• an official whose duties include providing immigration consent to this form of communication.
assistance (eg. a Legal Aid provider);
Note: Electronic communication is the fastest means of
• a member of a diplomatic mission, consular post or communication available and the Department prefers to
international organisation. communicate electronically because this results in faster
processing.

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 5


How to fill in this form?
You must:
• open this form using Adobe Acrobat Reader. Either type
(in English) in the fields provided or print this form and
complete it (in English) using a pen and BLOCK LETTERS;
• answer all questions truthfully and completely; and
• provide supporting documents where necessary.
Read the notes for each question. If a question is not
applicable, write ‘N/A’. Any changes or corrections you make
must be initialled and dated by each person who signs the
form. If you use any other sheets of paper for providing
additional information, each page must also be signed and
dated by all persons who sign the form.
If there is not enough space on the form to answer any questions
in full, please give details at Question 84 Additional information
or attach additional sheets of paper with the details.
If you provide incorrect information or documents, it
may affect whether you are granted a visa or not, or
whether your visa may be subsequently cancelled.

Home page www.homeaffairs.gov.au


General Telephone 131 881 during business hours
enquiry line in Australia to speak to an operator (recorded
information available outside these hours).
If you are outside Australia, please contact
your nearest Australian mission.

Please keep these information pages for your reference


1409 (Design date 11/19) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2019
Form
Application for a
Temporary Graduate visa 1409
Department of Home Affairs

When lodging your application do NOT place the application Part A – To be completed by
in a binder, folder or plastic sleeve.
Before you fill in the form, it is very important that you read and
all applicants
understand all the information outlined on pages 1 to 6.
Application overview
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form 1 How many people are included in this application?
and complete it (in English) using a pen and BLOCK LETTERS.
Tick where applicable 3 2 TYPE OF APPLICATION
Graduate (main applicant) Complete ALL Parts

Visa conditions 8534 and 8503 Subsequent entrant Complete Parts A, C and D

IMPORTANT INFORMATION FOR APPLICANTS WHO HOLD A VISA 3 Are you applying for:
APPLYING FOR A TEMPORARY GRADUATE VISA WHILE IN (Tick one box only)
AUSTRALIA Note: Before submitting your application, you should assess your
Applicants with either condition 8534 or 8503 on their visa cannot eligibility against all of the visa requirements. Check the Department’s
apply for a Temporary Graduate visa while in Australia without applying website https://immi.homeaffairs.gov.au/visas/getting-a-
for those conditions to be waived. visa/visa-listing/temporary-graduate-485

Do you have condition 8534 on your visa? Graduate Work stream Go to Question 4
(18 months visa validity)
No
OR
Yes Would you like to apply to have that condition waived
to allow you to apply for a Temporary Graduate visa in Post-Study Work stream Go to Question 4
Australia? (2, 3 or 4 years visa validity)

No OR

Yes Temporary Graduate visa as a Give details of the main


By ticking this box you are applying for a
subsequent entrant visa holder below
waiver of this condition.
(Note: The main applicant must
have already been granted their visa)
Do you have condition 8503 on your visa?
No Family name

Yes Would you like to apply to have that condition waived Given names
to allow you to apply for a Temporary Graduate visa in
Australia?
Sex Male Female Indeterminate /
No Intersex / Unspecified
DAY MONTH YEAR
Yes By ticking this box you are applying for a
Date of birth
waiver of this condition.
Current visa (Note: Must be a subclass 485)

Visa stream

Passport number

File number (if known)

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 7


Your details 14 Answer only if you are a subsequent entrant applying outside Australia
This section must be completed by all primary applicants and Country of current residence
subsequent entrants as a subsequent entrant is considered the main
applicant for the purposes of this application form.
15 Do you have a passport?
4 Your full name
(as shown in your passport or travel document) No Go to Question 17
Yes Give details
Family name
Passport number
Given names
Country of passport
DAY MONTH YEAR

5 Name in your own language or script (if applicable) Date of issue

Date of expiry
Passport place
of issue/issuing
6 Other ways you spell your name authority

Family name
Note: Most visa applicants will be required to hold a valid passport
Given names before they can be granted a visa. It is strongly recommended that the
passport be valid for at least 6 months.
If you change your passport after you have been granted the visa you
7 Name in Chinese Commercial Code Numbers (if applicable) must notify the nearest Australian mission or office of the Department.

16 Do you hold more than one passport?


8 Other names you are, or have been, known by No
(including name at birth, previous married names, aliases) Yes Give details of all other passports

Family name 1. Passport number

Given names Country of passport


DAY MONTH YEAR

Reason for change Date of issue

Date of expiry
Passport place
If more than one other name, give details at Question 84 ‘Additional of issue/issuing
information’ authority

9 Sex Male Female Indeterminate /


Intersex / Unspecified
2. Passport number
DAY MONTH YEAR

10 Date of birth Country of passport


DAY MONTH YEAR

11 Place of birth Date of issue

Town/city Date of expiry


Passport place
Country
of issue/issuing
authority
12 Your present country of citizenship

13 Do you hold any other citizenship?


No
Yes Which countries?

1409 (Design date 11/19) - Page 8 © COMMONWEALTH OF AUSTRALIA, 2019


17 Details of ALL countries of residence
For persons aged 16 years or older, provide details of ALL countries in which you have lived for a total of 12 months or more during the last 10 years.
Dates lived there Last permanent address in that country
Country
MONTH YEAR (include suburb/town/city and state/province)
FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

18 Do you hold an identity card or identity number issued to you by your 21 Contact telephone numbers
government (eg. National identity card) (if applicable)? COUNTRY CODE AREA CODE NUMBER
Note: If you are the holder of multiple identity numbers because you Office hours (            ) (            )
are a citizen of more than one country you need to enter the identity
number on the card from the country that you are a permanent After hours (            ) (            )
resident of, or reside in. COUNTRY CODE NUMBER

No Mobile/cell (            )

Yes Give details


22 Do you agree to the Department communicating with you by
Identity number electronic means?
Country of issue No
Yes Give details
19 Your current residential address COUNTRY CODE AREA CODE NUMBER

Note: A post office box address is not acceptable as a residential Fax number (            ) (            )
address. Failure to give your residential address will result in this
application being invalid. Mobile/cell

Email address

POSTCODE

20 Address for correspondence


(If the same as your residential address, write ‘AS ABOVE’)
Note: It is your responsibility to advise the Department of any change
to your address for correspondence during the application process.

POSTCODE

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 9


23 Relationship status 27 Australian Federal Police check
DAY MONTH YEAR
Have you, and any other person included in this application who is
Married Date of marriage
aged 16 years or over, applied for an Australian Federal Police ‘National
Engaged Date of intended marriage Police Check’?
For more information see Character requirements – Australian Federal
De facto Date relationship began Police clearance on page 4.
Separated No Important – If you, and any other person included in this
Divorced application who is aged 16 years or over, have not requested
Widowed an Australian Federal Police ‘National Police Check’, you
Go to Question 25
cannot meet the criteria for the grant of this visa.
Never married or
been in a de facto Yes Give details
relationship List the main applicant details first.

1. Full name
24 Is your partner included in this application?
No
DAY MONTH YEAR
Yes Date of request

25 Do you have any dependants (other than a partner) included in this Reference number
visa application?
No 2. Full name
Yes
DAY MONTH YEAR

26 Health insurance Date of request


Do you and all applicants included in this application hold health Reference number
insurance?
No Important – You will need to hold health insurance before
this visa application is lodged. This visa application may not 3. Full name
be approved without adequate health insurance
arrangements for all applicants. DAY MONTH YEAR

Yes Attach evidence of health insurance for all applicants. Date of request

This may include: Reference number


• copy of health insurance policy;
• copy of Medicare card(s). 4. Full name

DAY MONTH YEAR

Date of request

Reference number

5. Full name

DAY MONTH YEAR

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.

1409 (Design date 11/19) - Page 10 © COMMONWEALTH OF AUSTRALIA, 2019


Part B – To be completed by the main
applicant
If you are applying as a ‘Subsequent entrant’, Go to Part C

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 Department’s
website www.homeaffairs.gov.au/trav/visa-1/485-
No Important – If you answered ‘No’ to both Questions 28 and
29, you cannot meet the criteria for the grant of this visa.
Yes Give details of your English test
Cambridge English: Advanced (CAE) test (also known as
Certificate in Advanced English)
(Note: CAE results must be from a test taken on or after
1 January 2015)
International English Language Testing System (IELTS)
Occupational English Test (OET)
Pearson Test of English Academic (PTE Academic)
Test of English as a Foreign Language
internet-Based Test (TOEFL iBT)
Date of test
DAY MONTH YEAR

Test location (country where test was taken)

Test reference number – Depending on the test you


have taken, this may also be known as a Reference
Number, Test Report Form Number, Registration ID or
Registration Number.

30 Educational qualification details


Provide details of your Australian and/or overseas post-secondary qualifications.
List the most recent first.
Postcode Dates of enrolment
Qualification Course name Institution name City/Country
of campus MONTH YEAR

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

Attach certified copies of your academic transcripts with your application.


© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 11
31 Provide details of Australian and/or overseas post-secondary qualifications held by any dependent applicants.
List the most recent first.
Postcode Dates of enrolment
Qualification Course name Institution name City/Country
of campus MONTH YEAR

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

Attach certified copies of your academic transcripts with your application.

Applicant skills
32 Are you applying for the Graduate Work stream (18 months visa validity)? 36 Have you obtained a skills assessment from the relevant assessing
No Go to Part C authority for your nominated occupation which confirms that your skills
have been assessed as suitable for your nominated occupation?
Yes
No
33 What is your nominated occupation? Yes Give details
(Your occupation must be on the Skilled Occupations List which is Name of assessing authority
available from the Department’s website
www.homeaffairs.gov.au/trav/work/work/skills-assessment-
DAY MONTH YEAR
and-assessing-authorities/skilled-occupations-lists)
Date of skills assessment

Expiry date of skills assessment (if applicable)

34 What is the Australian and New Zealand Standard Classification of Reference or


receipt number
Occupations (ANZSCO) code for your nominated occupation?

35 Skills assessment
Have you applied for a skills assessment from the relevant assessing
authority for your nominated occupation?
No Important – If you have not applied for
a skills assessment, you cannot meet the
criteria for the grant of this visa.
Yes Give details of your skills assessment
Name of assessing authority

DAY MONTH YEAR


Date of skills assessment application
Reference or
receipt number

1409 (Design date 11/19) - Page 12 © COMMONWEALTH OF AUSTRALIA, 2019


Part C – To be completed by 45 Give details of the passport that your partner will use to enter Australia
all applicants (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.
Details of family members
Passport number
Give details of all members of your family unit whether or not they
Country of passport
intend to accompany you to Australia.
DAY MONTH YEAR
Please attach evidence of your relationship to each family member
Date of issue
(eg. certified copies of birth certificates or marriage certificate).
If you are in a de facto relationship, please attach evidence that you Date of expiry
have been in cohabitation with your partner for at least 12 months
Passport place
(eg. joint account statements and utility billing accounts).
of issue/issuing
Complete all applicable questions. authority

About your partner


46 Does your partner have other passports?
37 Partner’s full name
(as shown in passport or travel document) No
Yes Give details of all other passports
Family name
1. Passport number
Given names
Country of passport
DAY MONTH YEAR

38 Name in his/her own language or script (if applicable) Date of issue

Date of expiry
Passport place
of issue/issuing
39 Other ways your partner spells his/her name authority

Family name

Given names 2. Passport number

Country of passport
DAY MONTH YEAR
40 Name in Chinese Commercial Code Numbers (if applicable) Date of issue

Date of expiry
41 Other names your partner is, or has been, known by Passport place
(including name at birth, previous married names, aliases) of issue/issuing
authority
Family name

Given names

Reason for change

42 Sex Male Female Indeterminate /


Intersex / Unspecified
DAY MONTH YEAR

43 Date of birth

44 Place of birth
Town/city

Country

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 13


47 Details of your partner’s countries of residence
For persons aged 16 years or older, provide details of all countries in which your partner has lived for a total of 12 months or more during the last 10 years.
Dates lived there Last permanent address in that country
Country
MONTH YEAR (include suburb/town/city and state/province)
FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

48 Does your partner hold an identity card or identity number issued to


them by their government (eg. National identity card) (if applicable)?
Note: If your partner is 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 Give details

Identity number

Country of issue

49 Partner’s country of current residence

50 Partner’s residential address

POSTCODE

51 Partner’s telephone numbers (if different from main applicant)


COUNTRY CODE AREA CODE NUMBER

Office hours (            ) (            )

After hours (            ) (            )

COUNTRY CODE NUMBER

Mobile/cell (            )

1409 (Design date 11/19) - Page 14 © COMMONWEALTH OF AUSTRALIA, 2019


Details of accompanying members of 2. Family name
family unit
Given names
52 Give details of ALL members of your family unit aged under 18 years Sex Male Female Indeterminate /
who are INCLUDED in this application Intersex / Unspecified
DAY MONTH YEAR

1. Family name Date of birth

Given names Relationship


to you
Sex Male Female Indeterminate / Country of birth
Intersex / Unspecified
DAY MONTH YEAR Country of
Date of birth residence
Relationship Citizenship
to you
Passport number
Country of birth
Country of
Country of passport
residence DAY MONTH YEAR

Citizenship Date of issue

Passport number Date of expiry


Country of Passport place
passport of issue/issuing
DAY MONTH YEAR
authority
Date of issue
Does this person hold an identity card or identity number issued to
Date of expiry them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because
Passport place they are a citizen of more than one country they need to enter the
of issue/issuing identity number on the card from the country that they are a
authority permanent resident of, or reside in.
Does this person hold an identity card or identity number issued to No
them by their government (eg. National identity card) (if applicable)? Yes Identity number
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 Country of issue
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

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 15


3. Family name 4. Family name

Given names Given names

Sex Male Female Indeterminate / Sex Male Female Indeterminate /


Intersex / Unspecified Intersex / Unspecified
DAY MONTH YEAR DAY MONTH YEAR

Date of birth Date of birth


Relationship Relationship
to you to you
Country of birth Country of birth
Country of Country of
residence residence
Citizenship Citizenship

Passport number Passport number


Country of Country of
passport passport
DAY MONTH YEAR DAY MONTH YEAR

Date of issue Date of issue

Date of expiry Date of expiry

Passport place Passport place


of issue/issuing of issue/issuing
authority authority
Does this person hold an identity card or identity number issued to Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)? them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because 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 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 identity number on the card from the country that they are a
permanent resident of, or reside in. permanent resident of, or reside in.
No No
Yes Identity number Yes Identity number

Country of issue Country of issue

1409 (Design date 11/19) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2019


5. Family name 6. Family name

Given names Given names

Sex Male Female Indeterminate / Sex Male Female Indeterminate /


Intersex / Unspecified Intersex / Unspecified
DAY MONTH YEAR DAY MONTH YEAR

Date of birth Date of birth


Relationship Relationship
to you to you
Country of birth Country of birth
Country of Country of
residence residence
Citizenship Citizenship

Passport number Passport number


Country of Country of
passport passport
DAY MONTH YEAR DAY MONTH YEAR

Date of issue Date of issue

Date of expiry Date of expiry

Passport place Passport place


of issue/issuing of issue/issuing
authority authority
Does this person hold an identity card or identity number issued to Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)? them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because 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 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 identity number on the card from the country that they are a
permanent resident of, or reside in. permanent resident of, or reside in.
No No
Yes Identity number Yes Identity number

Country of issue 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’

53 Are all the children aged under 18 years in your care and legal custody?
No Give details
Yes

54 Does any other person have custodial, access or guardianship rights


to any of these children?
No
Yes Give details

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 17


55 Are there any legal impediments to the removal of any of these 2. Family name
children from their home country?
No Given names

Yes Give details Sex Male Female Indeterminate /


Intersex / Unspecified
DAY MONTH YEAR

Date of birth
Relationship
to you
Country of birth
Country of
residence
Citizenship

Passport number
56 Give details of ALL members of your family unit, other than your partner, Country of
aged 18 years or over who are INCLUDED in this application passport
DAY MONTH YEAR

1. Family name Date of issue

Given names Date of expiry

Sex Male Female Indeterminate / Passport place


Intersex / Unspecified of issue/issuing
DAY MONTH YEAR
authority
Date of birth
Does this person hold an identity card or identity number issued to
Relationship them by their government (eg. National identity card) (if applicable)?
to you Note: If they are the holder of multiple identity numbers because
Country of birth 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
Country of permanent resident of, or reside in.
residence
No
Citizenship
Yes Identity number
Passport number
Country of issue
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

1409 (Design date 11/19) - Page 18 © COMMONWEALTH OF AUSTRALIA, 2019


3. Family name 4. Family name

Given names Given names

Sex Male Female Indeterminate / Sex Male Female Indeterminate /


Intersex / Unspecified Intersex / Unspecified
DAY MONTH YEAR DAY MONTH YEAR

Date of birth Date of birth


Relationship Relationship
to you to you
Country of birth Country of birth
Country of Country of
residence residence
Citizenship Citizenship

Passport number Passport number


Country of Country of
passport passport
DAY MONTH YEAR DAY MONTH YEAR

Date of issue Date of issue

Date of expiry Date of expiry

Passport place Passport place


of issue/issuing of issue/issuing
authority authority
Does this person hold an identity card or identity number issued to Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)? them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because 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 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 identity number on the card from the country that they are a
permanent resident of, or reside in. permanent resident of, or reside in.
No No
Yes Identity number Yes Identity number

Country of issue Country of issue

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 19


5. Family name 6. Family name

Given names Given names

Sex Male Female Indeterminate / Sex Male Female Indeterminate /


Intersex / Unspecified Intersex / Unspecified
DAY MONTH YEAR DAY MONTH YEAR

Date of birth Date of birth


Relationship Relationship
to you to you
Country of birth Country of birth
Country of Country of
residence residence
Citizenship Citizenship

Passport number Passport number


Country of Country of
passport passport
DAY MONTH YEAR DAY MONTH YEAR

Date of issue Date of issue

Date of expiry Date of expiry

Passport place Passport place


of issue/issuing of issue/issuing
authority authority
Does this person hold an identity card or identity number issued to Does this person hold an identity card or identity number issued to
them by their government (eg. National identity card) (if applicable)? them by their government (eg. National identity card) (if applicable)?
Note: If they are the holder of multiple identity numbers because 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 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 identity number on the card from the country that they are a
permanent resident of, or reside in. permanent resident of, or reside in.
No No
Yes Identity number Yes Identity number

Country of issue Country of issue

If you have more than 6 members of your family unit aged


18 years or over who are included in this application,
give details at Question 84 ‘Additional information’

57 Are any of your and/or your partner’s children married, engaged to be


married or in a de facto relationship?
No
Yes Give details

1409 (Design date 11/19) - Page 20 © COMMONWEALTH OF AUSTRALIA, 2019


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.
Dates lived there Last permanent address in that country Who lived there?
Country
MONTH YEAR (include suburb/town/city and state/province) (Provide full name)
FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

Details of non-accompanying members of family unit


59 Give details of ALL members of your family unit, not accompanying you to Australia
(If not living, write ‘DECEASED’ in ‘Country of current residence’ column) Select
Sex * Date of birth Relationship
Full name status Country of current residence
M/F/X DAY MONTH YEAR (use codes below)

* M = Male, F = Female, X = Indeterminate / Intersex / Unspecified

‘Relationship status’ codes


M = Married D = Divorced
E = Engaged W = Widowed
F = De facto N = Never married or been in
S = Separated a de facto relationship

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 21


Part D – To be completed by all 63 Do you, or any other person included in this application, intend to work,
applicants or be a trainee, at a child care centre (including preschools and creches)
while in Australia?
Health requirements No
Yes Give details
60 In the last 5 years, have you, or any other person included in this
application, visited or lived outside your country of passport for more
than 3 consecutive months?
No
Yes Give details

1. Full name
64 Do you, or any other person included in this application, intend to be
Country(s) in a classroom situation for more than 3 months (eg. as either a
student, teacher, lecturer or observer)?
DAY MONTH YEAR DAY MONTH YEAR No
Date from to Yes Give details

2. Full name

Country(s)

DAY MONTH YEAR DAY MONTH YEAR

Date from to 65 Have you, or any other person included in this application:
• ever had, or currently have, tuberculosis?
3. Full name • been in close contact with a family member that has active
tuberculosis?
Country(s) • ever had a chest x-ray which showed an abnormality?
No
DAY MONTH YEAR DAY MONTH YEAR
Yes Give details
Date from to

61 Do you, or any other person included in this application, intend to


enter a hospital or a health care facility (including nursing homes)
while in Australia?
No
Yes Give details 66 During your proposed visit to Australia, do you, or any other person
included in this application, 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;
62 Do you, or any other person included in this application, intend to • HIV Infection, including AIDS;
work as, or study to be, a doctor, dentist, nurse or paramedic during • kidney disease, including dialysis;
your stay in Australia?
• mental illness;
No • pregnancy;
Yes Give details • respiratory disease that has required
hospital admission or oxygen therapy;
• other?
No
Yes Give details

1409 (Design date 11/19) - Page 22 © COMMONWEALTH OF AUSTRALIA, 2019


67 Do you, or any other person included in this application, require
assistance with mobility or care due to a medical condition?
No
Yes Give details

68 Have you, or any other person included in this application, undertaken


a health examination for an Australian visa in the last 12 months?
No
Yes Give details
List the main applicant details first.
Date of medical
Full name examination City of examination HAP ID (if available)
DAY MONTH YEAR

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 23


Character requirements 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
69 Character declarations to a criminal conviction, please give the nature of the offence, full details
Note: All relevant information must be disclosed regardless of age, of sentence and dates of any period of imprisonment or other detention.
minor nature of offence and whether or not the offences are considered
to have expired in home country.
Have you, or any person included in this application, ever:
• been charged with any offence that is
currently awaiting legal action? No Yes
• been convicted of an offence in any country
(including any conviction which is now
removed from official records)? No Yes
• been the subject of an arrest warrant or
Interpol notice? No Yes
• been found guilty of a sexually based offence
involving a child (including where no
conviction was recorded)? No Yes
• been named on a sex offender register? No Yes
• been acquitted of any offence on the grounds
of unsoundness of mind or insanity? No Yes 70 • Have you, or any other person included in
• been found by a court not fit to plead? No Yes this application, ever been refused an entry
permit or visa to Australia? No Yes
• been directly or indirectly involved in, or
associated with, activities which would • Have you, or any other person included in
represent a risk to national security in this application, ever had an entry permit
Australia or any other country? No Yes or visa cancelled in Australia? No Yes

• been charged with, or indicted for: genocide, • Are you, or any other person included in
war crimes, crimes against humanity, torture, this application, waiting on a decision on
slavery, or any other crime that is otherwise any other visa application? No Yes
of a serious international concern? No Yes If you answered ‘Yes’ to any of the above questions, you must state
• been associated with a person, group or who it applies to and give ALL relevant details.
organisation that has been/is involved in
criminal conduct? No Yes
• 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 Yes
• served in a military force, police force, state
sponsored/private militia or intelligence
agency (including secret police)? No Yes
• undergone any military/paramilitary training,
been trained in weapons/explosives or in the
manufacture of chemical/biological products? No Yes
• been involved in people smuggling or people
trafficking offences? No Yes
• been removed, deported or excluded from
any country (including Australia)? No Yes
• overstayed a visa in any country (including
Australia)? No Yes
• had any outstanding debts to the Australian
Government or any public authority in
Australia? No Yes

1409 (Design date 11/19) - Page 24 © COMMONWEALTH OF AUSTRALIA, 2019


71 Have you/your partner or any members of your family unit
(accompanying you or not) ever served in the armed forces?
No
Yes Give full names, and enclose evidence of service, discharge
and rank on discharge

Details of previous visa(s)


Warning: In general, a person can only hold one visa at a time. If you are granted a visa while you already have another,
the first visa will cease automatically when the new visa is granted.

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 Office applied at
DAY MONTH 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

Purpose and details of Date of arrival and departure


Full name Type of visa Visa number
previous stay in Australia DAY MONTH YEAR

FROM

TO

FROM

TO

FROM

TO

FROM

TO

FROM

TO

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 25


74 Give details of any Australian entry permit or visa that you, or any other person accompanying you, have had refused
Full name Type of visa refused Date refused Office applied at
DAY MONTH YEAR

75 Give details of any Australian entry permit or visa that you, or any other person accompanying you, had cancelled
Full name Type of visa cancelled Date cancelled Office applied at
DAY MONTH YEAR

Assistance with this form Options for receiving written


76 Did you receive assistance in completing this form? communications
No Go to Question 80 80 All written communications about this application should be sent to:
Yes Please give details of the person who assisted you (Tick one box only)

Title: Mr Mrs Miss Ms Other Myself

Family name OR
Authorised You should complete form 956A Appointment
Given names recipient
or withdrawal of an authorised recipient
Address OR
Migration agent Your migration agent/exempt person should
complete form 956 Advice by a registered
OR migration agent/exempt person of providing
POSTCODE
Exempt person immigration assistance
Telephone number or daytime contact
COUNTRY CODE AREA CODE NUMBER

Office hours (            ) (            )

Mobile/cell

77 Is the person an agent registered with the Office of the Migration


Agents Registration Authority (Office of the MARA)?
No
Yes Go to Question 80

78 Is the person/agent in Australia?


No Go to Question 80
Yes

79 Did you pay the person/agent and/or give a gift for this assistance?
No
Yes

1409 (Design date 11/19) - Page 26 © COMMONWEALTH OF AUSTRALIA, 2019


Payment details
81 IMPORTANT: You must refer to the Department’s website at https://immi.homeaffairs.gov.au/visas/visa-pricing-estimator 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


Write the amount shown on the reference table for your visa subclass AUD (1)

+
Non-internet Application Charge (if applicable) AUD (2)

Additional Applicant Charge aged 18 years or over at the time your application is lodged
+
Write the amount shown on the Number of additional applicants
reference table for your visa subclass aged 18 years or over
AUD X (multiplied by) = AUD (3)

Additional Applicant Charge under 18 years of age at the time your application is lodged
+
Write the amount shown on the Number of additional applicants
reference table for your visa subclass under 18 years of age
AUD X (multiplied by) = AUD (4)

Subsequent Temporary Application Charge (if applicable)


+
Write the amount shown on the
reference table for your visa subclass Number of applicants
AUD X (multiplied by) = AUD (5)

=
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.

82 Method of payment
Make your payment electronically through the ‘My Payments’ section of ImmiAccount. Sign into, or create, your ImmiAccount and select
My Payments>Manage Payments>Pre-Pay Paper Service, at www.homeaffairs.gov.au/immiaccount
Do not provide credit card details on this form. Make your credit card payment electronically through the ‘My Payments’ section of ImmiAccount.
If you are outside Australia and cannot pay online in ImmiAccount check the Department’s website for alternative payment methods for your location
www.homeaffairs.gov.au/locations
Payment receipt number from the ‘My Payments’ section of ImmiAccount

Attach a copy of your printed receipt.

© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 27


Declaration and consent
83 DECLARATION FOR ALL APPLICANTS Have you completed the visa specific checklist from the Department’s
website www.homeaffairs.gov.au/trav/visa-1/485-/temporary-
WARNING: Giving false or misleading information or documents is a
graduate-visa-(subclass-485)-document-checklist
serious offence.
No Please complete the checklist
I declare that:
• I declare that the information I have supplied in this application is Yes Include it with your application
complete, correct and up-to-date in every detail. The declaration and consent must be signed and dated by all
• I have made adequate health insurance arrangements for the period people aged 18 years or older included in this application.
of my stay in Australia and I acknowledge that I am required to Both parents or any person who has legal custody must complete
maintain these arrangements while in Australia as the holder of a the declaration and consent on behalf of any children aged under
Temporary Graduate visa. 18 years or any person who lacks the legal capacity to sign on
• I understand that if this application is approved, any person not their own behalf.
included in this application will not have automatic right of entry to
Australia by way of this application. Signature
of primary
• I will inform the Department of any changes to my personal
circumstances (including change of address) while my application is
applicant -
DAY MONTH YEAR
being considered.
Date
• I authorise the Australian Government to make any enquiries necessary
to determine my eligibility for temporary stay in Australia, and to use
any information supplied in this application for that purpose. The
agencies/organisations to which information may be disclosed include: Signature
– federal, state or territory government agencies; -
– federal, state or territory law enforcement agencies;
Family name
– state or territory housing authorities (including private landlords);
– local government authorities; Given names
– financial institutions; DAY MONTH YEAR

– educational institutions; and Date


– private businesses (including telecommunication and internet
service providers, insurance companies).
• I have read and understood the information supplied to me in this
Signature
application. -
• I understand that a Temporary Graduate visa is a temporary visa,
and that being granted a Temporary Graduate visa will not guarantee Family name
that I will be eligible for the grant of a further visa to remain in Given names
Australia, including a skilled migration visa.
DAY MONTH YEAR
• I understand that if I cannot obtain a further visa that I must depart
Date
Australia on or before the cease date of the Temporary Graduate visa.
• I will respect Australian values during my stay in Australia and will
obey the laws of Australia.
Signature
• I have read the information contained in form 1442i Privacy notice.
• I understand the Department may collect, use and disclose my
-
personal information (including biometric information and other Family name
sensitive information) as outlined in form 1442i Privacy notice.
Given names
• I understand that if any fraudulent documents or false or misleading
DAY MONTH YEAR
information has been provided with this application, or if I fail to
satisfy the Minister of my identity, my application may be refused Date
and I, and any other member of my family unit, may become unable
to be granted a visa for specified periods of time.
• if documents are found to be fraudulent or information to be Signature
incorrect after the grant of a visa, the visa may subsequently be -
cancelled.
Family name
• I have read and understood that I am liable for the cost of any health
related services that I receive while in Australia. This does not Given names
include costs otherwise covered, such as by health insurance, DAY MONTH YEAR
Medicare (if eligible), or treatment for certain community health risks
Date
such as tuberculosis.
• 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.

1409 (Design date 11/19) - Page 28 © COMMONWEALTH OF AUSTRALIA, 2019


Additional information
Signature
- 84 Question number Additional information
Family name

Given names
DAY MONTH YEAR

Date

Signature
-
Family name

Given names
DAY MONTH YEAR

Date

When lodging your application do NOT place the application in


any binder, folder or plastic sleeve.

We strongly advise that you keep a copy of your application


and all attachments for your records.

If insufficient space, attach additional details.


© COMMONWEALTH OF AUSTRALIA, 2019 1409 (Design date 11/19) - Page 29

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