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Form

ETA Request for further processing –


Supplementary information 1554
Department of Home Affairs

Important information about privacy


The Privacy Act 1988 contains 13 Australian Privacy Principles which
regulate the way that the Department collects and handles personal
information. Information about how the Department collects, uses and
discloses personal information for its key functions can be found in form
1442i Privacy notice. More information about the Department’s general
information handling practices (including form 1442i) can be found in
the Department’s Privacy policy at
https://www.homeaffairs.gov.au/access-and-accountability/
our-commitments/privacy

Please 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.
Tick where applicable 3

1 Transaction Reference Number (TRN) for the online request for further
processing
EGP136X4FF

Applicant’s information
2 Family name
NG SEOK TUANG
Given names

3 Applicant’s current employment status


Employed ✔ Self-employed Unemployed
Retired Student Other

4 Give details of the applicant’s current employment status including


(if relevant) their occupation, employer and length of employment.
If unemployed or retired, provide the date the applicant ceased work
OCCUPATION: COUNSELING TEACHER
EMPLOYER: EDUCATION MINISTRY OF MALAYSIA
LENGTH OF EMPLOYMENT: 13 YEARS

5 Main address where the applicant will stay in Australia (if known)
139/56, NICHOLSON STREET 3067 ABBOTSFORD VIC

Postcode 3067

© COMMONWEALTH OF AUSTRALIA, 2022 1554 (Design date 05/22) - Page 1


Applicant’s travel information
6 Is the applicant travelling to Australia with travelling companions?
No ✔
Yes Give details
Sex * Relationship to
Family name Given names Date of birth
M/F/X applicant

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

7 Does the applicant have family, friends or contacts in Australia?


No
Yes ✔ Give details

Sex * Provide visa status


Relationship to Australian
Family name Given names Date of birth and reason for stay in
applicant residency status
Australia
M/F/X

Citizen WORK VISA


Perm. resident
NG SEOK TENG 15/10/1974 F SISTER
Other visa ✔
Unknown
Citizen ATTACHED TO
Perm. resident WORK VISA OF
CHAN JIA CHEE 20/04/2002 F NIECE NG SEOK TENG
Other visa ✔
STUDY
Unknown
Citizen STUDENT VISA
Perm. resident
CHAN HAO FENG 09/09/2003 M NEPHEW
Other visa ✔
Unknown
Citizen
Perm. resident
Other visa
Unknown
Citizen
Perm. resident
Other visa
Unknown
Citizen
Perm. resident
Other visa
Unknown

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

1554 (Design date 05/22) - Page 2 © COMMONWEALTH OF AUSTRALIA, 2022

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