Visitor Visa 1419

1419 (Design date 07/14) - Page 1 COMMONWEALTH OF AUSTRALIA, 2014
Application for a
Visitor visa Tourist stream
Form
1419
About this form
Important Please read this information carefully before you
complete your application. Once you have completed your
application we strongly advise that you keep a copy for your
records.
All relevant questions on this form should be answered and
any requested information attached. The Department of
Immigration and Border Protection (the department) may
decide your application on the basis of the information
provided on your application.
All forms are available from the departments website
www.immi.gov.au/allforms/
Who should use this form?
Use this form to apply for a Visitor visa Tourist stream to
visit or remain in Australia for tourism or other recreational
activities (holiday, sightseeing, social or recreational reasons or
to visit relatives or friends).
If you intend to:
visit Australia to visit family members, and you have a family
member who is eligible and willing to sponsor you, you may
use form 1418 Application for a Visitor visa Sponsored
Family stream;
visit Australia for medical treatment you should use form
48ME Application for a Medical Treatment visa;
visit Australia for a short business trip, you should use
form 1415 Application for a Visitor visa Business Visitor
stream;
study in Australia for more than 3 months you should apply
for a student visa. Please contact the nearest Australian
Visa Office or office of the department for information on
student visa applications, including the correct application
form.
Each applicant, including dependent children, must apply on
their own form. You must complete all questions in all
sections. Failure to answer any question completely and
accurately may result in the application being refused, or the
visa may be cancelled at a later date.
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.
If documents are found to be fraudulent or information to be
incorrect after the grant of a visa, the visa may subsequently
be cancelled.
Visa validity
This visa generally allows stays of 3 or 6 months in Australia,
although a stay of up to 12 months can be granted. However,
the visa period is determined on a case by case basis and may
be less than the period you requested. A stay beyond 12 months
is ONLY granted where exceptional circumstances exist.
A visa may be granted for a single entry or multiple entries
within a specified period. Generally, this visa allows people to
enter Australia within 12 months from the date of grant.
Conditions for a Visitor visa to Australia
Visitors to Australia must be willing and able to abide by the
conditions listed below while in Australia. If you are unwilling
or unable to abide by these conditions you should not apply
for a visa. If you do not abide by these conditions, your visa
may be cancelled or you may be subject to other penalties. If
you have any questions or concerns about the conditions, you
should ask for more information from an Australian Visa Office
or office of the department in Australia.
If you are granted a visa, carefully check the details and
conditions on the letter advising you of the grant of your visa.
If you have any concerns or questions about the requirements
or limitations, you should contact the office that granted that
visa. You should not assume that any changes to your
immigration status can be made while in Australia.
Visa conditions
The following conditions will be applied to your visa:
Visa condition 8101
You must NOT work in Australia.
Visa condition 8201
You must NOT study for more than 3 months while in
Australia
The following conditions may be applied to your visa:
Visa condition 8503
No further stay.
Following an assessment of your application, a visa officer may
decide to apply the 8503 condition on your visa. The 8503 (or
No Further Stay) condition means that the holder of the visa
on which the condition has been imposed will not, after
entering Australia, be entitled to be granted any other visa,
while the holder remains in Australia.
The effect of this visa condition is that it will not be possible
for you to apply to remain in Australia beyond the authorised
period of stay of your visa. It is particularly important, if your
visit to Australia is to attend a specific event, that you organise
your travel so that you can attend these events within your
authorised period of stay as you will not be able to extend
your period of stay in Australia.
If the 8503 condition is imposed on your visa, it will be
indicated on the letter advising you of the grant of your visa,
with the words 8503 NO FURTHER STAY.
Through a Service Delivery Partner (SDP). SDPs provide
visa application services on behalf of the department in
some countries. For more detailed information, and to
check if an SDP is available in your country, please visit the
Contact Us web page on the departments website
www.immi.gov.au/contacts/overseas/
You may arrange for another person to help you complete this
application form, but you must sign it. If you have been assisted
in completing the application form, you should only sign the
declaration(s) if the information in it is true and correct.
Supporting documents and additional information
Part M Application checklist on page 14 contains
information about supporting documentation. If you are
lodging your application overseas, you should also check the
website of your nearest Australian Visa Office
Sponsorship by an eligible relative
You may be asked by the department to support your
application with an eligible sponsor and payment of a bond as
part of the assessment process.
Extending your stay in Australia
If you are applying for a new visa or extension while in
Australia you must apply for a new visa before your current
visa expires. The best time to apply for a new Visitor visa is
about 2 weeks before the expiry of your current visa. Please
bear in mind that the grant of a new visa will cease any visa
currently held and the entitlements attached to that visa. If, for
example, you currently have work rights or formal study
entitlements, those entitlements will cease when a Visitor visa
is granted.
Health requirements
All applicants must meet Australias health requirements. You
may be required to undergo a chest x-ray and medical
examination in order to meet the criteria for the grant of a
subclass 600 visa.
Please follow any directions given by the visa processing
officer as to medical or x-ray examinations that may be
required.
Additional information regarding the health requirement
for entry into Australia is available on the departments website
www.immi.gov.au/allforms/health-requirements/health-
exam.htm
Health insurance requirements
Medical treatment in Australia can be very expensive. It is
recommended that you take out health insurance for your
period of stay in Australia. You will not be covered by
Australias national health scheme, unless you are covered by a
reciprocal health care agreement.
If you are seeking a long stay Visitor visa Tourist stream or are
75 years of age or over
You may be asked to provide evidence with your application
that you have health insurance to cover your stay in Australia.
More information about health insurance is available from the
departments website www.immi.gov.au/visitors/
Visa condition 8531
You must NOT stay in Australia after your visa expires.
Visa condition 8558
You must NOT spend more than 12 months in Australia in an
18 month period.
Visa Application Charge
Refer to Part L Payment details of this form to calculate the
correct charge and make payment.
Refer to www.immi.gov.au/fees-charges for a complete and
current list of applicable fees and charges.
Fees and charges may be subject to change at any time and
this may increase the cost of a visa application.
Generally, Visa Application Charges are reviewed on 1 July
each year, and the exchange rates used to calculate the
amount payable in a foreign country are updated on 1 January
and 1 July each year.
If you do not pay the full Visa Application Charge amount,
your visa application will not be valid.
Charges are generally not refundable, even if the application is
withdrawn or refused.
Methods of payment
Payment or evidence of payment must accompany your
application.
Please check the Ways to apply information to find out how
and where you need to lodge the application before you
choose your payment method.
Note: Personal and travellers cheques are not accepted.
In Australia
To make a payment, please pay by credit card, debit card, bank
cheque or money order made payable to the Department of
Immigration and Border Protection. Debit card and credit card
are the preferred methods of payment.
Outside Australia
Before making a payment outside Australia, please check with
the Australian Visa Office where you intend to lodge your
application as to what methods of payment and currencies
they can accept and to whom the payment should be made
payable.
Information on where to lodge an application outside
Australia is also available from the departments website
Ways to apply
You, or your representative, can submit your application, Visa
Application Charge and supporting documents in one of the
following 3 ways:
Electronically over the internet if you are eligible. To check
your eligibility please visit the departments website
www.immi.gov.au/visas/visitor-visa/600
In person or by mail at the nearest Australian Visa Office or
office of the department. If you are lodging in person you
may require an appointment. To check if an appointment is
required please visit the departments website
www.immi.gov.au/contacts/offices.htm or
Vaccinations
If it is your intention to enrol your children in an Australian
school or childcare centre (crche or preschool) during your
visit to Australia, you are strongly encouraged to carry
certification of your childs vaccination status. Certification
may be sought at time of enrolment.
Vaccination is recommended against polio, tetanus, measles,
mumps, rubella, diphtheria, pertussis (whooping cough),
Haemophilus influenza hypo (Hib) and Hepatitis B.
Note: Vaccination against rubella is also recommended for
women of child bearing age.
Passport information
Most visa applicants will be required to hold a valid passport
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 must notify the nearest Australian Visa Office or office
of the department.
If you do not provide us with the details of any new or
additional passport you use to travel to Australia, you
may experience significant delays at the airport and
may be denied permission to board your plane.
Residential address
You must provide the address of where you intend to live
during the period that your application is being considered.
Failure to give your residential address will result in this
application being invalid. A post office box address will not be
accepted as your residential address.
Change of address
If you change your residential address for more than 14 days
while your application is being processed, you must tell the
department your new address and how long you will be there.
The department will send communication about your
application to the latest address for correspondence you have
provided.
Modified Non-Return Rate data
The Modified Non-Return Rate (MNRR) is a calculation of the
people who arrive on a Visitor visa, but do not depart before
their visa expires, other than those who are granted Skilled,
Visitor or Student visas in Australia.
The MNRR is used as an indicator of Visitor visa compliance,
and may be considered by decision makers to determine the
level of scrutiny to apply to the application.
If you are from a country with a high MNRR it is in your
interests to provide additional documentation as indicated on
page 14, supporting your application.
MNRR data can be found at
www.immi.gov.au/media/statistics/visitor.htm
Immigration assistance
A person gives immigration assistance to you if he or she uses,
or claims to use, his or her knowledge or experience in
migration procedure to assist you with your visa application,
request for ministerial intervention, cancellation review
application, sponsorship or nomination.
In Australia a person may only lawfully give immigration
assistance if he or she is a registered migration agent or is
exempt from being registered. Only registered migration
agents may receive a fee or reward for providing immigration
assistance.
If an unregistered person in Australia, who is not exempt from
registration, gives you immigration assistance they are
committing a criminal offence and may be prosecuted.
Sponsors of applicants for Visitor visas Sponsored
Family stream are exempt from the requirements to be
registered as a migration agent in order to assist
application in relation to Visitor visas Sponsored
Family stream.
Migration agents in Australia
Migration agents in Australia must be registered with the
Office of the Migration Agents Registration Authority (Office of
the MARA) unless they are exempt from registration.
Migration agents outside Australia
Migration agents who operate outside Australia do not have to
be registered. The department may give some overseas agents
an ID number. This number does not mean that they are
registered.
Note: Some Australian registered migration agents operate
overseas.
Migration agent information
A migration agent is someone who can:
advise you on the visa that may best suit you;
tell you the documents you need to submit with your
application;
help you fill in the application and submit it; and
communicate with the department on your behalf.
If you appoint a migration agent, the department will assume
that your migration agent will be your authorised recipient,
unless you indicate otherwise.
Your migration agent will be the person with whom the
department will discuss your application and from whom it
will seek further information when required.
You are not required to use a migration agent. However, if you
use a migration agent, the department encourages you to use
a registered migration agent. Registered agents are bound by
the Migration Agents Code of Conduct, which requires them
to act professionally in their clients lawful best interests.
Information on migration agents, including a list of registered
migration agents, is available on the Office of the MARA
website www.mara.gov.au
You can also access information about migration agents on the
departments website www.immi.gov.au
Consent to communicate electronically
The department may use a range of means to communicate
with you. However, electronic means such as fax or email will
only be used if you indicate your agreement to receiving
communication in this way.
To process your application the department may need to
communicate with you about sensitive information, for
example, health, police checks, financial viability and personal
relationships. Electronic communications, unless adequately
encrypted, are not secure and may be viewed by others or
interfered with.
If you agree to the department communicating with you by
electronic means, the details you provide will only be used by
the department for the purpose for which you have provided
them, unless there is a legal obligation or necessity to use
them for another purpose, or you have consented to use for
another purpose. They will not be added to any mailing list.
The Australian Government accepts no responsibility for the
security or integrity of any information sent to the department
over the internet or by other electronic means.
If you authorise another person to receive documents on your
behalf and they wish to be contacted electronically, their
signature is required on form 956 or 956A to indicate their
consent to this form of communication.
Note: Electronic communication is the fastest means of
communication available and the department prefers to
communicate electronically because this results in faster
processing.
Important information about privacy
Your personal information is protected by law, including the
Privacy Act 1988. Important information about the collection,
use and disclosure (to other agencies and third parties,
including overseas entities) of your personal information,
including sensitive information, is contained in form 1442i
Privacy notice. Form 1442i is available from the departments
website www.immi.gov.au/allforms/ or offices of the
department. You should ensure that you read and understand
form 1442i before completing this form.
As sponsorship may be required for your visa subclass, the
outcome of your application may be made known to the
person/organisation who has submitted a sponsorship form
regarding your application.
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.
Appointing a migration agent/exempt person
To appoint a migration agent/exempt person you should
complete Part K Options for receiving written
communications.
Your migration agent/exempt person should complete
form 956 Advice by a migration agent/exempt person of
providing immigration assistance.
Form 956 is available from the departments website
Options for receiving written communications
If you do not appoint a migration agent/exempt person you
may still authorise another person, in writing, to receive
written communications on your behalf. This person is called
the authorised recipient.
Authorised recipient information
All written communication about your application will be sent to
your authorised recipient, unless you indicate that you wish to
have health and/or character information sent directly to you.
The department will communicate with the most recently
appointed authorised recipient as you may only appoint one
authorised recipient at any time for a particular application.
You will be taken to have received any documents sent to that
person as if they had been sent to you.
To appoint an authorised recipient you should complete:
Part K Options for receiving written communications; and
form 956A Appointment or withdrawal of an authorised
recipient.
Note: Migration agents/exempt persons do not need to
complete form 956A.
Form 956A is available from the departments website
www.immi.gov.au
Telephone 131 881 during business hours
in Australia to speak to an operator (recorded
information available outside these hours).
If you are outside Australia, please contact
your nearest Australian mission.
Home page
General
enquiry line
Please keep these information pages for your reference
Application for a
Visitor visa Tourist stream
Form
1419
3
Tick where applicable
Please use a pen, and write neatly in English using BLOCK LETTERS.
Specify the date you wish
to extend your stay to
5
When do you wish to visit Australia? 2
Date to from
DAY MONTH YEAR DAY MONTH YEAR
Up to 3 months
Up to 6 months
How long do you wish to stay in Australia? 3
Up to 12 months
Note: The stay period granted may be less than the period requested.
You should check the terms of any visa granted.
8 Place of birth
Town/city
State/province
Country
9 Relationship status
Married
De facto
Engaged Divorced
Separated
Widowed
Never married or
been in a de facto
relationship
PHOTOGRAPH
Please attach a
recent passport
size photograph
of yourself.
Outside Australia
In Australia
Indicate if you are applying outside Australia or in Australia: 1
Go to Question 2
Go to Question 5
Applicants outside Australia
Part A Your details
Give the following details exactly as they appear in your passport
Make sure your passport is valid for the period of stay you are applying for.
Date of birth
7
Family name
Given names
Passport number
Country of passport
Nationality of
passport holder
Date of issue
Date of expiry
Place of issue/
issuing authority
DAY MONTH YEAR
DAY MONTH YEAR
Sex Male Female
Give details
No
Yes
Do you intend to enter Australia on more than one occasion? 4
Go to Question 7
Go to Question 7
Applicants in Australia
DAY MONTH YEAR
Provide detailed reasons for requesting this further stay 6
Give details
No
Yes
Do you have other current passports? 15
Passport number
Country of passport
Give details
No
Yes
Do you hold an identity card or identity number issued to you by your
government (eg. National identity card) (if applicable)?
Note: If you are the holder of multiple identity numbers because you
are a citizen of more than one country, you need to enter the identity
number on the card from the country that you live in.
16
Family name
Given names
Type of document
Identity number
Country of issue
23 Do you agree to the department communicating with you by email
and/or fax?
This may include receiving notification of the outcome of this application.
Note: We can communicate about this application more quickly using
email and/or fax.
Give details
No
Yes
Fax number
Email address
( ) ( )
COUNTRY CODE AREA CODE NUMBER
20
POSTCODE
Your current residential address
Note: A street address is required as a post office box address cannot
be accepted.
21 Address for correspondence
(If the same as your residential address, write AS ABOVE)
Country
POSTCODE
Country
22 Contact telephone numbers
Home ( ) ( )
Office ( ) ( )
Mobile/cell
10 Are you or have you been known by any other name?
(including name at birth, previous married names, aliases)
Give details
No
Yes
Note: If this visa application is approved, your current visa
may cease.
No
Yes
Do you currently hold an Australian visa? 11
12 Have you applied for a Parent (subclass 103) visa?
Please provide your queue date
No
Yes
List countries
No
Yes
Are you a citizen of any other country? 14
13 Do you currently hold, or have you applied for, an APEC Business Travel
Card (ABTC)?
Note: If this visa application is approved, the Australian visa
associated with your ABTC will cease.
No
Yes
DAY MONTH YEAR
17 In what country are you currently located?
Citizen
Permanent resident
What is your legal status in your current location? 18
Visitor
Student
Work visa
No legal status
Other Give details
What is the purpose of your stay in your current location and what is
your visa status?
19
Is it likely you will be travelling from Australia to any other country (eg. New Zealand, Singapore, Papua New Guinea) and back to Australia? 26
No
Yes Attach itinerary details
Are you travelling to, or are you currently in, Australia with any family members? 24
Full name Relationship to you Name of sponsor (if applicable)
Give details of each family member
Make sure all the applications are lodged at the same time.
No
Yes
Part B Family travelling to Australia with you
Do you have a partner, any children, or fianc who will NOT be travelling, or has NOT travelled, to Australia with you? 25
Full name
Date of birth
Relationship to you Their address while you are in Australia
DAY MONTH YEAR
/ /
/ /
/ /
/ /
Give details
No
Yes
Part C Family NOT travelling to Australia with you
If insufficient space, give details at Part O
Do you have any relatives in Australia? 27
Full name
Date of birth
Relationship
to you
Address
Citizen or permanent
resident of Australia
DAY MONTH YEAR
/ / No Yes
/ / No Yes
/ / No Yes
/ / No Yes
Give details
No
Yes
Part D Details of your visit to Australia
Do you have any friends or contacts in Australia? 28
Full name
Date of birth
Relationship
to you
Address
Citizen or permanent
resident of Australia
DAY MONTH YEAR
/ / No Yes
/ / No Yes
/ / No Yes
/ / No Yes
Give details
No
Yes
Why do you want to visit Australia?
Include details of any dates that are of special significance to your visit.
29
30 Do you intend to do a course of study while in Australia?
Name of the
course
Name of the
institution
How long will the course last?
Give details
No
Yes
No
Yes
In the last 5 years, have you visited or lived outside your country of
passport for more than 3 consecutive months?
Do not include time spent in Australia.
31
Country(s) 1.
DAY MONTH YEAR
Date to from
DAY MONTH YEAR
Give details
Part E Health details
Country(s) 2.
DAY MONTH YEAR
Date to from
DAY MONTH YEAR
Country(s) 3.
DAY MONTH YEAR
Date to from
DAY MONTH YEAR
32 Do you intend to enter a hospital or health care facility (including
nursing homes) while in Australia?
Give details
No
Yes
33 Do you intend to work as, or study to be, a doctor, dentist, nurse or
paramedic during your stay in Australia?
Give details
No
Yes
34 Have you:
ever had, or currently have, tuberculosis?
been in close contact with a family member that has active
tuberculosis?
ever had a chest x-ray which showed an abnormality?
Give details
No
Yes
35 During your proposed visit to Australia, do you 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;
HIV Infection, including AIDS;
kidney disease, including dialysis;
mental illness;
pregnancy;
respiratory disease that has required
hospital admission or oxygen therapy;
other?
Give details
No
Yes
36 Do you require assistance with mobility or care due to a medical
condition?
Give details
No
Yes
37 Have you undertaken a health examination for an Australian visa in
the last 12 months?
No
Yes Give details (including HAP ID if available)
Note: If you are applying for a long stay Visitor visa or are 75 years
or over, you will be asked to undergo a health assessment and may
be asked to show that you have medical insurance to cover your
intended stay in Australia. Please contact your nearest office of the
department for further advice before lodging your application. If
additional medical consultations are required, a decision on your visa
application will be delayed.
If you answered Yes to any of the above questions, give ALL relevant
details below.
Part F Character details
38
No
No
Yes
Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
No Yes
Have you ever:
been convicted of a crime or offence in any
country (including any conviction which is
now removed from official records)?
been charged with any offence that is
currently awaiting legal action?
been acquitted of any criminal offence or
other offence on the grounds of mental
illness, insanity or unsoundness of mind?
been removed or deported from any
country (including Australia)?
left any country to avoid being removed or
deported?
been excluded from or asked to leave any
country (including Australia)?
committed, or been involved in the
commission of, war crimes or crimes
against humanity or human rights?
been involved in any activities that would
represent a risk to Australian national
security?
had any outstanding debts to the Australian
Government or any public authority in
Australia?
been involved in any activity, or been
convicted of any offence, relating to the
illegal movement of people to any country
(including Australia)?
served in a military force or state
sponsored/private militia, undergone any
military/paramilitary training, or been
trained in weapons/explosives use
(however described)? No Yes
Part G Employment status
What is your employment status? 39
Telephone number
Employed/
self-employed
Give details
Employer/business name
POSTCODE
Address
( ) ( )
Position you hold
How long have you
been employed by this
employer/business?
Retired Year of retirement
Student Give details
Your current course
Name of educational institution
How long have you been
studying at this institution?
Other Give details
Unemployed Explain why you are unemployed and give details
of your last employment (if applicable)
Part H Funding for stay
All visitors to Australia must be able to demonstrate they have adequate
funds to cover all costs associated with their visit. Providing evidence of
funds will help expedite the processing of a visitor visa application.
Examples may include personal bank statements showing a financial
history, pay slips, audited accounts, taxation records or details of funds
that visitors will be taking with them or funds that are available to them.
Relevant factors may also include the number of persons your are
supporting, the type of activities planned and the length of stay sought.
40 Give details of how you will maintain yourself financially while you are
in Australia
Is your sponsor or someone else providing support for your visit to Australia?
Note: This includes support from an organisation.
41
Full name
Date of birth
Relationship
to you
Their address while you are in Australia
Type of support provided
DAY MONTH YEAR Financial Accommodation Other
/ /
/ /
/ /
/ /
Give details
No
Yes
Attach details. The person or people you have listed will need to provide evidence of their ability to provide this support.
42
No Yes
No Yes
If you answered Yes to any of the above questions, give details
Have you ever:
been in Australia and not complied with
visa conditions or departed Australia
outside your authorised period of stay?
had an application for entry to or further
stay in Australia refused, or had a visa for
Australia cancelled?
Part I Previous applications
Please give details of the person who assisted you
No
Yes
43 Did you receive assistance in completing this form?
Part J Assistance with this form
Go to Part K
Family name
Given names
Title: Mr Mrs Miss Ms Other
POSTCODE
Address
Telephone number or daytime contact
( ) ( )
Office hours
Mobile/cell
44 Is the person an agent registered with the Office of the Migration
Agents Registration Authority (Office of the MARA)?
No
Yes Go to Part K
No
Yes
Go to Part K
No
45 Is the person/agent in Australia?
46 Did you pay the person/agent and/or give a gift for this assistance?
Yes
Part K Options for receiving written
communications
47 All written communications about this application should be sent to:
(Tick one box only)
Myself
You should complete form 956A Appointment
or withdrawal of an authorised recipient
Authorised
recipient
Migration agent
Exempt person
Your migration agent/exempt person should
complete form 956 Advice by a migration
agent/exempt person of providing
immigration assistance
OR
OR
OR
Part L Payment details
48 IMPORTANT: You must refer to the departments website at www.immi.gov.au/fees-charges to complete this part of your application.
The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
AUD
AUD
AUD
AUD
AUD
AUD
AUD
AUD
AUD
Visa subclass you are applying for
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.
Base Application Charge
Write the amount shown on the reference table for your visa subclass
Non-internet Application Charge (if applicable)
(1)
(2)
(3)
(4)
(5)
+
+
+
=
+
Additional Applicant Charge aged 18 years or over at the time your application is lodged
Additional Applicant Charge under 18 years of age at the time your application is lodged
Subsequent Temporary Application Charge (if applicable)
Total (1) + (2) + (3) + (4) + (5)
Total
X (multiplied by)
X (multiplied by)
X (multiplied by)
=
=
=
Write the amount shown on the
reference table for your visa subclass
Number of additional applicants
aged 18 years or over
Number of additional applicants
under 18 years of age
Number of applicants
49
Give details below
Cannot be used for applications lodged by mail
Bank cheque
Money order
Debit card
Credit card
How will you pay your application charge?
Note: A surcharge may apply to payments made by credit card. Further information is available from www.immi.gov.au/fees-charges/how-to-pay.htm
If applying in Australia, debit card or credit card are the preferred methods of payment. Debit cards cannot be used for applications lodged by mail.
If paying by bank cheque or money order please make payable to the Department of Immigration and Border Protection.
If applying outside Australia, please check with the Australian Government office where you intend to lodge your application as to what methods
of payment and currencies they can accept and to whom the payment should be made payable.
MasterCard
American Express
Visa
Diners Club
JCB
Payment by (tick one box) Australian Dollars
AUD
Credit card number
:
: : : :
MONTH
:
: : : : : : : : : : : : : :
YEAR
Expiry date
Cardholders name
Address
POSTCODE
Signature of
cardholder
Credit card information will be used for charge paying purposes only.
As the cardholder I acknowledge and accept that a credit card
surcharge may apply to the transaction.
Telephone
number
( ) ( )
-
Part M Application checklist
50 With your completed and signed application form 1419,
you must include:
a certified copy of the identity page (showing photo
and personal details) of a valid passport and other
pages which provide evidence of travel to any other
countries
a recent passport photograph (not more than
6 months old) of yourself
the Visa Application Charge (if applicable)
a completed form 1257 Undertaking declaration, for
applicants under 18 years of age, staying in Australia
with someone other than a parent, legal guardian or
relative (if applicable)
a completed form 1229 Consent to grant an
Australian visa to a child under the age of 18 years,
for applicants under 18 years of age, travelling alone
or without one or both of their parents or legal
guardians (if applicable)
If you authorise another person to receive all written
communications about your application with the
department:
completed Part K Options for receiving written
communications; and
form 956 Advice by a migration agent/exempt person
of providing immigration assistance; or
form 956A Appointment or withdrawal of an
authorised recipient
evidence of access to funds to support your stay
evidence of your medical/travel insurance
(if requested)
medical examination or tests (if requested)
a letter from your employer confirming your leave
evidence of enrolment at school, college or university
If visiting a close family member in Australia (who is a
citizen or permanent resident of Australia):
a letter of invitation to visit
other information to show that you have an incentive
and authority to return to your country of residence,
such as property or other significant assets in your
home country
Under the Migration Act 1958, decision-makers are not obliged to seek
additional information from the applicant before making a decision on a
visa application. It is therefore in the your best interest to submit the
following documentation, if applicable, with your application:
Important: Do not provide original documents unless requested.
You should provide certified copies of original documentation.
Documents not in English should be accompanied by accredited
English translations.
Additional documents
When you have lodged your application, you should
attach your receipt to this sheet.
51
the information given is complete, correct and up-to-date;
I understand that the visa I am applying for does not permit me to
work in Australia;
I understand that the visa I am applying for does not permit me to
study for longer than 3 months in Australia;
my intention to visit Australia is genuine and I will abide by the
conditions and period of stay of the visa;
I have access to adequate funds to meet all costs associated with
the visit to and from Australia;
I have never had tuberculosis or any serious condition likely to
endanger or be a cost to Australia (otherwise, I attach details);
I understand that if a no further stay 8503 condition is imposed on
this visa, it will limit my ability to remain in Australia beyond the
authorised period of the visa;
in any part of this form which has been completed with the
assistance of another person, that the information as set down is
true and correct and has been included with my full knowledge,
consent and understanding;
if granted a visa, I will advise the Australian Visa Office should my
circumstances change;
I understand that if I do not abide by the conditions imposed on my
visa, my visa may be cancelled or I may be subject to other
penalties. If applicable, my sponsor may also be penalised;
I have truthfully declared all relevant details requested of me in this
application;
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
sensitive information) as outlined in form 1442i Privacy notice;
I understand that if any fraudulent documents or false or misleading
information has been provided with this application, or if I fail to
satisfy the Minister of my identity, my application may be refused
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 incorrect
after the grant of a visa, the visa may subsequently be cancelled.
For offshore applicants who are required to provide their fingerprints
and facial image.
I declare that:
I understand that my fingerprints and facial image and my
biographical information held by the department may be given to
Australian law enforcement agencies to help identify me, to help
determine my eligibility for grant of the visa I have applied for, and
for law enforcement purposes.
I consent to:
Australian law enforcement agencies disclosing my biometric,
biographical and criminal record information to the department for
any of the purposes outlined above;
the department using the information obtained for the purposes of
the Migration Act 1958 or the Australian Citizenship Act 2007.
WARNING: Giving false or misleading information or documents is a
serious offence.
Signature of
applicant
Date
DAY MONTH YEAR
We strongly advise that you keep a copy of your application
and all attachments for your records.
Having read the Conditions for a Visitor visa to Australia on page 1 of
this form, I declare that:
Part N Declaration and consent
-
52
Part O Additional information
Question number Additional information
If insufficient space, attach additional details.

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1419 (Design date 07/14) - Page 1 COMMONWEALTH OF AUSTRALIA, 2014

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