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First Name: |
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Last Name: |
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Phone: |
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Fax: |
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Mobile: |
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Address: |
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Email: |
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Date of Birth: |
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Gender: |
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Nationality: |
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Country of usual resident: |
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How do you relate to
your close relative who is an Australia citizen or permanent resident and
willing to sponsor you? |
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PART 2: Spouse/De Facto Spouse/ Fiancée/Fiancé/Same Sex Partner |
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Please fill in this part if you are the spouse, de facto spouse, fiancée, fiancé, same sex partner of an Australia citizen or permanent resident and willing to sponsor you. |
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Marital status: |
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Number of children from this relationship: |
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Have you ever been in married, de facto or gay/lesbian relationship before: |
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Have you previously applied an spouse/prospective marriage visa: |
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Have your sponsor previously sponsor someone to apply for an spouse/prospective marriage visa: |
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PART 3: DEPENDANT CHILD |
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Please fill in this part if you are the dependant child of an Australia citizen or permanent resident
who is willing to sponsor you. |
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Your parent’s nationality: |
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Your parent’s usual place of resident |
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Marital status |
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If you are 18 year or over, please provide details of your education and employment: |
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To: |
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To: |
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To: |
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To: |
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PART 4: PARENT |
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Please fill in this part if you are the parent of an Australia citizen or permanent resident
who is willing to sponsor you. |
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Marital status: |
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Have you ever been in married or de facto relationship before: |
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Details of your and your spouse’s children (including step children from both current and previous marriage/relationship) |
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PART 5: AGED DEPENDENT RELATIVE |
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Please fill in this part if you are the aged dependent relative of an Australia citizen or permanent resident
who is willing to sponsor you. |
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Your marital status: |
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Name of relative you financially depend on: |
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Your relationship with the relative: |
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How long have you been depending on this relative: |
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Years |
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Details of how do you depend on this relative: |
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PART 6: REMAINING RELATIVE |
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Please fill in this part if you, your spouse and children are the only close relative remain in your country, your other close relatives are the Australia citizen or permanent resident who are willing to sponsor you. |
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Marital status: |
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Details of you and your spouse’s Children age 18 or over: |
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Details of you and your spouse’s parents: |
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Details of you and your spouse’s brothers and sisters: |
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Have you and your spouse maintaining contact with your close relatives? |
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PART 7:
Carer |
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Please fill in this part if you are the career or want to be the career of an Australian relative. The Australian relative is very sick, he/she need you to go to Australia to provide full-time care. |
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Name of Australian relative who need your care: |
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Australian relative’s date of birth: |
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What medical condition led to your relative needing your assistance? |
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What assistance will you provide to your relative, and for what period will you provide that assistance? |
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Does your relative has any other relatives in Australia? |
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Has anyone sought assistance from any Australian welfare organisation, doctor or health professional, hospital, nursing home or other community service to assist your relative? |
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