The Department of Immigration and Border Protection (the
department) acknowledges that Aboriginal and Torres Strait Islander peoples are the traditional custodians of the Australian land. 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. Life in Australia Australian values The Australian Government encourages people to gain an understanding of Australia, its people and their way of life, before applying for a visa to live in Australia. As part of this every person aged 18 years or over must declare that they will respect Australian values, as outlined below and obey the laws of Australia. Australian values include respect for the freedom and dignity of the individual, freedom of religion, commitment to the rule of law, Parliamentary democracy, equality of men and women and a spirit of egalitarianism that embraces mutual respect, tolerance, fair play and compassion for those in need and pursuit of the public good. Australian society also values equality of opportunity for individuals, regardless of their race, religion or ethnic background. It is also important to understand that English is the national language. Further information is contained in the Life in Australia booklet, however, you are not required to read the booklet. The booklet is available in a wide range of languages. If you would like a copy of the booklet it can be obtained from www.immi.gov.au About this visa The New Zealand Citizen Family Relationship (subclass 461) visa allows a person, or persons who do not hold a New Zealand passport but are members of the family unit of a New Zealand citizen who holds, or will hold upon entry to Australia, a Special Category (subclass 444) visa (SCV) to travel to, enter, reside and work in Australia on a temporary basis. This visa: is valid for 5 years; permits unlimited travel to and from Australia; does not require formal sponsorship or nomination; and does not include any work or study restrictions; but may include either or both conditions 8303 and 8501. Condition 8303 states you must not become involved in activities disruptive to, or violence threatening harm to, the Australian community or a group within the Australian community. Condition 8501 states you must maintain adequate arrangements for health insurance while you are in Australia. About this application This form may be used by both primary and secondary applicants who are members of the family unit of a New Zealand citizen SCV holder who wish to apply for temporary residence in Australia. All members of the family unit of the New Zealand citizen SCV holder intending to travel with or join them in Australia, to reside with them should be included in this application. A secondary applicant for this application is a member of the family unit of the primary applicant and may include a child under 18. It may also include a relative who is over the age of 18 and is dependent on the primary applicant. To meet the requirements of this visa, however, the secondary applicant must also be a member of the family unit of the New Zealand citizen SCV holder. Your application for a New Zealand Citizen Family Relationship (subclass 461) visa is not valid if you currently hold a criminal justice entry visa, a domestic worker visa, or if you are a detainee who has not made an application within the prescribed time limits, or if you hold a visa subject to a condition that prevents the grant of a substantive visa while you remain in Australia. Integrity of application The department is committed to maintaining the integrity of the visa and citizenship programs. If you, a member of your family unit included in your application or a third party acting on your behalf, provide (or have provided in a previous application) false or misleading information or bogus documents either knowingly or otherwise, your visa application may be refused. You may also be subject to a 3 year exclusion period in relation to visas to which the fraud criterion applies. Any visa granted may be cancelled. Visa Application Charge Refer to Part K 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. Method of payment 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. Form 147 Application for a New Zealand Citizen Family Relationship (subclass 461) visa COMMONWEALTH OF AUSTRALIA, 2014 147 (Design date 03/14a) - Page 2 Outside Australia Before making a payment 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. Health insurance requirements You may be required, as a condition of this visa, to maintain adequate private medical and hospital health insurance while in Australia. This insurance cover does not have to be held with an Australian insurer arrangements made in your home country may be assessed as being acceptable. You need to ensure your health insurance cover will provide for medically necessary treatment for the entire period of your stay. The above condition may not apply if you are covered by reciprocal health care arrangements with your home country. You will be advised by a case officer if you are required to arrange private health insurance. How to apply Step 1 Complete this application Please use a black or blue pen, and write neatly in English using BLOCK LETTERS. If you need more space to answer questions or wish to provide additional relevant information, attach a signed and dated sheet giving the required details. Any alterations made before you lodge the form must be initialled and dated. You will need to supply 2 recent passport-sized photographs of each person included in your application. Step 2 Lodge your application When lodging your visa application, please ensure you have: completed ALL questions in this form; and included the Visa Application Charge; and included any additional attachments (if required); and included the checklist. For additional documentary requirements and the checklist refer to the departments website www.immi.gov.au/migrants/_pdf/461-checklist.pdf In Australia If you are in Australia when you lodge your application, to assist us in processing your application, we request that you send your application along with all accompanying documents by post to: New Zealand Relationship Visa Centre GPO Box 9984 SYDNEY NSW 2001 Or courier to: Level 3 26 Lee St SYDNEY NSW 2001 Information about the Centre can be found on the departments website www.immi.gov.au/contacts Outside Australia If you are outside Australia when you lodge your application, refer to the departments website www.immi.gov.au/contacts/overseas/ for information about your nearest office. What happens after you lodge the visa application? In Australia If you are in Australia when you lodge your application, this form also serves as an application for a bridging visa class A, C or E, depending on which one you may be eligible to apply for. If you need to travel outside Australia before your application is decided, you should contact the processing office regarding a bridging visa that would enable you to return to Australia. For information on bridging visas, refer to the information form1024i Bridging visas available from the departments website www.immi.gov.au/allforms/pdf/1024i.pdf Your bridging visa will usually have the same work conditions as your existing visa. If you are seeking to change the work conditions which will apply to your bridging visa before this application is decided, you should apply on form 1005 Application for a bridging visa available from the departments website www.immi.gov.au/allforms/pdf/1005.pdf This form should be sent to the New Zealand Family Relationship Centre. In and outside Australia Once a decision has been made on your application, you will be notified of that decision in writing. If your application is refused, you will be given reasons for the refusal as well as information about review rights. 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. Let the department know if you change your 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. Communication about your application can be sent to another person that you have authorised, but you will be taken to have received the communication that the department sends to that person. The department must be informed (in writing) of any address change for either you or your authorised person. 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 mission or office of the department. If you do not provide us with the details of any new or additional passports you use to travel to Australia, you may experience significant delays at the airport and may be denied permission to board your plane. Do NOT send your passport with your visa application. Provide with your visa application a certified copy of the page from your passport showing your photo and details. We will advise you if your application has been approved. Please keep a copy of the Visa Grant Notification in a safe place for your reference. COMMONWEALTH OF AUSTRALIA, 2014 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. Form 1163i Health requirement for temporary entry to Australia provides additional information on Australias visa health requirements. Form 1163i is available at offices of the department or from the departments website www.immi.gov.au/allforms/ When sponsorship is 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. 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. 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 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 J 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 www.immi.gov.au/allforms/ 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 J 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/allforms/ 147 (Design date 03/14a) - Page 3 COMMONWEALTH OF AUSTRALIA, 2014 147 (Design date 03/14a) - Page 4 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. COMMONWEALTH OF AUSTRALIA, 2014 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. General enquiry line Home page www.immi.gov.au Please keep these information pages for your reference 147 (Design date 03/14a) - Page 5 Do not complete these questions until you have read the information pages at the front of this form. They contain important information about the visa and application process. Intended date of arrival (If you are already in Australia, write N/A) DAY MONTH YEAR Form 147 Part A Your details Your full name 1 Family name Given names Have you been known by any other names? (including name at birth, previous married names, aliases) 2 If you have been known by other names, attach a page giving the names Your present country/countries of citizenship 7 Your current residential address Note: A post office box address is not acceptable as a residential address. Your application is invalid without a residential address. 9 POSTCODE Your postal address (If the same as your residential address, write AS ABOVE) 10 PHOTOGRAPH Please attach required photographs of yourself AND each member of your family unit included in this application. Give details No Yes Family name Given names Sex 3 Male Female Relationship status 6 Married Never married or been in a de facto relationship Separated De facto Engaged Widowed Divorced POSTCODE COMMONWEALTH OF AUSTRALIA, 2014 Tick where applicable Please use a pen, and write neatly in English using BLOCK LETTERS. Place of birth 5 Town/city Country Date of birth 4 DAY MONTH YEAR Application for a New Zealand Citizen Family Relationship (subclass 461) visa Do you currently hold a New Zealand Citizen Family Relationship (subclass 461) visa? 8 Family name Are you still a member of this persons family unit? Given names Give details of the New Zealand citizen relative your visa application was based on for the grant of you current visa No Yes Date of birth DAY MONTH YEAR Go to Part B Date relationship ended No Yes DAY MONTH YEAR Part B Your contact details 147 (Design date 03/14a) - Page 6 Your current occupation 13 Your telephone numbers 11 Office hours After hours 12 Do you agree to the department communicating with you by fax, email or other electronic means? Fax number Email address ( ) ( ) COUNTRY CODE AREA CODE NUMBER ( ) ( ) Give details No Yes COUNTRY CODE AREA CODE NUMBER ( ) ( ) 16 Do you hold a valid passport? Give details No Yes Passport number Date of issue DAY MONTH YEAR Country of issue Date of expiry Issuing authority/ Place of issue as shown in your passport Note: 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 mission 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 the plane. Details of identity card or identity number issued to you by your government (if applicable) eg. National identity card. 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. 17 Identity number Country of issue COMMONWEALTH OF AUSTRALIA, 2014 Are you, or any secondary persons included in this application, an AusAID subsidised student? 15 Attach a letter of support from AusAID No Yes Are you in Australia when applying for this visa? 14 Part C Your identification, passport and visa details Give details of the visa you currently hold No Yes Visa subclass Visa expiry date DAY MONTH YEAR 147 (Design date 03/14a) - Page 7 Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 1. COMMONWEALTH OF AUSTRALIA, 2014 Country of birth 18 Part D Secondary visa applicants Are you including secondary applicants who are NOT holders of a New Zealand passport in this application? No Yes Go to Part E Citizenship(s) Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 2. Country of birth Citizenship(s) Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 3. Country of birth Citizenship(s) Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 4. Country of birth Citizenship(s) Give details of all secondary visa applicants who are included in this application (If there are more than 6 secondary applicants, please copy this page and attach it to this form with additional details) 147 (Design date 03/14a) - Page 8 COMMONWEALTH OF AUSTRALIA, 2014 Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 5. Country of birth Citizenship(s) Relationship to you Other names they have been known by Family name Given names Sex Male Female Date of birth DAY MONTH YEAR Passport number Date of issue DAY MONTH YEAR Country of issue of passport Date of expiry Issuing authority/Place of issue as shown in passport 6. Country of birth Citizenship(s) Part E New Zealand citizens details Provide details of the New Zealand citizen with whom you claim a family relationship for the purpose of this application 19 Current residential address Date of birth DAY MONTH YEAR POSTCODE ( ) COUNTRY CODE AREA CODE ( ) NUMBER Telephone number Family name Given names Sex Male Female Current citizenship Date of issue DAY MONTH YEAR Date of expiry Issuing authority/ Place of issue as shown in passport Other names the New Zealand citizen is known by or has been known by (include name at birth, previous married names, aliases) Family name Given names New Zealand citizens passport number Place of birth Town/city Country Reason for name change Postal address (If the same as your residential address, write AS ABOVE) POSTCODE 147 (Design date 03/14a) - Page 9 COMMONWEALTH OF AUSTRALIA, 2014 21 Relationship status Widowed Divorced Separated Married De facto Date relationship began DAY MONTH YEAR Date of marriage Part F Your relationship with the New Zealand citizen Note: You must provide evidence to demonstrate that your relationship is genuine and continuing (including a marriage certificate if you are married). See Booklet 1 Partner Migration, for information on what evidence may be provided. 22 If you are married or in a de facto relationship with the New Zealand citizen, have you lived separately or apart for any period of time? Give details of the period of separation and the reasons No Yes Not applicable Part G Health Do you hold health insurance cover? 23 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? 24 Yes No Give details Persons name Country visited/lived in Date DAY MONTH YEAR DAY MONTH YEAR to from 1. 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? 25 Yes No Give details Do you, or any other person included in this application, intend to work as, or study to be, a doctor, dentist, nurse or paramedic during your stay in Australia? 26 Yes No Give details Yes No Type of health insurance cover Name of health insurer Period covered by health insurance DAY MONTH YEAR DAY MONTH YEAR to from Persons name Country visited/lived in Date DAY MONTH YEAR DAY MONTH YEAR to from 2. Persons name Country visited/lived in Date DAY MONTH YEAR DAY MONTH YEAR to from 3. Is the New Zealand citizen your child, parent or sibling? 20 Yes No Child Parent Sibling Go to Part G Date DAY MONTH YEAR Give details 147 (Design date 03/14a) - Page 10 COMMONWEALTH OF AUSTRALIA, 2014 Have you, or any other person included in this application: 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? 29 Yes No Give details Do you, or any other person included in this application, intend to work, or be a trainee, at a child care centre (including preschools and creches) while in Australia? 27 Yes No Give details Do you, or any other person included in this application, intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer, or observer)? 28 Yes No Give details Do you, or any other person included in this application, require assistance with mobility or care due to a medical condition? 31 Yes No Give details 30 During your proposed stay in 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; HIV infection, including AIDS; kidney disease, including dialysis; mental illness; pregnancy; respiratory disease that has required hospital admission or oxygen therapy; other? Yes No Give details 32 Have you, or any other person included in this application, undertaken a health examination for an Australian visa in the last 12 months? Yes No Give details (including HAP ID if available) 147 (Design date 03/14a) - Page 11 Part J Options for receiving written communications Part I Assistance with this form Is the person an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA)? 35 Yes No Go to Part J Did you receive assistance in completing this form? 34 Yes No Please give details of the person who assisted you Go to Part J Mr Mrs Miss Ms Title: Other Family name Given names Address POSTCODE Telephone number or daytime contact Office hours Mobile/cell ( ) COUNTRY CODE AREA CODE ( ) NUMBER Did you pay the person/agent and/or give a gift for this assistance? 37 Yes No Is the person/agent in Australia? 36 Yes No Go to Part J COMMONWEALTH OF AUSTRALIA, 2014 If you answered Yes to any of the questions above, you must state who it applies to and give ALL relevant details below. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention. (If you need more space to answer, attach a signed and dated sheet giving the required details) Myself Migration agent Authorised recipient All written communications about this application should be sent to: (Tick one box only) Exempt person You should complete form 956A Appointment or withdrawal of an authorised recipient OR 38 Your migration agent/exempt person should complete form 956 Advice by a migration agent/exempt person of providing immigration assistance OR OR Have you, or any of the secondary applicants included in this application, 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 refused a visa for Australia or any other country? 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)? 33 Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Part H Character 147 (Design date 03/14a) - Page 12 Part K Payment details COMMONWEALTH OF AUSTRALIA, 2014 40 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. 39 Visa subclass you are applying for Base Application Charge Write the amount shown on the reference table for your visa subclass AUD (1) + AUD (2) Non-internet Application Charge (if applicable) + AUD (3) Additional Applicant Charge aged 18 years or over at the time your application is lodged AUD Write the amount shown on the reference table for your visa subclass X (multiplied by) = Number of additional applicants aged 18 years or over + AUD (4) Additional Applicant Charge under 18 years of age at the time your application is lodged Write the amount shown on the reference table for your visa subclass X (multiplied by) = Number of additional applicants under 18 years of age + AUD (5) Subsequent Temporary Application Charge (if applicable) Write the amount shown on the reference table for your visa subclass X (multiplied by) = Number of applicants = AUD Total (1) + (2) + (3) + (4) + (5) Total 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. AUD AUD Payment by (tick one box) MasterCard Visa Diners Club JCB Australian Dollars AUD Expiry date Credit card information will be used for charge paying purposes only. Signature of cardholder Address Telephone number Cardholders name Credit card number Bank cheque Money order Credit card Give details below American Express : : : : : : : : : : : : : : : : : : Debit card : MONTH YEAR : ( ) COUNTRY CODE AREA CODE ( ) NUMBER POSTCODE Cannot be used for applications lodged by mail
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. As the cardholder I acknowledge and accept that a credit card surcharge may apply to the transaction. 147 (Design date 03/14a) - Page 13 COMMONWEALTH OF AUSTRALIA, 2014 Part L Documentation to be attached to this application 41 A completed form 147 Correct Visa Application Charge This document checklist details the information and supporting documents (personal, health and character) required to assist with the lodgement of a complete application. You may also need to provide additional information and documentation after you have made your application, if the department requires it, however, a decision on the visa application may be made solely on the information provided at the time of application. Original documents should NOT be provided unless requested. Please provide certified copies of original documentation. Documents not in English must be accompanied by accredited English translations. This checklist, as well as additional information can be accessed from the departments website www.immi.gov.au/migrants/_pdf/461-checklist.pdf Tick when completed Forms, fees and charges Evidence of your relationship with the New Zealand citizen. This can include: certified copies of birth certificates for each person claiming a relationship with the New Zealand citizen marriage certificates death certificates adoption certificates family status certificates or family books (if these documents are officially issued and maintained). Evidence of your relationship with the New Zealand citizen Evidence that the New Zealand citizen holds or is eligible for a Special Category visa. This can include: certified copy of the New Zealand citizens birth certificate New Zealand passport. A family tree/diagram of your relationship to the New Zealand citizen. Certified copy of passport bio data page Personal documents Certified copies of birth certificates or other evidence of age, showing names of both parents. If you are married, please provide certified copies of marriage certificate and evidence you are in a genuine and continuing relationship. If you are in a de facto relationship, please provide independent evidence that you have been living in a genuine and continuing relationship. If you have been divorced or permanently separated, please provide certified copies of the divorce document(s) or a statutory declaration/separation certificate. If you have been widowed, please provide certified copy of the death certificate(s). A completed form 80 If in Australia, evidence that you have applied for an Australian Federal Police check in the last 12 months. Two (2) recent passport photographs for all people included in the application (including dependants who are not migrating). Military discharge certificate for any applicant included in the application (if applicable). Evidence of any change of name (for example deed poll certificate). 147 (Design date 03/14a) - Page 14 COMMONWEALTH OF AUSTRALIA, 2014 Part M Declaration and consent WARNING: Giving false or misleading information is a serious offence. This declaration and consent must be signed by the main applicant and each accompanying person over 18. I declare that: The information that has been provided on this form, and on any attachments to it, is complete and correct in every detail; I acknowledge that I have read the notes at the front of this application. I am aware of the conditions that may apply and that I am required to abide by them; Any registration or licensing that is required before I can begin employment in Australia will be my responsibility; I am aware that I must advise the Department of Immigration and Border Protection immediately I am aware of a change in circumstances relating to any information I have provided in or with this application; I understand that if condition 8501 is imposed on my visa, it will be indicated on the visa label or in documents given to me by the Department of Immigration and Border Protection about the grant of my visa by the condition code 8501; I understand that if my visa is granted it may be subject to condition 8501; I will respect Australian values as listed on this form, during my stay in Australia and will obey the laws of Australia. 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. For offshore applicants who are required to provide their fingerprints and facial image: I understand that my fingerprints and facial image and my biographical information held by the Department of Immigration and Border Protection 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 of Immigration and Border Protection for any of the purposes outlined above; and the Department of Immigration and Border Protection using the information obtained for the purposes of the Migration Act 1958 or the Australian Citizenship Act 2007. 42 Signature of primary applicant Signature Name Date DAY MONTH YEAR Signature Name Signature Name Signature Name Signature Name We strongly advise that you keep a copy of your application and all attachments for your records. Signatures of secondary applicants Office use only Reasons for refusal/comment Subclass Approved Rejected Decision Class Single Multiple Entry Conditions Date of entry DAY MONTH YEAR validity Length of stay Signature of authorised officer Date DAY MONTH YEAR