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COMMONWEALTH OF AUSTRALIA, 2015
Personal particulars for assessment
including character assessment
Important Please read this information carefully before you
complete this form. Once you have completed this form we
strongly advise that you keep a copy for your records.
This form is to be completed in English by applicants who are
16 years of age or over, as requested by the office processing the
Integrity of application
The Department of Immigration and Border Protection (the
department) is committed to maintaining the integrity of the visa
and citizenship programs. Please be aware that if you provide us
with fraudulent documents or claims, this may result in
processing delays and possibly your application being refused.
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 department's website
www.border.gov.au/allforms/ or offices of the department.
You should ensure that you read and understand form 1442i
before completing this form.
Please use a pen, and write neatly in English using BLOCK LETTERS.
Tick where applicable 3
If you need more space for any answers, give details at Part T
Part A Applicant details
Please provide your details as they appear in your official documents.
For example, passport, identity document, travel document, birth
Note: If you have one name only, please write it in the 'Family name'
All given names
Date of birth
Day, month and year
MUST be provided
Suburb of birth
Town/City of birth
Do you ever use a Chinese Commercial Code Number for your nam