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Transaction
Reference Number
Form
1229
Form
1229
Transaction
Reference Number
Give details of each child for whom you give permission to be granted
an Australian visa
Provide details as shown in passport
A. Family name
Go to Question 3
Student visa
Go to Question 5
Other visa
Go to Question 5
Given names
DAY
MONTH
YEAR
Date of birth
Country of
passport
Self (alone)
Passport number
Relative(s)
Friend(s)
B. Family name
Go to Question 5
Go to Question 4
Sibling(s)
Given names
Other
DAY
MONTH
YEAR
Date of birth
Country of
passport
Passport number
Provide details of the person responsible for the child/children while they
are in Australia
Family name
C. Family name
Given names
Given names
DAY
MONTH
YEAR
Date of birth
Passport
number
Country of
passport
Country of
passport
Passport number
Address in
Australia
D. Family name
POSTCODE
Given names
DAY
MONTH
Relationship to
child/children
YEAR
Date of birth
Continued on the next page
Country of
passport
Passport number
Parent/Legal guardian 1
Parent/Legal guardian 2
Family name
Family name
Given names
Given names
Address
Address
POSTCODE
COUNTRY CODE
Telephone
AREA CODE
) (
POSTCODE
NUMBER
COUNTRY CODE
Telephone
Mobile/Phone
Relationship to
child/children
) (
NUMBER
)
Mobile/Phone
Father
Mother
Legal guardian
Relationship to
child/children
Father
Mother
Legal guardian
Passport or ID
card or drivers
licence number
Passport or ID
card or drivers
licence number
I declare that:
the information supplied on this form is correct;
I have provided all documentary evidence as required; and
I am satisfied with the arrangements that have been made in Australia
for my dependent child/children under 18 years of age.
I declare that:
the information supplied on this form is correct;
I have provided all documentary evidence as required; and
I am satisfied with the arrangements that have been made in Australia
for my dependent child/children under 18 years of age.
Signature
of parent/legal
guardian 1
Signature
of parent/legal
guardian 2
DAY
MONTH
YEAR
DAY
Date
AREA CODE
MONTH
YEAR
Date
Read Who can witness this consent form or certify copies of original
documents? on page 1 of this form
Read Who can witness this consent form or certify copies of original
documents? on page 1 of this form
Family name
Family name
Given names
Given names
Address
Address
POSTCODE
COUNTRY CODE
Telephone
AREA CODE
) (
POSTCODE
NUMBER
)
COUNTRY CODE
Telephone
Mobile phone
Mobile phone
Title/Occupation
Title/Occupation
Signature
of witness
Signature
of witness
DAY
MONTH
YEAR
DAY
Date
Date
AREA CODE
) (
MONTH
NUMBER
)
YEAR