Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Important – Please read this information carefully before you Please use a pen, and write neatly in English using BLOCK LETTERS.
complete this form. Once you have completed this form we
Tick where applicable 3
strongly advise that you keep a copy for your records.
If you need more space for any answers, give details at Part T –
This form is to be completed in English by applicants who are
Additional information
16 years of age or over, as requested by the office processing the
application.
Integrity of application
The Department of Immigration and Border Protection (the
Part A – Applicant details
department) is committed to maintaining the integrity of the visa
and citizenship programs. Please be aware that if you provide us 1 Please provide your details as they appear in your official documents.
with fraudulent documents or claims, this may result in For example, passport, identity document, travel document, birth
processing delays and possibly your application being refused. certificate.
Note: If you have one name only, please write it in the ‘Family name’
Important information about privacy field.
Your personal information is protected by law, including the Family name
Privacy Act 1988. Important information about the collection,
JAN
use and disclosure (to other agencies and third parties, including
overseas entities) of your personal information, including All given names
sensitive information, is contained in form 1442i Privacy notice.
Form 1442i is available from the department’s website SYED MANSOOR
www.border.gov.au/allforms/ or offices of the department.
You should ensure that you read and understand form 1442i
before completing this form. Sex Male ✔ Female
Day Month Year
Day, month and year
Date of birth 20-Dec-1995
MUST be provided
Country PAKISTAN
2 Do you ever use a Chinese Commercial Code Number for your names
shown in the passport/travel document at Question 1?
No ✔
Yes Chinese Commercial Code Number (in full)
5 Have you ever had a different date of birth to the one shown at
Question 1? Yes ✔
No ✔ Day Month Year Day Month Year
7 Do you hold or have you held citizenship from any other country
(including dual citizenships and all previous citizenships)?
No ✔
Yes Country
From to
Note: If you still have the citizenship, write ‘CURRENT’.
If more than one country, give details at Part T – Additional
information
Nationality Nationality
Place of issue/issuing authority Place of issue/issuing authority
Name on the document (if the same as Question 1, write ‘SAME AS Name on the document (if the same as Question 1, write ‘SAME AS
QUESTION 1’) QUESTION 1’)
Family name Family name
SYEDMANSOORJAN@GMAIL.COM Home ( ) ( )
Mobile/cell +923159103763
Other
GHULAM ISHAQ KHAN BACHELORS OF SCIENCE IN Completed ✔ TOPI 23640, DISTRICT SWABI,
Aug-2014 June-2018
INSTITUTE OF MECHANICAL ENGINEERING Withdrew KHYBER PAKHTUNKHWA, PAKISTAN
ENGINEERING SCIENCES
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
Completed
Withdrew
Currently enrolled
80 (Design date 10/15) - Page 6 © COMMONWEALTH OF AUSTRALIA, 2015
Part H – Proposed travel or further stay
details
21 Are you currently in Australia?
No ✔
Yes Go to Question 25
26 List the towns/cities you will visit during your further stay in Australia
23 Do you have any proposed or booked travel dates for your journey to
Australia?
No ✔
Yes Give details of proposed arrival in Australia
Day Month Year 27 Give details of your arrival in Australia
Arrival date Day Month Year
Arrival date
Flight number or vessel details (if known)
City of arrival
City of arrival
28 Are you applying for a temporary visa?
Give details of countries you will visit on your way to Australia No Go to Part I
(write ‘N/A’ if not applicable)
Yes
29 Do you have any proposed or booked travel for your departure from
Australia?
List the towns/cities you will visit during your time in Australia No
Yes Give details
Day Month Year
Departure date
24 Are you applying for a temporary visa? Flight number or vessel details (if known)
No Go to Part I
Yes ✔ Give details of proposed final departure from Australia
Day Month Year City of departure
Departure date Give details of countries you will visit after your departure from Australia
(write ‘N/A’ if not applicable)
Flight number or vessel details (if known)
UNKNOWN
N/A
Now go to Part I
Mobile/cell
If you will stay at any other address(es), give details at Part T –
Additional information.
Now go to Part J
Child 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 5
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Child 6
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Parent 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
MOTHER ABID ASMA F 01-Jan-1965 N/A
Parent 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Parent 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Sibling 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
SISTER BIBI ALSYEDA ZARA F 04-Apr-1994 N/A
Sibling 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
BROTHER JAN SYED FAREED M 14-Aug-1999 N/A
Sibling 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Sibling 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Family member 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
Family member 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F Day Month Year (If not applicable, write ‘N/A’)
If more than 2 other family members, give details at Part T – Additional information
Date of birth
Nationality
Country Your personal contact’s current residential address
Note: A post office box is not acceptable.
Nationality
Address (including building/unit/house number and street name)
Your personal contact’s current residential address
Note: A post office box is not acceptable.
Address (including building/unit/house number and street name)
Signature of
applicant
Organisation/Business commercial address (including building number -
and street name) Day Month Year
Date
16-Apr-2019
If you do not have enough space to give all the necessary information, attach a separate statement to this form with further details
80 (Design date 10/15) - Page 18 © COMMONWEALTH OF AUSTRALIA, 2015