Second Work and Holiday Visa for Australia: Application Form (UK)

Personal details

• Given names * Given names can not be empty
• Family name * Family names can not be empty
• Sex Sex Male Female * Please choose your sex
• Date of birth Day 12345678910111213141516171819202122232425262728293031 Month JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC Year 19901991199219931994199519961997199819992000200120022003 * Birth day must be before today
• Relationship status Relationship status Divorced Engaged De Facto Married Never Married Separated Widowed Field Relationship status must have a value
• Your place of birth
• Town/City * Please input your city
• Country of birth Country of birth AFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA & HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRIT DEPEND TERR CITBRIT INDIAN OCN TERRBRITISH WEST INDIESBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPCHADCHANNEL ISLANDSCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLCOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICCZECHOSLOVAKIADENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICTIMOR, EASTECUADOREGYPTEL SALVADORENGLANDEQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDSFAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFYR MACEDONIAGABONGAMBIAGAZA STRIPGEORGIAGEORGIA/SANDWICH ISLGERMAN DEM REPUBLICGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUINEAGUERNSEYGUINEA-BISSAUGUYANAHAITIHEARD & MCDONALD ISLHONDURASHONG KONG SARHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELAND, REPUBLIC OFISLE OF MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA (SO STATED)KOREA, NORTHKOREA, SOUTHKOSOVOKUWAITKYRGYZSTANLAO PEOPLES DEM REPLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAU SPCL ADMIN RGNvMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW GUINEANEW HEBRIDESNEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN IRELANDNORTHERN MARIANA ISLNORWAYOMANPAKISTANPALAUPALESTINIAN AUTHORTYPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPLEASANT ISLANDPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIAROMANIA PRE 1/2/2002RUSSIAN FEDERATIONRWANDASAINT BARTHELEMYSAINT LUCIASAINT MARTINSAMOASAN MARINOSAO TOME & PRINCIPESAUDI ARABIASCOTLANDSENEGALSERBIASERBIA AND MONTENEGROSEYCHELLESSIERRA LEONESIKKIMSINGAPORESLOVAK REPUBLICSLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH SUDANSPAINSRI LANKAST HELENAST KITTS AND NEVISST PIERRE & MIQUELONST VINCENT/GRENADINESUDANSURINAMESVALBARD & JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIATAHITITAIWANTAJIKISTANTANZANIATHAILANDTIBET (SO STATED)TIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLTUVALUU.S. MINOR ISLANDSU.S.S.R.UGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESURUGUAYUZBEKISTANVANUATUVATICAN CITY STATEVENEZUELAVIETNAMVIRGIN ISLNDS (BRIT)VIRGIN ISLANDS (U.S)WALESWALLIS & FUTUNA ISLWEST BANKYEMENYUGOSLAVIAZAIREZAMBIAZIMBABWE * please select your country of birth
• Your country of residence
• Select your country of usual residence from the list provided. You will be asked later in this application to provide your full residential address in this country.
• Country of residence Country of residence AFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA & HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRIT DEPEND TERR CITBRIT INDIAN OCN TERRBRITISH WEST INDIESBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPCHADCHANNEL ISLANDSCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLCOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACUBACYPRUSCZECH REPUBLICCZECHOSLOVAKIADENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICTIMOR, EASTECUADOREGYPTEL SALVADORENGLANDEQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDSFAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFYR MACEDONIAGABONGAMBIAGAZA STRIPGEORGIAGEORGIA/SANDWICH ISLGERMAN DEM REPUBLICGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUINEAGUERNSEYGUINEA-BISSAUGUYANAHAITIHEARD & MCDONALD ISLHONDURASHONG KONG SARHUNGARYICELANDINDIAINDONESIAIRANIRAQIRELAND, REPUBLIC OFISLE OF MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA (SO STATED)KOREA, NORTHKOREA, SOUTHKOSOVOKUWAITKYRGYZSTANLAO PEOPLES DEM REPLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAU SPCL ADMIN RGNvMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW GUINEANEW HEBRIDESNEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN IRELANDNORTHERN MARIANA ISLNORWAYOMANPAKISTANPALAUPALESTINIAN AUTHORTYPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPLEASANT ISLANDPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIAROMANIA PRE 1/2/2002RUSSIAN FEDERATIONRWANDASAINT BARTHELEMYSAINT LUCIASAINT MARTINSAMOASAN MARINOSAO TOME & PRINCIPESAUDI ARABIASCOTLANDSENEGALSERBIASERBIA AND MONTENEGROSEYCHELLESSIERRA LEONESIKKIMSINGAPORESLOVAK REPUBLICSLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH SUDANSPAINSRI LANKAST HELENAST KITTS AND NEVISST PIERRE & MIQUELONST VINCENT/GRENADINESUDANSURINAMESVALBARD & JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIATAHITITAIWANTAJIKISTANTANZANIATHAILANDTIBET (SO STATED)TIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLTUVALUU.S. MINOR ISLANDSU.S.S.R.UGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESURUGUAYUZBEKISTANVANUATUVATICAN CITY STATEVENEZUELAVIETNAMVIRGIN ISLNDS (BRIT)VIRGIN ISLANDS (U.S)WALESWALLIS & FUTUNA ISLWEST BANKYEMENYUGOSLAVIAZAIREZAMBIAZIMBABWE * Please select your country of residence
• Your passport details
• Country of passport Country of passport BELGIUMCANADACYPRUSDENMARKESTONIAFINLANDFRANCEGERMANYHONG KONG SARIRELANDITALYJAPANKOREA, SOUTHMALTANETHERLANDSNORWAYSWEDENTAIWANUNITED KINGDOMUNITED STATES * Please select country of passport
• Passport number * Please input your passport number The passport number's format is incorrect
• Passport date of issue Day 12345678910111213141516171819202122232425262728293031 Month JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC Year 200120022003200420052006200720082009201020112012201320142015201620172018201920202021 * Passport date of issue is invalid
• Passport date of expiry Day 12345678910111213141516171819202122232425262728293031 Month JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC Year 202120222023202420252026202720282029203020312032203320342035203620372038203920402041 * Passport date of expiry is nvalid
• Passport place of issue * Passport place of issue cannot be empty
• If you have an Australian visa grant number, please enter the visa grant number
• Grant number
• If you have a current Australian visa label in your current or previous passport, please enter the visa number
• Visa number
• Health Examination
• Have you undertaken a health examination for an Australian visa in the last 12 months?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• Please enter the HAP ID (if known) This field must have a value
• When do you propose to enter Australia using the visa that you are applying for now?
•   Day 12345678910111213141516171819202122232425262728293031 Month JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC Year 20212022 The date must after today
• Do you have any dependent children?
•   No Yes This field must have a value
• Have you undertaken specified work in regional Australia for a total of 3 months?
•   No Yes This field must have a value
• If Yes, in which industry did this work mainly occur?
•   Regional Employment Type Agriculture, Forestry and Fishing Mining Construction This field must have a value
• Do you have approved evidence that you have undertaken specified work in regional Australia for a total of 3 months?
•   No Yes This field must have a value
• Are you known by any other names? (This includes names before marriage.)
•   No Yes This field must have a value
• Do you hold any other citizenship than that shown as your Passport Country above?
•   No Yes This field must have a value
• Have you been granted and entered Australia on a Work and Holiday visa (subclass 462) before?
•   No Yes This field must have a value

• Your personal details (continued)

• What is your usual occupation? This field must have a value
• What industry do you intend to seek employment in? Industry Agriculture, Forestry and Fishing Mining Manufacturing Electricity, Gas and Water Supply Arts and Recreational Services Construction Wholesale Trade Retail Trade Accommodation, Cafes and Restaurants Transport and Storage Communication Services Finance and Insurance Property and Business Services Government Administration and Defence Education Health and Community Services Cultural and Recreational Services Personal and Other Services Other Services This field must have a value
• What is your highest qualification? Qualification Higher Degree Course Degree Course Diploma Course Technical or Training Certificate College Degree Senior High School Degree or Certificate Junior High School Degree, Certificate or Report Other This field must have a value

• Residential address details

• Give details of the residential address in your home country.
• Address * Please input your address
•   * Please input your address
• Suburb/Town * Please input your city
• State or Province * Please select a province
• Postcode * Please input your postcode
• Country
• Your contact telephone numbers
• Mobile/Cell (please include country code)
  +
  Please enter your mobile phone number (please include country code)

• Health declarations

• You are required to answer the following questions for yourself and any other person included in the application.
• In the last 5 years, have you visited, or lived, outside for more than 3 consecutive months (other than Australia)?
•   No Yes This field must have a value
• Do you intend to enter a hospital or a health care facility (including nursing homes) while in Australia?
•   No Yes This field must have a value
• Do you intend to work as, or study to be, or train to be, a doctor, dentist, nurse or paramedic during your stay in Australia?
•   No Yes This field must have a value
• Do you intend to work, or be a trainee, at a child care centre (including preschools and creches) while in Australia?
•   No Yes This field must have a value
• Do you intend to be in a classroom situation for more than 3 months (e.g. as either a student, teacher, lecturer, or observer) while in Australia?
•   No Yes This field must have a value
• Have you:
  1. ever had, or currently have, tuberculosis?
  2. been in close contact with a family member that has active tuberculosis?
  3. ever had a chest x-ray which showed an abnormality?
•   No Yes This field must have a value
• During your proposed visit to Australia, do you expect to incur medical costs, or require treatment or medical follow up for:
• blood disorder No Yes This field must have a value
• cancer No Yes This field must have a value
• heart disease No Yes This field must have a value
• hepatitis B or C No Yes This field must have a value
• liver disease No Yes This field must have a value
• HIV infection, including AIDS No Yes This field must have a value
• kidney disease, including dialysis No Yes This field must have a value
• mental illness No Yes This field must have a value
• pregnancy No Yes This field must have a value
• respiratory disease that has required hospital admission or oxygen therapy No Yes This field must have a value
• other? No Yes This field must have a value
• Do you require assistance with mobility or care due to a medical condition?
•   No Yes This field must have a value

• Visa applicants are encouraged to be immunised against infectious diseases before travelling to Australia. Visa applicants who are unable to arrange their immunisation before departure from their home country are encouraged to seek advice on arrival in Australia. The Australian state and territory health authorities assist people to obtain general medical help and advice, including immunisation. Parents are strongly encouraged to have their children immunised against hepatitis B, diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, haemophilus influenzae type-b (Hib), pneumococcal and meningococcal infections, mumps, measles, rubella and varicella (chickenpox). Babies between the ages of 2 and 8 months of age (only) are also encouraged to be immunised against rotavirus.

  Parents should bring any immunisation records for their children with them to Australia.

  Rubella vaccinations are strongly encouraged for women of child-bearing age.

• Character declarations

• Have you, ever:
• been convicted of a crime or offence in any country (including any conviction which is now removed from official records)?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been charged with any offence that is currently awaiting legal action?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been removed or deported from any country (including Australia)?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been refused a visa for Australia or another country?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• left any country to avoid being removed or deported?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been excluded from or asked to leave any country (including Australia)?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• committed, or been involved in the commission of war crimes or crimes against humanity or human rights?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been involved in any activities that would represent a risk to Australian national security?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• had any outstanding debts to the Australian Government or any public authority in Australia?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)?
•   No Yes This field must have a value
• If Yes, please give details This field must have a value
• 1. served in a military force or state-sponsored or private militia, or
  2. undergone any military or paramilitary training, or
  3. been trained in weapons or explosives use (however described),
  other than in the course of compulsory national military service?
•   No Yes This field must have a value

• Declaration

• I certify that:
• • I have read and understand the information provided to me at the beginning of application, I am aware of the conditions that will apply to my visa and that I am required to abide by them.
•   No Yes This field must have a value
• • I understand that the visa I am applying for does not permit me to be employed in Australia with one employer for more than 6 months.
•   No Yes This field must have a value
• • I understand that the visa I am applying for does not permit me to undertake studies or training for more than 4 months.
•   No Yes This field must have a value
• • I have sufficient funds for the initial period of my stay in Australia and for the fare to my intended overseas destination on leaving Australia.
•   No Yes This field must have a value
• • Any employment is incidental to my holiday in Australia and the purpose of working is to supplement my holiday funds.
•   No Yes This field must have a value
• • I am applying for a Working Holiday visa for the first time and have not previously entered Australia on a Working Holiday visa (on a passport of any country).
•   No Yes This field must have a value
• • I will respect Australian values as listed at the beginning of this application, during my stay in Australia and will obey the laws of Australia.
•   No Yes This field must have a value
• • I have truthfully declared all relevant details required of me in this application.
•   No Yes This field must have a value
• • If granted a visa, I will advise the Australian Government of any change in my circumstances.
•   No Yes This field must have a value

• Document upload: Copy of passport ID page

• Select file and press upload to submit your document:please upload the copy of your passport ID page. 1 file uploaded
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