Australian Work and Holiday Visa Application Form (US)

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Email Address: *

Confirm Email: *

Dettagli Personali

1

Personal details

Given names *

Family name *

Sex *

Date of birth *

Relationship status *

Your place of birth

Town/City *

State or Province *

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 *

Your current location *

Select your current location and your legal status in this country, choosing from the list provided.

Current location *

Legal status *

Your passport details

Provide details of the passport that you will use to enter Australia. Enter these details exactly as they appear in your passport.

Country of passport *

Passport number *

Passport date of issue *

Passport date of expiry *

Passport place of issue *

If you have or ever had an electronic visa to Australia, please enter the visa grant number here:

If you have or ever had an Australian visa label in your current or previous passport, please enter the visa number here:

Identity card details

Details of the identity card or identity number issued to you by your government (if applicable) – e.g. National identity card.

Note: If you are the holder of multiple identity numbers because you are the citizen of more than one country, provide the identity number on the card from the country that you are a permanent resident of, or reside in. Enter your unique identity number exactly as it appears on your identity card.

Identification number

Country of issue

When do you propose to enter Australia using the visa that you are applying for now? *

Do you have any dependent children? *

Yes
No

You are not eligible to use this service, as applicants for this visa must not have dependent children.

Are you known by any other names? (This includes names before marriage.) *

Yes
No

Additional name

1	Given names * Family name * Reason for change * Additional comment
1	Given names * Family name * Reason for change * Additional comment

Add Row

Are you a citizen of a country other than the one on your passport? *

Yes
No

Other citizenship *

1	Country * Provide details of the passport you hold for this citizenship. Enter these details exactly as they appear in your passport. If you have never held a passport for this citizenship, please leave these fields blank. Given names Family name Sex Date of birth Country of passport Passport number Passport date of issue Passport date of expiry Passport place of issue
1	Country * Provide details of the passport you hold for this citizenship. Enter these details exactly as they appear in your passport. If you have never held a passport for this citizenship, please leave these fields blank. Given names Family name Sex Date of birth Country of passport Passport number Passport date of issue Passport date of expiry Passport place of issue

Add

Have you been granted and entered Australia on a Work and Holiday visa (subclass 462) before? *

Yes
No

You are not eligible to use this service

Have you been granted and entered Australia on a Working Holiday Maker visa (subclass 417) before? *

Yes
No

You are not eligible to use this service

Do you hold health insurance to cover your stay in Australia? (You may be requested to provide evidence of your health insurance cover.) *

Yes
No

Have you graduated from high school, or enrolled, deferred or been accepted to undertake study in a post secondary educational institution? *

Yes
No

Do you have evidence that you meet approved educational requirements for a Work and Holiday visa? *

Yes
No

Have you previously been to Australia, held or currently hold a visa for travel to Australia? *

Yes
No

Have you previously had an Australian visa cancelled, been detained in Australia, removed or deported from Australia, or refused entry into Australia? *

Yes
No

Your personal details (continued) *

What is your usual occupation? *

What employment do you intend to seek in Australia? *

What industry do you intend to seek employment in? *

Details of education *

Qualification name *

Qualification type *

Documentary evidence type *

Qualification status *

Details of education provider *

Please enter details of the institution at which you are enrolled, or have graduated from.

Name of education provider *

Education provider type *

Suburb/Town *

State or Province *

Country *

Date from *

Date to *

Residential address details

Give details of the residential address in your home country.

Address *

Suburb/Town *

State or Province *

Postcode *

Country *

Mobile/Cell phone (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 your country of residence for more than 3 consecutive months (other than in Australia)? *

Yes
No

Details of visit to other country? *

1	Country visited * Date from * Date to *
1	Country visited * Date from * Date to *

Add Row

Do you intend to enter a hospital or a health care facility (including nursing homes) while in Australia? *

Yes
No

Reason *

Details *

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? *

Yes
No

Details *

Do you intend to work, or be a trainee, at a child care centre (including preschools and creches) while in Australia? *

Yes
No

Childcare centres including preschools and creches *

Institution (if known) *

Role *

Details *

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? *

Yes
No

Classroom situations *

Name of course *

Name of institution providing course *

Total course length for the duration of your stay (in weeks) *

Have you 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? *

Yes
No

Exposure to tubercolosis *

Name *

Details *

During your proposed visit to Australia, do you expect to incur medical costs, or require treatment or medical follow up for: *

blood disorder *

Yes
No

Expect to incur medical costs *

Name *

Details *

cancer *

Yes
No

Expect to incur medical costs *

Name *

Details *

heart disease *

Yes
No

Expect to incur medical costs *

Name *

Details *

hepatitis B or C *

Yes
No

Expect to incur medical costs *

Name *

Details *

liver disease *

Yes
No

Expect to incur medical costs *

Name *

Details *

HIV infection, including AIDS *

Yes
No

Expect to incur medical costs *

Name *

Details *

kidney disease, including dialysis *

Yes
No

Expect to incur medical costs *

Name *

Details *

mental illness *

Yes
No

Expect to incur medical costs *

Name *

Details *

pregnancy *

Yes
No

Expect to incur medical costs *

Name *

Details *

respiratory disease that has required hospital admission or oxygen therapy *

Yes
No

Expect to incur medical costs *

Name *

Details *

other? *

Yes
No

Expect to incur medical costs *

Name *

Details *

Do you require assistance with mobility or care due to a medical condition? *

Yes
No

Care and/or mobility needs due to a medical condition *

Name *

Details *

About immunisation: *

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, or any person included in this application to apply for this visa, ever:

been convicted of a crime or offence in any country (including any conviction which is now removed from official records)? *

Yes
No

If Yes, please give details *

been charged with any offence that is currently awaiting legal action? *

Yes
No

If Yes, please give details *

been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind? *

Yes
No

If Yes, please give details *

been removed or deported from any country (including Australia)? *

Yes
No

If Yes, please give details *

been refused a visa for Australia or another country? *

Yes
No

If Yes, please give details *

left any country to avoid being removed or deported? *

Yes
No

If Yes, please give details *

been excluded from or asked to leave any country (including Australia)? *

Yes
No

If Yes, please give details *

committed, or been involved in the commission of war crimes or crimes against humanity or human rights? *

Yes
No

If Yes, please give details *

been involved in any activities that would represent a risk to Australian national security? *

Yes
No

If Yes, please give details *

had any outstanding debts to the Australian Government or any public authority in Australia? *

Yes
No

If Yes, please give details *

been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? *

Yes
No

If Yes, please give details *

served in a military force or state-sponsored or private militia, or undergone any military or paramilitary training, or been trained in weapons or explosives use (however described), other than in the course of compulsory national military service? *

Yes
No

Name *

Country *

Date from *

Date to *

Additional Information *

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. *

Yes
No

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. *

Yes
No

I understand that the visa I am applying for does not permit me to undertake studies or training for more than 4 months. *

Yes
No

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. *

Yes
No

Any employment is incidental to my holiday in Australia and the purpose of working is to supplement my holiday funds. *

Yes
No

I am applying for a "Working Holiday" / "Work and Holiday" visa for the first time and have not previously entered Australia on a "Working Holiday" / "Work and Holiday" visa (on a passport of any country). *

Yes
No

I am the holder of approved educational requirements for a Work and Holiday visa. *

Yes
No

I have truthfully declared all relevant details required of me in this application. *

Yes
No

If granted a visa, I will advise the Australian Government of any change in my circumstances. *

Yes
No

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. *

Yes
No

Documents upload *

Please upload scanned copies or pictures of the following documents:

Copy of passport ID page *

Please upload a copy of your passport ID page: select file and press upload to submit your document

File name:

File size:

Passport photo *

Please provide a recent passport photograph (45mm x 35mm). This should be of the head and shoulders only, and should show the person facing the camera, against a plain background and must be less than six months old. Select file and press upload to submit your document.

File name:

File size:

Documentary evidence of education *

Please upload documentary evidence of your education - e.g. Confirmation of Enrolment ("CoE"), Diploma or Graduation certificate: select file and press upload to submit your document.

File name:

File size:

1

Personal details

Given names *

Family name *

Sex *

Date of birth *

Relationship status *

Your place of birth

Town/City *

State or Province *

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 *

Your current location *

Select your current location and your legal status in this country, choosing from the list provided.

Current location *

Legal status *

Your passport details

Provide details of the passport that you will use to enter Australia. Enter these details exactly as they appear in your passport.

Country of passport *

Passport number *

Passport date of issue *

Passport date of expiry *

Passport place of issue *

If you have or ever had an electronic visa to Australia, please enter the visa grant number here:

If you have or ever had an Australian visa label in your current or previous passport, please enter the visa number here:

Identity card details

Details of the identity card or identity number issued to you by your government (if applicable) – e.g. National identity card.

Note: If you are the holder of multiple identity numbers because you are the citizen of more than one country, provide the identity number on the card from the country that you are a permanent resident of, or reside in. Enter your unique identity number exactly as it appears on your identity card.

Identification number

Country of issue

When do you propose to enter Australia using the visa that you are applying for now? *

Do you have any dependent children? *

Yes
No

You are not eligible to use this service, as applicants for this visa must not have dependent children.

Are you known by any other names? (This includes names before marriage.) *

Yes
No

Additional name

1	Given names * Family name * Reason for change * Additional comment
1	Given names * Family name * Reason for change * Additional comment

Add Row

Are you a citizen of a country other than the one on your passport? *

Yes
No

Other citizenship *

1	Country * Provide details of the passport you hold for this citizenship. Enter these details exactly as they appear in your passport. If you have never held a passport for this citizenship, please leave these fields blank. Given names Family name Sex Date of birth Country of passport Passport number Passport date of issue Passport date of expiry Passport place of issue
1	Country * Provide details of the passport you hold for this citizenship. Enter these details exactly as they appear in your passport. If you have never held a passport for this citizenship, please leave these fields blank. Given names Family name Sex Date of birth Country of passport Passport number Passport date of issue Passport date of expiry Passport place of issue

Add

Have you been granted and entered Australia on a Work and Holiday visa (subclass 462) before? *

Yes
No

You are not eligible to use this service

Have you been granted and entered Australia on a Working Holiday Maker visa (subclass 417) before? *

Yes
No

You are not eligible to use this service

Do you hold health insurance to cover your stay in Australia? (You may be requested to provide evidence of your health insurance cover.) *

Yes
No

Have you graduated from high school, or enrolled, deferred or been accepted to undertake study in a post secondary educational institution? *

Yes
No

Do you have evidence that you meet approved educational requirements for a Work and Holiday visa? *

Yes
No

Have you previously been to Australia, held or currently hold a visa for travel to Australia? *

Yes
No

Have you previously had an Australian visa cancelled, been detained in Australia, removed or deported from Australia, or refused entry into Australia? *

Yes
No

Your personal details (continued) *

What is your usual occupation? *

What employment do you intend to seek in Australia? *

What industry do you intend to seek employment in? *

Details of education *

Qualification name *

Qualification type *

Documentary evidence type *

Qualification status *

Details of education provider *

Please enter details of the institution at which you are enrolled, or have graduated from.

Name of education provider *

Education provider type *

Suburb/Town *

State or Province *

Country *

Date from *

Date to *

Residential address details

Give details of the residential address in your home country.

Address *

Suburb/Town *

State or Province *

Postcode *

Country *

Mobile/Cell phone (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 your country of residence for more than 3 consecutive months (other than in Australia)? *

Yes
No

Details of visit to other country? *

1	Country visited * Date from * Date to *
1	Country visited * Date from * Date to *

Add Row

Do you intend to enter a hospital or a health care facility (including nursing homes) while in Australia? *

Yes
No

Reason *

Details *

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? *

Yes
No

Details *

Do you intend to work, or be a trainee, at a child care centre (including preschools and creches) while in Australia? *

Yes
No

Childcare centres including preschools and creches *

Institution (if known) *

Role *

Details *

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? *

Yes
No

Classroom situations *

Name of course *

Name of institution providing course *

Total course length for the duration of your stay (in weeks) *

Have you 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? *

Yes
No

Exposure to tubercolosis *

Name *

Details *

During your proposed visit to Australia, do you expect to incur medical costs, or require treatment or medical follow up for: *

blood disorder *

Yes
No

Expect to incur medical costs *

Name *

Details *

cancer *

Yes
No

Expect to incur medical costs *

Name *

Details *

heart disease *

Yes
No

Expect to incur medical costs *

Name *

Details *

hepatitis B or C *

Yes
No

Expect to incur medical costs *

Name *

Details *

liver disease *

Yes
No

Expect to incur medical costs *

Name *

Details *

HIV infection, including AIDS *

Yes
No

Expect to incur medical costs *

Name *

Details *

kidney disease, including dialysis *

Yes
No

Expect to incur medical costs *

Name *

Details *

mental illness *

Yes
No

Expect to incur medical costs *

Name *

Details *

pregnancy *

Yes
No

Expect to incur medical costs *

Name *

Details *

respiratory disease that has required hospital admission or oxygen therapy *

Yes
No

Expect to incur medical costs *

Name *

Details *

other? *

Yes
No

Expect to incur medical costs *

Name *

Details *

Do you require assistance with mobility or care due to a medical condition? *

Yes
No

Care and/or mobility needs due to a medical condition *

Name *

Details *

About immunisation: *

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, or any person included in this application to apply for this visa, ever:

been convicted of a crime or offence in any country (including any conviction which is now removed from official records)? *

Yes
No

If Yes, please give details *

been charged with any offence that is currently awaiting legal action? *

Yes
No

If Yes, please give details *

been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind? *

Yes
No

If Yes, please give details *

been removed or deported from any country (including Australia)? *

Yes
No

If Yes, please give details *

been refused a visa for Australia or another country? *

Yes
No

If Yes, please give details *

left any country to avoid being removed or deported? *

Yes
No

If Yes, please give details *

been excluded from or asked to leave any country (including Australia)? *

Yes
No

If Yes, please give details *

committed, or been involved in the commission of war crimes or crimes against humanity or human rights? *

Yes
No

If Yes, please give details *

been involved in any activities that would represent a risk to Australian national security? *

Yes
No

If Yes, please give details *

had any outstanding debts to the Australian Government or any public authority in Australia? *

Yes
No

If Yes, please give details *

been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? *

Yes
No

If Yes, please give details *

served in a military force or state-sponsored or private militia, or undergone any military or paramilitary training, or been trained in weapons or explosives use (however described), other than in the course of compulsory national military service? *

Yes
No

Name *

Country *

Date from *

Date to *

Additional Information *

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. *

Yes
No

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. *

Yes
No

I understand that the visa I am applying for does not permit me to undertake studies or training for more than 4 months. *

Yes
No

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. *

Yes
No

Any employment is incidental to my holiday in Australia and the purpose of working is to supplement my holiday funds. *

Yes
No

I am applying for a "Working Holiday" / "Work and Holiday" visa for the first time and have not previously entered Australia on a "Working Holiday" / "Work and Holiday" visa (on a passport of any country). *

Yes
No

I am the holder of approved educational requirements for a Work and Holiday visa. *

Yes
No

I have truthfully declared all relevant details required of me in this application. *

Yes
No

If granted a visa, I will advise the Australian Government of any change in my circumstances. *

Yes
No

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. *

Yes
No

Documents upload *

Please upload scanned copies or pictures of the following documents:

Copy of passport ID page *

Please upload a copy of your passport ID page: select file and press upload to submit your document

File name:

File size:

Passport photo *

Please provide a recent passport photograph (45mm x 35mm). This should be of the head and shoulders only, and should show the person facing the camera, against a plain background and must be less than six months old. Select file and press upload to submit your document.

File name:

File size:

Documentary evidence of education *

Please upload documentary evidence of your education - e.g. Confirmation of Enrolment ("CoE"), Diploma or Graduation certificate: select file and press upload to submit your document.

File name:

File size:

Add Row

Tracking Code

Visa Type

Validate Email

Australian Work and Holiday Visa Form (US)

Enter and confirm your email address to start the application process.

Australian Government official resources: