Australian Temporary Work Visa Application Form (US)

super code

Email Address: *

Confirm Email: *

Dettagli Personali

1

Give the current location of the applicant and their legal status at this location.

Are all the applicants currently outside Australia? *

Yes
No

Current location *

Legal status *

Purpose of stay

Has the applicant been invited to participate in specific event(s) by organisation(s) in Australia? *

Yes
No

Will the applicant undertake highly specialised non-ongoing work? *

Yes
No

Will the applicant be performing as an entertainer in Australia or supporting an entertainer or group of entertainers performing in Australia? *

Yes
No

Will the applicant be directing, producing or taking any other part in a production that will be shown in Australia (including theatre, film, television, radio, concert or recording)? *

Yes
No

Will this application be required to be processed with other applications? *

Yes
No

Is the applicant: *

Personal details *

Given names *

Family name *

Sex *

Date of birth *

Relationship status *

Your place of birth *

Town/City *

State / 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 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 *

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

Does this applicant have national identity documents? *

Yes
No

Given names *

Family name *

Type of document *

Identification number *

Country of issue *

Has this applicant previously travelled to Australia or previously applied for a visa? *

Yes
No

Does this applicant have expired passports that were previously used to travel to Australia? *

Yes
No

Expired passports

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 *

Does this applicant have an Australian visa grant number? *

Yes
No

Australian visa grant number *

Does this applicant have an Australian visa label in their current or previous passport? *

Yes
No

Australian visa label number *

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

Yes
No

Country *

Country

Are there any other persons travelling with the applicant to Australia? *

Yes
No

Travelling companion *

1	Relationship to the applicant * Given names * Family name * Sex * Date of birth *
1	Relationship to the applicant * Given names * Family name * Sex * Date of birth *

Add

Contact details

Country of residence *

Address *

Suburb/Town *

Province *

Postcode *

Home phone (please include country code) *

Home phone (please include country code)

Mobile/Cell phone (please include country code)

Does the applicant have any family members not travelling to Australia who are not Australian citizens or Australian permanent residents? *

Yes
No

Non-accompanying family members *

1	About the family member: Relationship to the applicant * Given names * Family name * Sex * Date of birth * Country of birth *
1	About the family member: Relationship to the applicant * Given names * Family name * Sex * Date of birth * Country of birth *

Add

Proposed period of stay *

Date from *

Date to *

Length of stay in Australia *

Does the applicant intend to enter Australia on more than one occasion? *

Yes
No

Does the applicant know the dates of entry for each occasion after first entry to Australia? *

Yes
No

Give reason

Give details of the additional entry *

1	Date from * Date to * Give reason *
1	Date from * Date to * Give reason *

Add

Will the applicant undertake a course of study in Australia? *

Yes
No

Give details of the course the applicant is undertaking *

Course name *

Institution name *

Date from *

Date to *

Will the applicant visit any relatives, friends or contacts while in Australia? *

Yes
No

About your contact in Australia:

Relationship to the applicant *

Given names *

Family name *

Sex *

Date of birth *

Country of residence *

Address *

Suburb/Town *

Province *

Postcode *

Home phone (please include country code) *

Home phone (please include country code)

Mobile/Cell phone (please include country code)

Email address *

Fax number

Australian residency status *

What is your employment status? *

Give details of your employer

Name *

Address *

Suburb/Town *

State or Province *

Postcode *

Country *

Telephone number *

Please describe the nature or type of business *

Job title / Position *

Occupation *

How long have you been employed by this employer / business?

How long have you been self-employed?

years *

months *

What year did you retire? *

What was your last employment position? *

Give details of your course

Name of your current course *

Name of institution providing your current course *

How long have you been studying at this institution?

years *

months *

How long have you been unemployed?

years *

months *

What was your last employment position? *

Give details of your employment status including commencement and completion (if applicable) dates. *

What funds will the applicant have available to support their stay in Austrialia? *

Australian workplace

Give details of the organisation(s) for whom the work will be undertaken in Australia.

Note: If the applicant is doing freelance work, provide details of the Australian organisation that is hosting or helping arrange the applicant’s stay.

Organisation details

Legal registered name *

Trading name *

Registration identifiers

Give details of all registration identifiers for the business / organisation.

Business registration type *

Business registration ID *

Organisation address

Note that a street address is required. A post office address cannot be accepted as an organisation address.

Country *

Address *

Suburb / Town *

State / Territory *

Postcode *

Contact person details

Give details of the contact person within the organisation.

Family name *

Given names *

Job title *

Business phone *

Mobile phone (please include country code) *

Email address *

Fax number

Give details of the type of work or activity the applicant will be undertaking.

Date from *

Date to *

Job title *

Occupation grouping *

Occupation sub-group *

Duties / activities *

Qualifications, skills and experience *

Give details of the applicant’s qualifications, skills and experience that are relevant to the proposed work or activity in Australia

Relevant qualifications *

Relevant skills *

Relevant experience *

Registration / Licensing / Professional membership requirements *

Will the applicant receive payment for undertaking the work or activity in Australia? *

Yes
No

Will any applicants be undertaking formal studies or training while in Australia? *

Yes
No

Additional Information *

Are any applicants currently or have any applicants previously been an AusAID subsidised student or recipient? *

Yes
No

Will Australia's national interest be affected if the applicant does not undertake the work or activity for which they are intending to enter Australia? *

NOTE: The department will only consider the work or activity to be in Australia's interest in limited circumstances (eg. emergency workers assisting in a natural disaster).

Yes
No

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? *

Yes
No

Details of visit to other country? *

Name *

Country visited *

Date from *

Date to *

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

Yes
No

Name *

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

Name *

Details *

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

Name *

Details *

Expect to incur medical costs *

other? *

Yes
No

Expect to incur medical costs *

Name *

Details *

Character declarations *

Have you, ever:

been convicted of any crime or offence in any country resulting in you being sentenced to imprisonment for 12 months or more? OR been sentenced to 2 or more terms of imprisonment where the total of those terms is 2 years or more? *

Yes
No

If Yes, please give details *

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

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 private militia, and trained in weapons/explosives use other than in the course of compulsory national military service? *

Yes
No

If Yes, please give details *

Name *

Country *

Date from *

Date to *

Additional Information *

Declaration *

I certify that I: *

I have read and understood the information provided in this application. *

Yes
No

Have provided complete and correct information in every detail on this form, and on any attachments to it. *

Yes
No

I understand that if any fraudulent or misleading documents or information is found, this application is likely to be refused and I may become ineligible to be granted a travel visa for a certain period of time. *

Yes
No

I will inform the Department of Immigration and Citizenship in writing immediately as I become aware of a change in circumstances (including change of address) or if there is any change relating to information I4 have provided in or with this application, while it is being considered. *

Yes
No

I understand that if a "no further stay" condition (8503) is imposed on this visa, it will limit my ability to remain in Australia beyond the period authorised by the travel visa. *

Yes
No

Agree not to undertake study or training for more than three months. *

Yes
No

Agree to leave Australia on or before the expiry of the period of stay of the visa. *

Yes
No

I understand that, if required to provide my fingerprints and facial image, the fingerprints and facial image and biographical information held by the Department of Immigration and Citizenship may be given to Australian law enforcement agencies to help identify me and determine eligibility for grant of the visa being applied for, and for law enforcement purposes. *

Yes
No

Give consent to Australian law enforcement agencies disclosing the applicant’s biometric, biographical and criminal record information to the Department of Immigration and Citizenship to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes. *

Yes
No

Give consent to the Department of Immigration and Citizenship using the applicant’s biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007. *

Yes
No

Documents upload *

Please upload scanned copies or pictures of the following documents:

Copy of passport ID page *

Please upload the copy of your passport ID page. Select file and press upload to submit your document.

File name:

File size:

Evidence of Personal Financial Status *

Please upload a bank statement in English, signed and stamped by your bank. Select file and press upload to submit your document.

File name:

File size:

Evidence of Current Employment *

Please upload evidence of your current employment. If you are self employed, provide evidence of your business licence or registration. Select file and press upload to submit your document.

File name:

File size:

Evidence of Current Employment Conditions *

Please upload evidence of your current conditions of employment. This may include a copy of your employment contract or certified agreement. Select the file and press upload to submit your document.

File name:

File size:

Evidence of Qualifications, Skills and Experience *

Please upload evidence of qualifications, skills and experience necessary to carry out the duties and fulfill the responsibilities of the position you intend to undertake in Australia. Select the file and press upload to submit your document.

File name:

File size:

Invitation letter from Australian workplace/employer *

Please upload an invitation letter or other evidence of invitation from your future Australian workplace/employer. Select the file and press upload to submit your document.

File name:

File size:

Evidence of Health Insurance *

Please upload the insurance certificate from your insurance company, possibly signed and stamped on, in English. Select the file and press upload to submit your document.

File name:

File size:

Travel Itinerary *

Please upload a document related to your travel itinerary. Select the file and press upload to submit your document.

File name:

File size:

1

Give the current location of the applicant and their legal status at this location.

Are all the applicants currently outside Australia? *

Yes
No

Current location *

Legal status *

Purpose of stay

Has the applicant been invited to participate in specific event(s) by organisation(s) in Australia? *

Yes
No

Will the applicant undertake highly specialised non-ongoing work? *

Yes
No

Will the applicant be performing as an entertainer in Australia or supporting an entertainer or group of entertainers performing in Australia? *

Yes
No

Will the applicant be directing, producing or taking any other part in a production that will be shown in Australia (including theatre, film, television, radio, concert or recording)? *

Yes
No

Will this application be required to be processed with other applications? *

Yes
No

Is the applicant: *

Personal details *

Given names *

Family name *

Sex *

Date of birth *

Relationship status *

Your place of birth *

Town/City *

State / 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 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 *

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

Does this applicant have national identity documents? *

Yes
No

Given names *

Family name *

Type of document *

Identification number *

Country of issue *

Has this applicant previously travelled to Australia or previously applied for a visa? *

Yes
No

Does this applicant have expired passports that were previously used to travel to Australia? *

Yes
No

Expired passports

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 *

Does this applicant have an Australian visa grant number? *

Yes
No

Australian visa grant number *

Does this applicant have an Australian visa label in their current or previous passport? *

Yes
No

Australian visa label number *

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

Yes
No

Country *

Country

Are there any other persons travelling with the applicant to Australia? *

Yes
No

Travelling companion *

1	Relationship to the applicant * Given names * Family name * Sex * Date of birth *
1	Relationship to the applicant * Given names * Family name * Sex * Date of birth *

Add

Contact details

Country of residence *

Address *

Suburb/Town *

Province *

Postcode *

Home phone (please include country code) *

Home phone (please include country code)

Mobile/Cell phone (please include country code)

Does the applicant have any family members not travelling to Australia who are not Australian citizens or Australian permanent residents? *

Yes
No

Non-accompanying family members *

1	About the family member: Relationship to the applicant * Given names * Family name * Sex * Date of birth * Country of birth *
1	About the family member: Relationship to the applicant * Given names * Family name * Sex * Date of birth * Country of birth *

Add

Proposed period of stay *

Date from *

Date to *

Length of stay in Australia *

Does the applicant intend to enter Australia on more than one occasion? *

Yes
No

Does the applicant know the dates of entry for each occasion after first entry to Australia? *

Yes
No

Give reason

Give details of the additional entry *

1	Date from * Date to * Give reason *
1	Date from * Date to * Give reason *

Add

Will the applicant undertake a course of study in Australia? *

Yes
No

Give details of the course the applicant is undertaking *

Course name *

Institution name *

Date from *

Date to *

Will the applicant visit any relatives, friends or contacts while in Australia? *

Yes
No

About your contact in Australia:

Relationship to the applicant *

Given names *

Family name *

Sex *

Date of birth *

Country of residence *

Address *

Suburb/Town *

Province *

Postcode *

Home phone (please include country code) *

Home phone (please include country code)

Mobile/Cell phone (please include country code)

Email address *

Fax number

Australian residency status *

What is your employment status? *

Give details of your employer

Name *

Address *

Suburb/Town *

State or Province *

Postcode *

Country *

Telephone number *

Please describe the nature or type of business *

Job title / Position *

Occupation *

How long have you been employed by this employer / business?

How long have you been self-employed?

years *

months *

What year did you retire? *

What was your last employment position? *

Give details of your course

Name of your current course *

Name of institution providing your current course *

How long have you been studying at this institution?

years *

months *

How long have you been unemployed?

years *

months *

What was your last employment position? *

Give details of your employment status including commencement and completion (if applicable) dates. *

What funds will the applicant have available to support their stay in Austrialia? *

Australian workplace

Give details of the organisation(s) for whom the work will be undertaken in Australia.

Note: If the applicant is doing freelance work, provide details of the Australian organisation that is hosting or helping arrange the applicant’s stay.

Organisation details

Legal registered name *

Trading name *

Registration identifiers

Give details of all registration identifiers for the business / organisation.

Business registration type *

Business registration ID *

Organisation address

Note that a street address is required. A post office address cannot be accepted as an organisation address.

Country *

Address *

Suburb / Town *

State / Territory *

Postcode *

Contact person details

Give details of the contact person within the organisation.

Family name *

Given names *

Job title *

Business phone *

Mobile phone (please include country code) *

Email address *

Fax number

Give details of the type of work or activity the applicant will be undertaking.

Date from *

Date to *

Job title *

Occupation grouping *

Occupation sub-group *

Duties / activities *

Qualifications, skills and experience *

Give details of the applicant’s qualifications, skills and experience that are relevant to the proposed work or activity in Australia

Relevant qualifications *

Relevant skills *

Relevant experience *

Registration / Licensing / Professional membership requirements *

Will the applicant receive payment for undertaking the work or activity in Australia? *

Yes
No

Will any applicants be undertaking formal studies or training while in Australia? *

Yes
No

Additional Information *

Are any applicants currently or have any applicants previously been an AusAID subsidised student or recipient? *

Yes
No

Will Australia's national interest be affected if the applicant does not undertake the work or activity for which they are intending to enter Australia? *

NOTE: The department will only consider the work or activity to be in Australia's interest in limited circumstances (eg. emergency workers assisting in a natural disaster).

Yes
No

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? *

Yes
No

Details of visit to other country? *

Name *

Country visited *

Date from *

Date to *

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

Yes
No

Name *

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

Name *

Details *

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

Name *

Details *

Expect to incur medical costs *

other? *

Yes
No

Expect to incur medical costs *

Name *

Details *

Character declarations *

Have you, ever:

been convicted of any crime or offence in any country resulting in you being sentenced to imprisonment for 12 months or more? OR been sentenced to 2 or more terms of imprisonment where the total of those terms is 2 years or more? *

Yes
No

If Yes, please give details *

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

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 private militia, and trained in weapons/explosives use other than in the course of compulsory national military service? *

Yes
No

If Yes, please give details *

Name *

Country *

Date from *

Date to *

Additional Information *

Declaration *

I certify that I: *

I have read and understood the information provided in this application. *

Yes
No

Have provided complete and correct information in every detail on this form, and on any attachments to it. *

Yes
No

I understand that if any fraudulent or misleading documents or information is found, this application is likely to be refused and I may become ineligible to be granted a travel visa for a certain period of time. *

Yes
No

I will inform the Department of Immigration and Citizenship in writing immediately as I become aware of a change in circumstances (including change of address) or if there is any change relating to information I4 have provided in or with this application, while it is being considered. *

Yes
No

I understand that if a "no further stay" condition (8503) is imposed on this visa, it will limit my ability to remain in Australia beyond the period authorised by the travel visa. *

Yes
No

Agree not to undertake study or training for more than three months. *

Yes
No

Agree to leave Australia on or before the expiry of the period of stay of the visa. *

Yes
No

I understand that, if required to provide my fingerprints and facial image, the fingerprints and facial image and biographical information held by the Department of Immigration and Citizenship may be given to Australian law enforcement agencies to help identify me and determine eligibility for grant of the visa being applied for, and for law enforcement purposes. *

Yes
No

Give consent to Australian law enforcement agencies disclosing the applicant’s biometric, biographical and criminal record information to the Department of Immigration and Citizenship to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes. *

Yes
No

Give consent to the Department of Immigration and Citizenship using the applicant’s biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007. *

Yes
No

Documents upload *

Please upload scanned copies or pictures of the following documents:

Copy of passport ID page *

Please upload the copy of your passport ID page. Select file and press upload to submit your document.

File name:

File size:

Evidence of Personal Financial Status *

Please upload a bank statement in English, signed and stamped by your bank. Select file and press upload to submit your document.

File name:

File size:

Evidence of Current Employment *

Please upload evidence of your current employment. If you are self employed, provide evidence of your business licence or registration. Select file and press upload to submit your document.

File name:

File size:

Evidence of Current Employment Conditions *

Please upload evidence of your current conditions of employment. This may include a copy of your employment contract or certified agreement. Select the file and press upload to submit your document.

File name:

File size:

Evidence of Qualifications, Skills and Experience *

Please upload evidence of qualifications, skills and experience necessary to carry out the duties and fulfill the responsibilities of the position you intend to undertake in Australia. Select the file and press upload to submit your document.

File name:

File size:

Invitation letter from Australian workplace/employer *

Please upload an invitation letter or other evidence of invitation from your future Australian workplace/employer. Select the file and press upload to submit your document.

File name:

File size:

Evidence of Health Insurance *

Please upload the insurance certificate from your insurance company, possibly signed and stamped on, in English. Select the file and press upload to submit your document.

File name:

File size:

Travel Itinerary *

Please upload a document related to your travel itinerary. Select the file and press upload to submit your document.

File name:

File size: