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Sponsorship for a child to migrate to Australia

Form

40CH

Important – Please read this information carefully before you complete this application. Once you have completed this application we strongly advise that you keep a copy for your records. Before you fill in this form you should read booklet 2, Child Migration, which is available from the Department of Immigration and Citizenship (the department) website www.immi.gov.au/allforms/. If you are satisfied that you are eligible to sponsor the child, you should continue reading these instructions.

If the child is under 18 years of age If the child is in Australia, and you are in Australia, you should complete this form and lodge it together with the completed visa application form (form 47CH), plus all relevant documentation, on the behalf of the child at the nearest office of the department in Australia. If the child is outside Australia, you should complete this form and arrange for it to be lodged together with the completed visa application form (form 47CH), plus relevant documentation, on behalf of the child at the nearest office of the department. Applications for children outside Australia must be lodged at an office of the department outside Australia. However, for Adoption (subclass 102) visa applications, the applications must be lodged outside Australia at the department’s office responsible for visa applications from the country where the child was, or is in the process of being, adopted. You, or the child’s current guardian, should complete form 47CH on the child’s behalf. If you are sponsoring a child who is onshore and has had a visa refused or cancelled and does not hold a substantive visa, then this completed and signed form must be provided at the same time as form 47CH. The child must also be under 25 years of age unless claiming to be incapacitated for work due to disability.

Integrity of sponsorship
The department is committed to maintaining the integrity of the visa and citizenship programs. If you, a member of your family unit included in your application or a third party acting on your behalf, provide (or have provided in a previous application) false or misleading information or bogus documents either knowingly or otherwise, your visa application may be refused. You may also be subject to a 3 year exclusion period in relation to visas to which the fraud criterion applies. Any visa granted may be cancelled.

Who can sponsor?
The child must be sponsored by the parent, relative or guardian (as applicable for the category). The sponsor gives a written undertaking to provide support for the child, including accommodation and financial assistance as required to meet the child’s reasonable living needs during their first 2 years in Australia, or the 2 years following the grant of the child’s visa if the child is applying in Australia. The sponsor must complete the undertaking in Part N of this form. The sponsor must be an Australian citizen, permanent resident or eligible New Zealand citizen aged 18 years or over. If you wish to sponsor a child for an Orphan Relative (subclass 117 or 837) visa, you must have been lawfully resident in Australia for a reasonable period (usually 2 years). Additionally, for the child to be granted an Orphan Relative visa, you must be able to provide adequate financial support and accommodation to this relative. ‘Partner’ means your spouse or de facto partner (including same-sex partners).

Parental responsibility (custody) requirement (for a child under 18 years of age)
If another parent or any other person can legally determine where the child can live, permission for the child to migrate to Australia must be obtained from that person. This must be in the form of either a completed form 1229 Consent to grant an Australian visa to a child under the age of 18 years or a statutory declaration. Alternatively, the parental responsibility (custody) requirement will be satisfied if the sponsoring parent is in possession of a valid court order in relation to the child which permits them to permanently remove the child from the child’s home country, or has a valid Australian child order issued by the Family Court in Australia and the grant of the visa would be consistent with that order.

How to sponsor
To make a valid application, form 47CH Application for migration to Australia by a child and the Visa Application Charge (or evidence that you have paid the charge in Australia) must be lodged together. This form should also be lodged at the same time. Visa Application Charges may be subject to adjustment on 1 July each year. This may increase the cost of a visa. If the child is 18 years of age or over Complete this form and send or give it to the child you are sponsoring. The child should complete form 47CH and lodge it together with this sponsorship form at the nearest office of the department if applying in Australia, or if applying outside Australia at the nearest office of the department outside Australia.

Protection of children
The Australian Government considers that the safety of children is paramount and this is reflected in policies about the sponsorship of minors for visas to enter Australia. The government wants to ensure that children seeking to enter Australia under partner and child visas are protected from being sponsored by people with convictions for child sex offences or other serious offences indicating that they may pose a significant risk to a child in their care. A sponsorship limitation in the Migration Regulations 1994 prevents a sponsorship from being approved if one of the proposed applicants is under 18 years of age and the Minister is satisfied that the sponsor or the sponsor’s spouse or de facto partner has a conviction or outstanding charge for a registrable offence. Where the child is aged under 18 years, sponsors (and, if applicable, their partners) of child visa

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40CH (Design date 04/13) - Page 1

applications lodged on or after 27 March 2010, are required to provide an Australian National Police Check and/or foreign police certificate(s) as part of the process of assessing the application. The results of the police certificate(s) are used by the department to assess the sponsorship application and whether or not the visa application satisfies public interest criteria relating to the best interests of the applicant. A sponsorship that would otherwise be refused under this limitation may be approved at the discretion of the Minister or his delegate if 5 years have passed since completion of the sentence for the last relevant offence and there are compelling circumstances affecting the sponsor or the visa applicant. In addition to the Australian National Police Check or other police certificate(s), sponsors must disclose to the department any information relating to any conviction for child sex offences they have had or any charges currently awaiting legal action. It is also important that migration applicants, and any non-migrating person who can lawfully determine where a migrating minor child is to live, are informed when the sponsor has such convictions or outstanding charges. When the department is aware of any convictions or charges of this nature, through either: • the Australian National Police Check or other police certificate(s) provided; or • the answers you provide to Question 33 on this form (40CH); or • liaison with relevant Commonwealth, state and territory agencies; it may inform the migration applicant, and any non-migrating person who can lawfully determine where the applicant’s migrating minor child may live, about the convictions or charges. Signing the sponsorship undertaking will be taken as your acknowledgement of this approach. Note: Where the applicant is adopted and an Australian state or territory adoption authority has approved the adoption, police checks are obtained as part of the approval process and further police checks are not required with the application.

Centrelink has responsibility for assessing all AoS applications. Where appropriate, this also includes managing bond lodgement. For more information about the AoS scheme including application procedures, refer to Centrelink’s website at www.centrelink.gov.au or contact Centrelink on 132 850 from within Australia or 61 3 6222 3455 from outside Australia. Note: The AoS remains in place for the duration of the assurance period regardless of whether or not the applicant has obtained a different visa (except where that visa is a Humanitarian visa) or has become an Australian citizen. Once the relevant visa has been granted, the AoS can only be cancelled in very limited circumstances and these circumstances are determined by Centrelink (not by the department).

What documents do you need?
You should provide all documents asked for in this form. The department will need proof of your relationship to the child. It will help processing if you lodge with this form any documents which confirm the relationship. For example, if you are sponsoring your niece or nephew as an orphan relative, you should include certified copies of your full birth certificate and the full birth certificate of your sibling who is the parent of the child. If you or your siblings have changed your name(s) since birth, you should also provide evidence of this. You will also need to provide evidence of your permanent resident status in Australia or proof that you are an eligible New Zealand citizen. An Australian citizen will need to send a certified copy of their citizenship certificate or, if Australianborn, a full certified copy of their birth certificate. If you are unsure about the documents needed to do this, contact the nearest office of the department or Australian mission. You will also need to demonstrate that you can meet your sponsorship obligations. These are that you will be able to assist the child, to the extent necessary, financially and in respect of accommodation, during the period of 2 years immediately following their arrival in Australia or the 2 years following the grant of the visa if the child is applying in Australia. Additionally, if you are sponsoring a child who is an orphan relative, to enable them to be granted the visa, you must also be able to demonstrate that you have the capacity to provide this financial support and accommodation until your relative turns 18 years of age. The information requested on this form, including documents relating to your employment and income, will assist the decision-maker in deciding if you are able to meet these requirements. If the applicant is under 18 years of age, in order to assess the sponsorship application and the best interests of the child criterion, both you and your spouse or de facto partner are required to submit an Australian National Police Check for each person who has spent a total of 12 months or more in Australia since turning 16 years of age. In addition, police certificates from each other country in which you and your partner have spent a total of 12 months or more in the last 10 years since turning 16 years of age must also be submitted. You must provide the original police certificates. If you are required to submit an Australian National Police Check, you must complete the National Police Check application form that is available from the Australian Federal Police (AFP) website www.afp.gov.au

Assurance of Support (AoS)
An AoS may be requested if an applicant is assessed as being a potentially high user of the Australian welfare system during their first 2 years in Australia. As well as your child’s circumstances, your ability to support your child (and any other dependants included in the application) may be taken into account by the decision-maker in deciding whether to request an AoS. Some of the information given by you on this form may be used for this.

What is an AoS?
An AoS is an undertaking to provide financial support to the person or persons applying to migrate so that the migrant will not have to rely on any government forms of support. It is also a legal commitment by a person to repay to the Australian Government certain recoverable social security payments made by Centrelink to those covered by the assurance. The sponsor of the visa applicant is not required to act as the assurer if they are not in a financial position to qualify. Generally a person who has received the full rate of any pension, benefit or allowance (other than family payments) from Centrelink during the last year will not qualify as an assurer. Another person who is an Australian citizen or permanent resident or eligible New Zealand citizen who is usually resident in Australia and over 18 years of age can act as the assurer.
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© COMMONWEALTH OF AUSTRALIA, 2013

You should use Code 33 at Question 1 on the National Police Check application form and include details of any, and all, names you have been known by. If an AFP Certificate is provided based on incorrect information, the department may request another certificate. Fingerprints are not required for National Police Checks. If you are providing copies of documents they will need to be certified as true copies of the original by a justice of the peace, commissioner for declarations or a person authorised to witness statutory declarations. Note: Applicants and sponsors are encouraged to use the local websites of Australian overseas missions to check for specific local documentation requirements before lodging the child’s visa application. Website addresses are located on the department’s website at www.immi.gov.au/contacts/

The information provided might also be disclosed to agencies who are authorised to receive information relating to adoption, border control, business skills, citizenship, education, health assessment, health insurance, health services, law enforcement, payment of pensions and benefits, taxation, review of decisions and regulation of migration agents. The Privacy Act 1988 (the Privacy Act) is the key law designed to safeguard personal information collected by government agencies. The information privacy principles in the Privacy Act must be obeyed by federal government agencies, including the department, when gathering, processing and disclosing information about the applicant. Please read the information form 993i Safeguarding your personal information, which is available from the department’s website www.immi.gov.au/allforms/ or from an office of the department, so as to be better informed about the agencies to which personal information might be disclosed. The department has authority under the Migration Act 1958 to collect a range of personal identifiers from non-citizens, including visa applicants, in certain circumstances. For more detailed information please read information form 1243i Your personal identifying information, which is available from the department’s website www.immi.gov.au/allforms/ The Freedom of Information Act 1982 also relates to the applicant’s personal information. Under this Act the applicant can apply for access to documents containing their personal information.

Two-year wait for social security payments
New migrants to Australia have to wait 2 years before they can get most social security payments. The 2 year wait starts from the date of arrival or the date of permanent residence status, whichever is the later. You should therefore think carefully about whether or not you are able and willing to provide support for the child. The ‘Living in Australia’ section of the booklet Child Migration provides more information on the 2 year wait including information on exemptions for some people. Information on services to assist newly arrived migrants with settling in Australia is also available on the department’s ‘Settling in Australia’ website at www.immi.gov.au/living-in-australia/settle-in-australia

Obtaining information about you from other agencies and organisations
Under section 56 of the Migration Act 1958, the department may seek information about you that is relevant to your sponsorship application from other agencies and organisations. The agencies/organisations may include: • federal, state or territory government agencies; • federal, state or territory law enforcement agencies; • state or territory housing authorities (including private landlords); • local government authorities; • financial institutions; • educational institutions; • private businesses (including telecommunications and internet service providers, insurance companies); and • any other relevant businesses or agencies.

Health
All applicants for permanent visas including the main applicant, spouse and any dependants must be assessed against the health requirement. Even if the applicant’s spouse and dependants are not included in the visa application, they must still be assessed against the health requirement. Applicants for a permanent visa will be asked to undergo a medical examination, an x-ray if 11 years of age or older and an HIV test if 15 years of age or older, as well as any additional tests required by the Medical Officer of the Commonwealth (MOC). Note: Applicants may have already undertaken a health assessment for their visa. However, the department reserves the right to request additional health examinations as part of this visa application process.

About the information you give
The department is authorised to collect information provided on this form under Part 2 of the Migration Act 1958 (the Act) ‘Control of Arrival and Presence of Non-Citizens’. The information provided will be used for assessing eligibility for a visa to travel to, enter and remain in Australia and for other purposes relating to the administration of the Act, for example, to assist migrants with settling in Australia, to monitor the conduct of migration agents, or for ensuring compliance with the Act. Where sponsorship applications present potential child protection issues, the department will ensure the migration applicant, or a person with parental responsibility (as defined in section 61B of the Family Law Act 1975) for the applicant, is made aware of the information collected that raises child protection concerns. The section titled Protection of children on page 1 of this form gives details of situations where the department may take such action.

Immigration assistance
A person gives immigration assistance to you if he or she uses, or claims to use, his or her knowledge or experience in migration procedure to assist you with your visa application, request for ministerial intervention, cancellation review application, sponsorship or nomination. In Australia a person may only lawfully give immigration assistance if he or she is a registered migration agent or is exempt from being registered. Only registered migration agents may receive a fee or reward for providing immigration assistance. If an unregistered person in Australia, who is not exempt from registration, gives you immigration assistance they are committing a criminal offence and may be prosecuted.

Migration agents in Australia Migration agents in Australia must be registered with the Office of the Migration Agents Registration Authority (Office of the MARA) unless they are exempt from registration.
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© COMMONWEALTH OF AUSTRALIA, 2013

Migration agents outside Australia Migration agents who operate outside Australia do not have to be registered. The department may give some overseas agents an ID number. This number does not mean that they are registered.
Note: Some Australian registered migration agents operate overseas.

Authorised recipient information All written communication about your application will be sent to your authorised recipient, unless you indicate that you wish to have health and/or character information sent directly to you.
The department will communicate with the most recently appointed authorised recipient as you may only appoint one authorised recipient at any time for a particular application. You will be taken to have received any documents sent to that person as if they had been sent to you. To appoint an authorised recipient you should complete: • Part N Options for receiving written communications; and • form 956A Appointment or withdrawal of an authorised recipient. Note: Migration agents/exempt persons do not need to complete form 956A. Form 956A is available from the department’s website www.immi.gov.au/allforms/

Migration agent information A migration agent is someone who can: • advise you on the visa that may best suit you; • tell you the documents you need to submit with your application; • help you fill in the application and submit it; and • communicate with the department on your behalf.
If you appoint a migration agent, the department will assume that your migration agent will be your authorised recipient, unless you indicate otherwise. Your migration agent will be the person with whom the department will discuss your application and from whom it will seek further information when required. You are not required to use a migration agent. However, if you use a migration agent, the department encourages you to use a registered migration agent. Registered agents are bound by the Migration Agents Code of Conduct, which requires them to act professionally in their clients’ lawful best interests. Information on migration agents, including a list of registered migration agents, is available on the Office of the MARA website www.mara.gov.au You can also access information about migration agents on the department’s website www.immi.gov.au

Consent to communicate electronically
The department may use a range of means to communicate with you. However, electronic means such as fax or e-mail will only be used if you indicate your agreement to receiving communication in this way. To process your application the department may need to communicate with you about sensitive information, for example, health, police checks, financial viability and personal relationships. Electronic communications, unless adequately encrypted, are not secure and may be viewed by others or interfered with. If you agree to the department communicating with you by electronic means, the details you provide will only be used by the department for the purpose for which you have provided them, unless there is a legal obligation or necessity to use them for another purpose, or you have consented to use for another purpose. They will not be added to any mailing list. The Australian Government accepts no responsibility for the security or integrity of any information sent to the department over the internet or by other electronic means. If you authorise another person to receive documents on your behalf and they wish to be contacted electronically, their signature is required on form 956 or 956A to indicate their consent to this form of communication. Note: Electronic communication is the fastest means of communication available and the department prefers to communicate electronically because this results in faster processing.

Exempt persons The following people do not have to be a registered migration agent in order to provide immigration assistance, but they must not charge a fee for their service: • a close family member (spouse, de facto partner, child, parent, brother or sister); • a member of parliament or their staff; • an official whose duties include providing immigration assistance (eg. a Legal Aid provider); • a member of a diplomatic mission, consular post or international organisation. Appointing a migration agent/exempt person To appoint a migration agent/exempt person you should complete Part N Options for receiving written communications.
Your migration agent/exempt person should complete form 956 Advice by a migration agent/exempt person of providing immigration assistance. Form 956 is available from the department’s website www.immi.gov.au/allforms/

Options for receiving written communications
If you do not appoint a migration agent/exempt person you may still authorise another person, in writing, to receive written communications on your behalf. This person is called the authorised recipient.

Home page General enquiry line

www.immi.gov.au
Telephone 131 881 during business hours in Australia to speak to an operator (recorded information available outside these hours). If you are outside Australia, please contact your nearest Australian mission.

Please keep these information pages for your reference
40CH (Design date 04/13) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2013

Sponsorship for a child to migrate to Australia

Form

40CH

Please use a pen, and write neatly in English using BLOCK LETTERS. Tick where applicable

3

Part A – Application overview
1
How many people are included in this sponsorship for migration?

Part C – Child’s details
7
Child’s full name (as shown in passport or travel document) Family name Given names

Part B – About you
2
Your full name (as shown in your passport or travel document) Family name Given names

8

Child’s name in own language or script (if applicable)

9
Female
DAY MONTH YEAR

Other ways used to spell the child’s name Family name

3 4 5

Sex

Male

Given names

Date of birth Place of birth Town/city Country

10 Sex

Male

Female
DAY MONTH YEAR

11 Child’s date of birth 12 Child’s residential address

6

What is your citizenship/residence status in Australia? (Tick one only) Australian citizen by birth Attach certified copy of birth certificate Date of arrival in Australia
DAY MONTH YEAR

POSTCODE

Australian citizen by grant

13 Child’s relationship status
Married Engaged De facto Separated Divorced Widowed Never married or been in a de facto relationship

Attach proof of citizenship and length of residence Permanent resident of Australia Date of arrival in Australia
DAY MONTH YEAR

Attach proof of length of residence Which citizenships do you hold?

Eligible New Zealand citizen

Length of residence in Australia Please attach proof
© COMMONWEALTH OF AUSTRALIA, 2013 40CH (Design date 04/13) - Page 5

14 Child’s relationship to you
Note: For the purposes of this form, a ‘natural’ child includes: • a biological child of the Australian parent; or • a child conceived through an artificial conception procedure; or • a child born under surrogacy arrangements, where parentage has been transferred by court order under a prescribed state or territory law. Adopted child Step-child Natural child Brother/sister Nephew or niece Grandchild Other Please specify Go to Part F Go to Part F Go to Part D Go to Part E Go to Part G

Part E – Step-child
16 Is this child the child of your former partner?
No Yes Go to Part G You must attach evidence of your former relationship to the child’s parent and evidence that you have a legal responsibility to look after the child eg. a court order granting you parental responsibility (custody) or guardianship.

Note: You are only able to sponsor your step-child where that child is the child of your former partner, AND the child is under 18 years of age. A former partner includes a deceased partner. You CANNOT sponsor your step-child where that child is the child of your current partner. Go to Part G

Part F – Orphan relative
17 Are the child’s parents both either dead, of unknown whereabouts or permanently incapacitated? No Yes Give details

Part D – Adopted child
15 When did you adopt the child?
Before I became an Australian citizen, permanent resident or eligible New Zealand citizen Attach a certified copy of the child’s adoption certificate or, if applicable, an adoption compliance certificate made under the Adoption Convention. Go to Part G After I became an Australian citizen, permanent resident or eligible New Zealand citizen Attach a certified copy of the child’s adoption certificate or, if applicable, an adoption compliance certificate made under the Adoption Convention. Go to Part H I have not yet adopted the child but the child has been allocated to me for adoption Attach an official letter from the relevant Australian state or territory adoption authority which shows that you have been allocated the child for adoption. Go to Part H

Parent’s full name

Sex

Male Dead

Female Unknown whereabouts Permanently incapacitated

Parent’s full name

Sex

Male Dead

Female Unknown whereabouts Permanently incapacitated

Attach evidence to support this claim (eg. parent’s death certificate or report from a qualified medical practitioner, which shows that the child’s parent has a disability that stops them from looking after the child)

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Part G – Parental responsibility (custody) and guardianship (only for a child under 18 years of age)
18 Do you have the sole legal right to determine where the child shall live or to permanently remove the child from their home country? No Give details of ALL other people who have parental responsibility (custody), access or guardianship rights in relation to the child You must attach either a completed form 1229 Consent to grant an Australian visa to a child under the age of 18 years or a statutory declaration from each of these people giving permission for the child to migrate. Note: Form 1229 or the statutory declaration must be accompanied by a certified copy of the other person’s identification (eg. passport or driver’s licence). 1. Full name

Part H – Dependants of the child
19 Does the child have any dependent family members who are included in this sponsorship? No Yes Give details

1. Full name Sex Date of birth Country of current residence Citizenship Relationship to child* 2. Full name Male
DAY MONTH

Female
YEAR

Residential address

Sex Date of birth
POSTCODE

Male
DAY MONTH

Female
YEAR

Telephone number
COUNTRY CODE ( ) ( AREA CODE ) NUMBER

Country of current residence Citizenship Relationship to child* 3. Full name

Relationship to the child

Nature of the legal right

Sex Date of birth

Male
DAY MONTH

Female
YEAR

2. Full name Residential address

Country of current residence Citizenship Relationship to child*
POSTCODE

Telephone number
COUNTRY CODE ( ) ( AREA CODE ) NUMBER

* Siblings who wish to migrate together must make separate applications and have separate sponsorships.

Relationship to the child

Nature of the legal right

Yes

Attach a certified copy of the court order giving you sole legal right to determine where the child shall live or the right to permanently remove the child from the country Does this document give permission for the child to migrate permanently? No Yes

© COMMONWEALTH OF AUSTRALIA, 2013

40CH (Design date 04/13) - Page 7

Part I – Your details
20 Your current residential address
Note: You are required to provide a residential address on this form for it to be a valid visa application. Under legislation, a post office box address is not acceptable as a residential address.

26 Is your paid employment full-time or part-time?
Full-time Part-time Give details Number of hours worked per week Reasons for not working full-time

POSTCODE

Note: If your residential address is not in Australia, please attach a statement outlining how you will meet your sponsorship obligations (see Part N).

27 Have you been in paid employment at any time in the past 2 years?
No Yes Give details

21 Address for correspondence
(If the same as your residential address, write ‘AS ABOVE’)

1. Name of employer
DAY MONTH YEAR DAY MONTH YEAR

POSTCODE

From Your occupation
NUMBER

to

22 Your telephone numbers
COUNTRY CODE AREA CODE ) ( ) ( ) )

Office hours After hours

( (

2. Name of employer
DAY MONTH YEAR DAY MONTH YEAR

23 Do you agree to the department communicating with you by fax, e-mail or other electronic means? No Yes Fax number E-mail address Note: If this sponsorship is refused, you will be notified in writing. Give details
COUNTRY CODE ( ) ( AREA CODE ) NUMBER

From Your occupation 3. Name of employer
DAY MONTH YEAR

to

DAY

MONTH

YEAR

From Your occupation 4. Name of employer
DAY MONTH YEAR

to

24 Relationship status
Married Engaged De facto Separated Divorced Widowed Never married or been in a de facto relationship
DAY MONTH YEAR

From Your occupation

to

25 What is your current employment status?
In paid employment Not in paid employment Give details Home duties Seeking employment Retired Receiving pension Full-time student Other Give details Go to Question 27

You should provide certified photocopies of one of the following documents to show your employment during the last 2 years: • Australian income and/or overseas tax assessment notices*; or • letter from employer confirming length of employment and annual salary; or • payslips; or • business documents or letter from your accountant if self-employed, or self-funded from other sources. * The department does not require your Tax File Number (TFN). If your TFN is shown on your tax assessment notice, you may wish to remove or obscure it before you attach the copy of the assessment notice to this form.

Now go to Question 27

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28 Have you received Newstart Allowance, Parenting Payment, Youth
Allowance, Widow Allowance or Special Benefit during the last 2 years? No Yes Give details

30 Have you lived in any other town or city over the last 2 years other than the one you are living in now? No Yes Give details

1. Type of payment
DAY MONTH YEAR DAY MONTH YEAR

1. City/town
POSTCODE DAY MONTH YEAR DAY MONTH YEAR

From 2. Type of payment
DAY MONTH YEAR

to

From 2. City/town

to

POSTCODE DAY MONTH YEAR

From 3. Type of payment
DAY MONTH YEAR

to

DAY

MONTH

YEAR

DAY

MONTH

YEAR

From 3. City/town
DAY MONTH YEAR DAY MONTH YEAR

to

POSTCODE DAY MONTH YEAR

From

to

From 4. City/town

to

29 Are you currently receiving any other form of social security benefit, pension or allowance (including any benefits received from a country outside Australia)? No Yes Give details

POSTCODE DAY MONTH YEAR DAY MONTH YEAR

From

to

31 Do you have any children or relatives (in and outside of Australia) who are dependent on you?
No Yes Give details Relative’s full name (FAMILY name in CAPITALS) Sex Date of birth or Age M/F Relationship to you (eg. your child, father, sister, aunt, cousin) Are they residing with you? No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

© COMMONWEALTH OF AUSTRALIA, 2013

40CH (Design date 04/13) - Page 9

32 Are you sponsoring a child under 18 years of age?
No Yes Go to Question 35

33 Have you ever:
• specifically, been convicted of a crime or offence in any country (including any conviction which is now removed from official records), relating to persons under 18 years of age, including but not limited to: child abuse, child sex, endangering a child, indecent dealings with a child, or possession of child pornography? • specifically, been charged with any offence that is currently awaiting legal action, in any country, relating to persons under 18 years of age, including but not limited to: child abuse, child sex, endangering a child, indecent dealings with a child, or possession of child pornography?

No

Yes

No

Yes

If you answered ‘Yes’ to either of these questions, you must give ALL relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.

34 In which countries have you lived for 12 months or more during the last 10 years?
Country
FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO

Dates lived there
MONTH YEAR

Last permanent address in that country

35 Are you an eligible New Zealand citizen?
No Yes
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Go to Part J

36 Have you ever:
• in addition to any crime or offence disclosed in response to Question 33 on page 10, been convicted of a crime or offence in any country (including any conviction which is now removed from official records)? • in addition to any crime or offence disclosed in response to Question 33 on page 10, been charged with any offence that is currently awaiting legal action?

Part J – Your partner’s details
37 Are you currently in a partner relationship (married or in a de facto partner relationship)? No No Yes Yes Go to Part K

38 Your partner’s full name (as shown in passport or travel document)
No Yes Family name Given names Yes Yes Yes Yes

• been acquitted of any criminal offence or other offence on the grounds of mental illness, insanity or unsoundness of mind? No • been removed or deported from any country (including Australia)? • left any country to avoid being removed or deported? • been excluded from or asked to leave any country (including Australia)? • committed, or been involved in, the commission of war crimes or crimes against humanity or human rights? No No No

39 Sex

Male
DAY

Female
MONTH YEAR

40 Date of birth 41 Place of birth
Town/city Country

No

Yes Yes

• been involved in any activities that would represent a risk to Australian national security? No • had any outstanding debts to the Australian Government or any public authority in Australia?

42 What is your partner’s citizenship/residence status in Australia?
(Tick one only) Australian citizen by birth Attach certified copy of birth certificate Date of arrival in Australia
DAY MONTH YEAR

No

Yes Australian citizen by grant Yes

• been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? No • served in a military force or state sponsored/private militia, undergone any military/paramilitary training, or been trained in weapons/explosives use (however described)? No

Attach proof of citizenship and length of residence Yes Permanent resident of Australia Date of arrival in Australia
DAY MONTH YEAR

If you answered ‘Yes’ to any of these questions, you must give ALL relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.

Attach proof of length of residence Which citizenships does your partner hold?

Eligible New Zealand citizen

Length of residence in Australia Attach proof of length of residence

Temporary resident of Australia

Name and subclass of visa your partner holds

Attach proof of that visa

© COMMONWEALTH OF AUSTRALIA, 2013

40CH (Design date 04/13) - Page 11

43 Is your partner’s current residential address different to the address you have stated at Question 20? No Yes Go to Question 47 Give details of why you are living apart

49 If you are normally dependent on your partner’s income, has your partner received Newstart Allowance, Parenting Payment, Youth Allowance, Widow Allowance or Special Benefit during the last 2 years? No Yes Give details

1. Type of payment
DAY MONTH YEAR DAY MONTH YEAR

From If insufficient space, attach additional details 2. Type of payment
DAY MONTH YEAR

to

44 Your partner’s current residential address
From

DAY

MONTH

YEAR

to

3. Type of payment
POSTCODE DAY MONTH YEAR DAY MONTH YEAR

45 Your partner’s address for correspondence
(If the same as their residential address, write ‘AS ABOVE’)

From

to

POSTCODE

46 Your partner’s telephone numbers
COUNTRY CODE AREA CODE ) ( ) ( ) ) NUMBER

Office hours After hours

( (

47 Do you agree to the department communicating with your partner by fax, e-mail or other electronic means? No Yes Fax number E-mail address Give details
COUNTRY CODE ( ) ( AREA CODE ) NUMBER

48 If you are normally dependent on your partner’s income, give details of your partner’s employment history for the last 2 years. 1. Name of employer
DAY MONTH YEAR DAY MONTH YEAR

From 2. Name of employer
DAY MONTH YEAR

to

DAY

MONTH

YEAR

From 3. Name of employer
DAY MONTH YEAR

to

DAY

MONTH

YEAR

From

to

40CH (Design date 04/13) - Page 12

© COMMONWEALTH OF AUSTRALIA, 2013

50 Does your partner have any dependent children or dependent relatives (in and outside of Australia)?
No Yes Give details Relative’s full name (FAMILY name in CAPITALS) Sex Date of birth or Age M/F Relationship to you (eg. your child, father, sister, aunt, cousin) Are they residing with you? No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

51 Are you sponsoring a child under 18 years of age?
No Yes Go to Question 53

52 Has your partner ever:
• specifically, been convicted of a crime or offence in any country (including any conviction which is now removed from official records), relating to persons under 18 years of age, including but not limited to: child abuse, child sex, endangering a child, indecent dealings with a child, or possession of child pornography? • specifically, been charged with any offence that is currently awaiting legal action, in any country, relating to persons under 18 years of age, including but not limited to: child abuse, child sex, endangering a child, indecent dealings with a child, or possession of child pornography?

No

Yes

No

Yes

If you answered ‘Yes’ to either of these questions, you must give ALL relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.

© COMMONWEALTH OF AUSTRALIA, 2013

40CH (Design date 04/13) - Page 13

53 In which countries has your partner lived for 12 months or more during the last 10 years?
Country
FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO FROM TO

Dates lived there
MONTH YEAR

Last permanent address in that country

Part K – About your home
54 Type of dwelling
House Flat Other Specify

55 How many bedrooms does the dwelling have? 56 How many people live in the dwelling? 57 What is the relationship of these people to you?
Occupation (eg. high school student, university student, retired, part-time waitress, unemployed)

Separately list the relationship of each person in your dwelling (eg. child, father, sister, aunt, cousin)

Date of birth

or Age

40CH (Design date 04/13) - Page 14

© COMMONWEALTH OF AUSTRALIA, 2013

58 Is the dwelling:
Rented Owned Being purchased Other Specify

Part M – Assistance with this form
64 Did you receive assistance in completing this form?
No Yes Title: Mr Go to Part N Please give details of the person who assisted you Mrs Miss Ms Other

59 Weekly dwelling payment (eg. rent, mortgage)
AUD per week

Family name Given names Address

60 Will the child you are sponsoring be living with you in the same dwelling? No Yes Go to Part L

POSTCODE

Telephone number or daytime contact

61 Provide reason(s) why the child you are sponsoring will not be living with you in the same dwelling Office hours Mobile/cell
(

COUNTRY CODE ) (

AREA CODE )

NUMBER

65 Is the person an agent registered with the Office of the Migration
Agents Registration Authority (Office of the MARA)? No Yes Go to Part N

62 What accommodation do you propose for the child you are sponsoring?

66 Is the person/agent in Australia?
No Yes Go to Part N

67 Did you pay the person/agent and/or give a gift for this assistance?
No Yes

Part L – Your previous sponsorships/ nominations
63 Have you or your partner lodged any other sponsorships/nominations or signed an Assurance of Support? No Yes Attach a written statement showing the relationship of the person you have sponsored/nominated or assured and the dates of lodgement of sponsorships/nominations (including any current sponsorship/nominations), Maintenance Guarantees or Assurances.

Part N – Options for receiving written communications
68 All written communications about this application should be sent to:
(Tick one box only) Myself OR Authorised recipient OR Migration agent OR Exempt person Your migration agent/exempt person should complete form 956 Advice by a migration agent/exempt person of providing immigration assistance You should complete form 956A Appointment or withdrawal of an authorised recipient

© COMMONWEALTH OF AUSTRALIA, 2013

40CH (Design date 04/13) - Page 15

Part O – Your sponsorship undertaking
This part must be completed by SPONSORS

Part P – Your partner’s acknowledgement
This part must be completed by the SPONSOR’S PARTNER if the visa applicant is under 18 years of age

69 Undertaking
WARNING: Giving false or misleading information is a serious offence. I agree to: • provide information and advice to help the person(s) I am sponsoring settle in Australia; • ensure that adequate accommodation is available to them on arrival in Australia or, to provide accommodation for up to 2 years from arrival in Australia, or the 2 years following the grant of your child’s visa if your child is applying in Australia; • if sponsoring an orphan relative, provide support (including accommodation and financial assistance required to meet the child’s reasonable needs) until the orphan relative turns 18 years of age or, if this period is less than 2 years after entry to Australia for the first time on the Orphan Relative visa or less than 2 years following the grant of the Orphan Relative visa if granted in Australia, during the child’s first 2 years in Australia; • provide support as required to enable them to attend appropriate English language courses; • attend an interview (if requested by the department) in relation to the child’s application; and • inform the department in writing if I withdraw my support for the child before this application is finalised. I am aware that any person who provides false or misleading information or who deceives or misleads or who presents a forged document to an Australian government official may be prosecuted. I am aware that if false or incorrect information is given on this form, the application of the person(s) I am sponsoring may be refused, and/or any visa granted to that person may be liable to cancellation. I authorise Centrelink to give information about me, relevant to my offer to provide this sponsorship, to the Department of Immigration and Citizenship. I authorise the department to obtain information relevant to my offer to provide this sponsorship from other government agencies or organisations. The agencies/organisations may include: • federal, state or territory government agencies; • federal, state or territory law enforcement agencies; • state or territory housing authorities (including private landlords); • local government authorities; • financial institutions; • educational institutions; • private businesses (including telecommunication and internet service providers, insurance companies); and • any other relevant businesses or agencies. I acknowledge the department may inform the migration applicant, and any non-migrating person who can lawfully determine where the applicant may live, about the convictions or charges it becomes aware of through my response to Question 33, other information I may provide or liaison with relevant Commonwealth, state or territory agencies. I declare that the information I have supplied in this form is complete, correct and up-to-date in every detail. Signature of sponsor
DAY MONTH YEAR

70 I acknowledge the department may inform the migration applicant, and any non-migrating person who can lawfully determine where the applicant may live, about the convictions or charges it becomes aware of through the response to Question 52, other information I may provide or liaison with relevant Commonwealth, state or territory agencies. I declare that the information supplied in this form is complete, correct and up-to-date in every detail. Signature of sponsor’s partner
DAY MONTH YEAR

Date

Date

We strongly advise that you keep a copy of this application and all attachments for your records.
40CH (Design date 04/13) - Page 16 © COMMONWEALTH OF AUSTRALIA, 2013

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