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[Small text, top right corner.] Form M47. (Revised 1.7.63.)
[Header:] COMMONWEALTH OF AUSTRALIA
[Main heading in large bold text:] APPLICATION FOR ENTRY FOR RESIDENCE
[Box, right side of page:]
[Subheading:] FOR OFFICIAL USE
APPROVED [blank space for response.]
Date [blank space for response.]
SPECIAL CONDITIONS – ENDORSEMENT NOS
Principal [blank space for response.]
Spouse [blank space for response.]
Children [blank space for response.]
ISSUED BY [blank space for response.]
Date [blank space for response.]
[end of box.]
[Bold subheading:] NOTES – Please read carefully-
1. All particulars must be fully stated.
2. Incorrect statements may result in delay, if not refusal of the application, or if not discovered until after visas have been issued may result in the applicant being prevented from landing in Australia or from remaining in Australia after arrival.
3. The application is to be accompanied by FOUR passport photographs of each member of the family wishing to travel to Australia[.] The photographs should be of the head and shoulders only, taken without a hat, and should show the person concerned facing the camera and against a plain background. The back of one photograph of each person should be endorsed with his or her name.
4. Applicants should also attach any certificates or other documents readily available in support of items 14 and 15.
[Dividing line.]
I hereby apply for entry to Australia for residence and in support of my application submit the following particulars:—
1. Family name. [blank space for response.]
[written under the blank space in small text: 'BLOCK Letters'.]
Given Names. [blank space for response.]
2. Any previous Names (including maiden name (1) where applicable). [1 refers to footnote 1, which reads: 'Family name before marriage.']
[Blank space for response.]
[Written under the blank space in small text: '(BLOCK Letters)'.]
3. Address [Blank space for response.]
[Written under the blank space in small text: '(Country)' then '(City or Province)'.]
[Blank space for response.]
[Written under the blank space in small text: '(Suburb or Village)' then '(Street)' then '(Number)'.]
4. Nationality. [Blank space for response.]
5. Sex. [Blank space for response.]
6. Marital Status (2). [2 refers to footnote 2, which reads: 'State whether married, single, widowed, divorced or legally separated.'] [Blank space for response.]
7. Date of Birth [Blank]/[Blank]/19[Blank]
8. Country of Birth. [Blank space for response.] Town or Village. [Blank space for response.]
9. Details of Wife, unmarried children and dependants—all details to be given whether or not members are to accompany applicant to Australia.(3) [3 refers to footnote 3, which reads: 'If not living with applicant give full addresses on a separate sheet.']
[The response space for question 9 is in table format, with columns labelled 'Names', 'Relationship to Applicant', 'Date of Birth', 'Place of Birth' and 'Accompanying Applicant (4)'. (4) refers to footnote 4, which reads 'Answer 'Yes' or 'No'.]
[The rows of the table are labelled in the 'Names' column, as follows:]
Wife [Blank space for response, with '(Given Names)' written directly underneath.]
Maiden Name (1) [1 refers to footnote 1, which reads: 'Family name before marriage.'] [Blank space for response.]
Unmarried Children. (Given Names)
[Several blank rows for response.]
Dependants not listed above (5) – [5 refers to footnote 5, which reads 'Quote both Family and Given Names.']
[Two blank rows for response.]
[In the second column, 'Relationship to Applicant', the first row has been filled in with the text 'Wife'. The remainder of the table is blank.]
[Dividing line.]
[Footnotes previously mentioned are now listed: 'Notes – (1) Family name before marriage. (2) State whether married, single, widowed, divorced or legally separated. (3) If not living with applicant give full addresses on a separate sheet. (4) Answer 'Yes' or 'No'. (5) Quote both Family and Given Names.']
[Right bottom corner] P.T.O. [Please turn over.]
[Page 2.]
10. Particulars of previous applications and/or residences in Australia. [Blank space for response.]
11. Details of any mental illness, other serious illness or physical disability (for any member of the family [or dependants).
[Blank space for response.]
12. Have you or any person included in this application ever been convicted of any crime or offence or committed to a place of detention in any country? If so, give dates, name of court, and sentence.
[Blank space for response.]
13. Particulars of any offence regarding professional practice or ethics concerning any person included in this application.
[Blank space for response.]
14. Languages spoken (state proficiency).
[Blank space for response.]
15. In what language medium did you receive your education?
(a) Secondary. [Blank space for response.]
(b) Tertiary or Technical. [Blank space for response.]
16. Proposed employment or business in Australia.
[Blank space for response.]
17. In which City, State or Territory in Australia would you prefer to work and reside?
[Blank space for response.]
18. Amount of capital available for transfer to Australia.
Bank deposits $M [Blank space for response.]
Refund of EPF or similar fund $M [Blank space for response.]
Sale of property $M [Blank space for response.]
Securities (shares etc.) $M [Blank space for response.]
Other $M [Blank space for response.]
Total $M [Blank space for response.]
19. Relatives in Australia, if any:
[The response space for question 19 is in table format. Column headings are: 'Name', 'Address' and 'Relationship'. The table has four rows, all blank.]
20. Private accommodation will be available in Australia? (Answer yes or no). [Blank space for response.]
I certify to the best of my knowledge and belief the particulars given in this application are correct.
