About this form: It is the responsibility of the person ...
|This form must be completed and submitted with a passport application where required. |
|Note: It is an offence under the Australian Passports Act 2005 to deliberately make a false or misleading statement. |
|Person lodging application | | |
|Details of the person completing |Your full name | |
|this form | | |
| |Your current address | |
|Details | |
|Details of the Statement | |
| | |
|Declaration | |
|Declaration by the |I declare that the information I have given on this form is complete and correct and that I am aware that the penalty for |
|person completing |making a false or misleading statement either in writing or orally to obtain an Australia travel document is $110 000 or 10|
|this form |years imprisonment, or both. |
| |Signature | |Date | |
| | | | |DD/MM/YYYY |
| |Full name (please print) | |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- homepage dfat
- australian government department of foreign affairs and trade
- letter template v1 2 dfat
- letter head for dept of foreign affairs and trade
- letter template australian government department of
- about this form it is the responsibility of the person
- application and informed consent form nationally
- letter template v1 2 australian government department
Related searches
- explain the responsibility of the accounting department
- what is the role of the government
- what is the job of the president
- what is the ethnicity of the us
- what is the purpose of the eu
- what is the population of the earth
- what is the purpose of the government
- which is the graph of the equation
- what is the purpose of the president
- what is the etymology of the word
- what is the function of the thyroid
- what is the population of the usa