Russia.embassy.gov.au



Royal Garden Party 2015 - Application Form

Please note: any incomplete forms will invalidate this application.

|Surname: | |

|First Name(s): | |

|Title: | |

|Date of birth: |dd/mm/yyyy |

| | |

|AUSTRALIAN Passport No: | |

|Date of Issue: |dd/mm/yyyy |

|Place of Issue: | |

| | |

|UK Visa Status: | |

| | |

|Address in United Kingdom (line 1): | |

|Address in United Kingdom (line 2): | |

|County | |

|Post Code | |

|Telephone | |

|Fax: | |

|E-mail | |

| | |

|If you have a preference, please indicate which Garden Party you would like to attend: |

|Tuesday, 12 May 2015: |Yes/No |

|Wednesday, 20 May 2015: |Yes/No |

|Thursday, 28 May 2015: |Yes/No |

|Wednesday, 1 July 2015: |Yes/No |

| | |

|Please indicate below if you wish to include members of your immediate dependent family (spouse and unmarried sons and daughters aged 18 to 25 |

|inclusive only): |

|Surname: | |

|First Name(s): | |

|Title: | |

|Date of birth: |dd/mm/yyyy |

|Relationship to Applicant: | |

|Passport No: | |

|Nationality: | |

|Date of Issue: |dd/mm/yyyy |

|Place of Issue: | |

| | |

|Surname: | |

|First Name(s): | |

|Title: | |

|Date of birth: |dd/mm/yyyy |

|Relationship to Applicant: | |

|Passport No: | |

|Nationality: | |

|Date of Issue: |dd/mm/yyyy |

|Place of Issue: | |

| | |

|Surname: | |

|First Name(s): | |

|Title: | |

|Date of birth: |dd/mm/yyyy |

|Relationship to Applicant: | |

|Passport No: | |

|Nationality: | |

|Date of Issue: |dd/mm/yyyy |

|Place of Issue: | |

| | |

|Do you require a disabled access? (Please note, disabled people who need assistance MUST be accompanied): |

| |Yes/No |

| | |

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