1. Details of Relatives
Please include details for both yourself and your spouse or de facto partner, of all parents, brothers, sisters and children. Details must be completed for all persons, whether or
not they wish to enter Australia and whether or not they live with you. Full, half, step and adopted relatives must be included. If deceased, please write deceased in the
relationship status column. If there is insufficient room on this form, please attach a second page.
Applicant name: Applicant’s spouse or de facto name :
Full name: Country of
residence
DOB Sex Relationship
status
Full Name Country of
Residence
DOB Sex Relationship
status
Parents Parents
All brothers and sisters All brothers and sisters
All children All children
I certify that the information provided above is true and correct and represents my entire family composition.
Signature:………………………………………….. Date:……………. Full Name:…………………………
Australian Government
Department of Immigration
and citizenship
„Relationship status‟ codes
M = Married
E = Engaged
D = De facto
S = Separated
D = Divorced
W = Widowed
N = Never married or been in a de facto relationship
