Escolar Documentos
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Record of Responses
Passport place of issue / issuing authority DHAKA / GOVT OF BANGLADESH You must have a valid passport and visa to enter Australia. You must notify the department if you wish to enter Australia on a different passport to the one specified in this application so your visa can be linked to your passport. If you have an Australian visa grant number, please enter the visa grant number Grant number If you have a current Australian visa label in your current or previous passport, please enter the visa number Visa number
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TRN :EGNY1AKJFV
Are you a citizen of the country of passport? Yes Are you known by any other names? (This includes names before marriage) No Do you hold any citizenship other than the nationality provided with the passport details above? No Are you currently in Australia? No What is your first intended arrival date in Australia after you lodge this application (if known)?
DHAKA
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TRN :EGNY1AKJFV
Postal address (if different from above) Address Suburb/Town Australian State or Territory OR State or Province outside Australia Postcode Country Contact telephone numbers Home phone Work phone Mobile/Cell +880 1731670949 +880 2 9862789
Consent to communicate electronically In order to process your application quickly, the Department prefers to communicate with you using e-mail. If you do not wish to communicate via e-mail, a letter will be sent to the above contact address which will take longer to receive advice about your application. Do you agree to this Department communicating with you via e-mail? Yes If yes, enter e-mail address E-mail address sas070535@gmail.com
been removed or deported from any country (including Australia)? No If Yes, please give details
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TRN :EGNY1AKJFV
been excluded from or asked to leave any country (including Australia)? No If Yes, please give details
committed, or been involved in the commission of war crimes or crimes against humanity or human rights? No If Yes, please give details
been involved in any activities that would represent a risk to Australian national security? No If Yes, please give details
had any outstanding debts to the Australian Government or any public authority in Australia? No If Yes, please give details
been involved in any activity, or been convicted of any offence, relating to the illegal movement of people to any country (including Australia)? No If Yes, please give details
served in a private militia, and trained in weapons/explosives use other than in the course of compulsory national military service? No If Yes, please give details
Occupation
Generated: October 6, 2011, 1:55:46 AM (EST)
MARINER
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TRN :EGNY1AKJFV
CAPTAIN / MASTER
Applicant declaration
Note: Any information in this application, including employment details, may be checked. Any false information could result in: the application being refused, or cancellation or cessation of the visa, or denial of permission to travel to, enter or remain in Australia even if the visa has been granted. I certify that the information supplied on or with this form is correct. Yes We strongly advise that you keep a copy of your application and all attachments for your records.
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TRN :EGNY1AKJFV