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Incoming passenger card

Family/surname Given names Passport number

Australia

YOU MUST ANSWER EVERY QUESTION IF UNSURE, Are you bringing into Australia: 1.

Yes

PLEASE COMPLETE IN ENGLISH WITH A BLUE OR BLACK PEN

S I V AS ANE PR I YANK A M

Goods that may be prohibited or subject to restrictions, such as medicines, steroids, firearms, weapons of any kind or illicit drugs? More than 1125mL of alcohol or 250 cigarettes or 250g of tobacco products? Goods obtained overseas or purchased duty and/or tax free in Australia with a combined total price of more than AUD$400, including gifts? Goods/samples for business/commercial use? AUD$10,000 or more in Australian or foreign currency equivalent? All food - includes dried, fresh, preserved, cooked, uncooked? Wooden articles, plants, parts of plants, traditional medicines or herbs, seeds, bulbs, straw, nuts? Animals, parts of animals and animal products including equipment, eggs, biologicals, specimens, birds, fish, insects, shells, bee products, pet food? Soil, or articles with soil attached, ie. sporting equipment, shoes, etc?

2. 3. 4.

Yes Yes Yes Yes Yes Yes Yes

Flight number or name of ship Intended address in Australia

5. 6. 7.

UNIT 1A, 9 HUON PLACE; LYONS 2606

Do you intend to live in Australia for the next 12 months? If you are NOT an Australian citizen: Do you suffer from tuberculosis? Yes Do you have any criminal conviction/s? Yes DECLARATION The information I have given is true, correct and complete. I understand failure to answer any questions may have serious consequences. State A C T Yes No

O O No O No O No O
No No No No

8.

9.

Yes Yes Yes Yes

O No O
No

10. Have you visited a rural area or been in contact with, or near, farm animals outside Australia in the past 30 days? 11. Have you been in Africa or South America in the last 6 days?

O O No O No O
No No TURN OVER THE CARD English

YOUR SIGNATURE

P.M. Sivasane

Day

Month

Year

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PMS 136 U

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PLEASE COMPLETE IN ENGLISH

PLEASE

AND ANSWER A OR B OR C

In which country did you board this flight or ship?

Migrating permanently to Australia

Visitor or temporary entrant Years

O
Months OR Days

Resident returning to Australia

What is your usual occupation?

Your intended length of stay in Australia Your country of residence

Country where you spent most time abroad

E NG I NE E R
Nationality as shown on passport

I ND I A
Employment Education Exhibition Holiday Other
MAKE SURE YOU HAVE COMPLETED BOTH SIDES OF THIS CARD. PRESENT THIS CARD ON ARRIVAL WITH YOUR PASSPORT.

I ND I A N
Date of birth Day Month Year

Your main reason for coming to Australia ( one only) Convention/conference Business Visiting friends or relatives
1 2 4 5 6 7 8

Information sought on this form is required to administer immigration, customs, quarantine, statistical, health, wildlife and currency laws of Australia and its collection is authorised by legislation. It will be disclosed only to agencies administering these areas and those entitled to receive it under Australian law. The leaflet Safeguarding your personal information is available at Australian ports and airports.

07021505

Commonwealth of Australia 2002 15 (Design date 07/02) McMILLAN PRINT

Black

PMS 136 U