919 - Nomination of student dependants

1 919 (Design date 04/10) - Page 1 COMMONWEALTH OF AUSTRALIA, 2010 About this formImportant Please read this information carefully before youcomplete this Nomination . Once you have completed thisnomination we strongly advise that you keep a copy for form is to be used by student (Temporary) (Class TU) visaholders in Australia who wish to nominate members of theirfamily unit to join them in Australia. It is to be used where thefamily unit members are applying separately from the studentvisa holder outside the migration legislation, a person is a member of thefamily unit of a student (Temporary) (Class TU) visa holder ifthe person is: a partner (including spouse or de facto partner) of thestudent visa holder; or a dependent child of the student visa holder, or of thatpartner, who is unmarried and has not turned or Defence sponsored students should contact AusAIDor the Department of Defence for procedures. It is notnecessary for you to complete this to nominateComplete this form and send it, along with the documents youare required to provide, to your dependant(s) dependant(s) should complete form 157A Application fora student visa and lodge it, together with this form 919 Nomination of student dependants and the documents youhave provided, at an Australian mission documents do you need to provide?

2 Certified or notarised copies of all pages of your passport,including the page showing your current student (Temporary) visa and your personal details; an original letter from your education provider stating: the course you are studying the duration of that course and anticipated completiondate whether you are satisfying course requirements; evidence of funds to support your nominated dependants : original bank statements for the past 6 months an original letter from your financial institution confirmingthe status of your account for the past 6 months; evidence of your relationship with your nominateddependants (for example, original marriage or birthcertificates); evidence that adequate arrangements have been made forthe education in Australia of all your school aged dependants (children who are unmarried and who have turned 5 yearsof age, but have not yet turned 18 years of age), where theproposed period of stay is more than 3 months; evidence of payment of the Overseas student Health Coverpremium in favour of each nominated family unit stated, original documents must be provided.

3 Wherecopies of original documents are required, the copies must becertified copies. In Australia, a certified copy is one certified bya Justice of the Peace or a Commissioner for Declarations or aperson before whom a statutory declaration may be made underthe Statutory Declarations Act dependant(s) s completed student visa application form,together with the correct Visa Application Charge and thisnomination, can be lodged at an Australian mission Visa Application Charge is not may be subject to adjustment at any time. Visa ApplicationCharges may be subject to adjustment on 1 July each year. Thismay increase the cost of a can check the Visa Application Charge with your nearestoffice of the Department of Immigration and Citizenship(the department) in Australia, or from form 990i Charges, whichis available from the department s of nominationThe department is committed to maintaining the integrity ofthe visa and citizenship programs. Please be aware that if youprovide us with fraudulent documents or claims, this may resultin processing delays and possibly your Nomination the information you giveThe department is authorised to collect information providedon this form under Part 2 of the Migration Act 1958.

4 Theinformation collected will be used for assessing the eligibility ofyour dependant(s) for a student (Temporary) visa to travel toand enter and/or remain in Australia, to monitor the conduct ofmigration agents, and for other purposes relating to theadministration of the Migration information collected might also be disclosed to agencieswho are authorised to receive information relating to adoption,border control, business skills, citizenship, education, healthassessment, health insurance, health services, law enforcement,payment of pensions and benefits, taxation, superannuation,review of decisions and registration of migration agents. It willalso be disclosed to any agency of the Australian Government,or of a state or territory, that is responsible for or otherwiseconcerned with the regulation of education information on this form, including the results of any testsfor Human Immunodeficiency Virus (HIV), will be used toassess your health for an Australian visa.

5 A positive HIV or othertest result will not necessarily lead to a visa being denied. Yourresult(s) may be disclosed to relevant Australian Governmentstate and territory health of student dependantsTelephone 131 881 during business hoursin Australia to speak to an operator (recordedinformation available outside these hours).If you are outside Australia, please contactyour nearest Australian lineHome (Design date 04/10) - Page 2 COMMONWEALTH OF AUSTRALIA, 2010 Please keep these information pages for your referenceIn addition, the relevant registered education provider(s) maybe told whether or not your visa has been granted. Thecollection, access, storage, use and disclosure by the departmentof the information you provide in this form is governed by thePrivacy Act 1988 and, in particular, by the 11 InformationPrivacy Principles. The information form 993i Safeguardingyour personal information gives details of agencies to whichyour personal information might be disclosed.

6 This form isavailable from the department s or from any office of thedepartment or Australian mission department is authorised under the Migration Act 1958, incertain circumstances, to collect a range of personal identifiersincluding a facial image, fingerprints and a signature from non-citizens, including from visa applicants. The department requirespersonal identifiers to assist in assessing your identity. Thedepartment is authorised to disclose your personal identifiersand information relating to your name and other relevantbiographical data to a number of agencies including lawenforcement and health agencies and to other agencies whomay need to check your identity with this department. Wherethe department obtains personal identifiers they will becomepart of your official record with the department is involved in international informationexchanges with a number of countries, including the UnitedKingdom, the United States of America, Canada and NewZealand. These international information exchanges may involvethe sharing of personal identifiers, including facial images andfingerprint data, collected by immigration agencies such as thisdepartment.

7 If, as a result of this sharing between countries,there is a match with your personal identifiers, the departmentwill disclose your biographical data, copies of travel and otheridentity documents or information from such documents, yourimmigration status and immigration history (which may includeany immigration abuse and offences) and any criminal historyinformation relevant to immigration purposes. The purpose ofsuch disclosure would be to help confirm your identity anddetermine if you have presented to the department and theother agency under the same identity and with similar more detailed information you should read informationform 1243i Your personal identifying information, which isavailable from the department s or from any office of thedepartment or Australian mission (Design date 04/10) - Page 3 COMMONWEALTH OF AUSTRALIA, 2010 Your detailsYour family name in English1 Sex2 MaleFemaleDate of birth3 Place of birth4 Your current Australian residential address6 Your telephone numbers8 Office hoursAfter hours(AREA CODE )(AREA CODE )DAYMONTHYEARC itizenship/Nationality5 Your immigration file number (if known)11 OverseasIn AustraliaGiven namesFamily nameCountryTown/cityAddress for correspondence(If the same as your residential address, write AS ABOVE )

8 714 Visa label numberOffice of visa issueGive details of the Australian visa that you currently holdDate of issue12 DAYMONTHYEARYesNoDo you agree to the department communicating with you by fax, e-mailor other electronic means?Fax numberE-mail addressGive details(AREA CODE )9 POSTCODEPOSTCODE10 Note: If this application is refused, you will be notified by mailForm919 Passport numberDate of issueDAYMONTHYEARD etails from your passportCountry of passportDate of expiryIssuing authority/Place of issue asshown in yourpassportIf you were granted a visa without a label, give the 13-digit visa grantnumber (as shown on the letter that notified you of visa grant).V< Nomination of student dependantsDetails of identity card or identity number issued to you by yourgovernment (if applicable) eg. National identity : If you are the holder of multiple identity numbers because you area citizen of more than one country, you need to enter the identity numberon the card from the country that you live numberCountry of issueRelationship statusMarriedNever married orbeen in a de factorelationshipSeparatedDe factoEngagedWidowedDivorcedTick where applicable Please use a pen, and write neatly in English using BLOCK you any applications before this department either in Australia oroverseas?

9 16 Type of applicationWhen did you lodge this application?Give detailsHave you:adequate means to support yourself and your dependants ?17 Members of the family unitcoming to AustraliaWhere did you lodge this application?YesNoYou may be asked to provide supporting documentsobtained health cover for your dependants ?enrolled any school aged dependants (that is, children who are unmarriedand who have turned 5 years of age, but have not yet turned 18 yearsof age) who are included in this Nomination , in a school in Australia?YesNoPlease provide evidence of enrolment, includingdetails of any school feesGive details of members of the family unit who will be joining you inAustralia while you hold a student visa.(Members of your family unit may include your partner and anydependent children of you or your partner who are unmarried and havenot turned 18.)18 Namein EnglishEthnic scriptRelationshipto youDate of birth (DAY/MONTH/YEAR)919 (Design date 04/10) - Page 4 Place ofbirthCitizenship/Nationality COMMONWEALTH OF AUSTRALIA, 2010 YesNoPlease provide evidence15 Give details of the course that you are currently studyingName of your current courseName of the education provider or training bodyCoursedurationDAYMONTHYEARDAYMONTHYE ARtoIs evidence of your relationship attached?

10 YesNoIf insufficient space, please attach a separate EnglishEthnic scriptRelationshipto youDate of birth (DAY/MONTH/YEAR)Place ofbirthCitizenship/NationalityIs evidence of your relationship attached? EnglishEthnic scriptRelationshipto youDate of birth (DAY/MONTH/YEAR)Place ofbirthCitizenship/NationalityIs evidence of your relationship attached? EnglishEthnic scriptRelationshipto youDate of birth (DAY/MONTH/YEAR)Place ofbirthCitizenship/NationalityIs evidence of your relationship attached? EnglishEthnic scriptRelationshipto youDate of birth (DAY/MONTH/YEAR)Place ofbirthCitizenship/NationalityIs evidence of your relationship attached? contact address of members of your family unit who will bejoining you in Australia19 POSTCODEIn EnglishPOSTCODEE thnic script COMMONWEALTH OF AUSTRALIA, 2010 Assistance with this formDeclarationI declare that the information supplied on and with this Nomination formis complete, true and correct in every signatureDAYMONTHYEARDate919 (Design date 04/10) - Page 5Is the person an agent registered with the Migration Agents RegistrationAuthority (MARA)?