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1 Statutory declaration by a supporting witness Form in relation to a Partner or Prospective Marriage visa application 888. About this form Warning: Under the Statutory Declarations Act 1959, people who intentionally make a false statement in a This form must be completed by a person who: statutory declaration are liable for punishment of knows the visa applicant and their partner or fianc (e) and 4 years imprisonment. In addition, the Migration the history of their relationship; Act 1958 (the Act) provides penalties for providing is at least 18 years of age; and false or misleading statements of 12 months is an Australian citizen or Australian permanent resident. imprisonment or a fine of AUD12,000. Note: If the visa applicant is outside Australia and is unable to If you are not an Australian citizen or permanent resident and have an Australian citizen or Australian permanent resident you reside outside Australia, your statement cannot be complete this form, any person who knows the applicant and considered a statutory declaration under Australian law, even if their partner or fianc (e) may also complete this form.

2 It is made using this form or the template provided by the Attorney-General's Department. However, under policy, your The person completing this form must provide evidence of their statement should be witnessed or certified according to the current name, age and, where applicable, Australian citizenship legal practices of the country in which you make the or Australian permanent residency (for example, a certified copy statement. Failing that, it should be witnessed by a person of the birth certificate, Australian passport or passport whose occupation or qualification is comparable to those containing a permanent visa). All copies must be certified. listed above. This person should sign, date and specify their Note: You may be asked to submit up to 3 separate occupation at the bottom of the statement.

3 Declarations during the processing of the visa application. You should confirm the requirements with the nearest You may also be contacted for further comment and/or Australian mission overseas when you lodge your application. interview in relation to the information you provide. Contact details for Australian missions are available on the department's website Purpose of this form When assessing a Partner or Prospective Marriage visa Important information about privacy application, the Department of Immigration and Border Your personal information is protected by law, including the Protection (the department) must consider the social aspects Privacy Act 1988. Important information about the collection, of the claimed relationship. The department will use the use and disclosure (to other agencies and third parties, information provided in this form (your statements), among including overseas entities) of your personal information, other things, to assess these aspects.

4 Including sensitive information, is contained in form 1442i The department's policy is that these statements be provided Privacy notice. Form 1442i is available from the department's in the form of statutory declarations. You may use this form, website or offices of the or alternatively, you may use the statutory declaration department. You should ensure that you read and understand template, which is available on the Attorney-General's form 1442i before completing this form. Department website at In Australia, statutory declarations must be witnessed by a person prescribed by the Statutory Declarations Act 1959 and Statutory Declarations Regulations 1993. Any attachments to Home page the Declaration must be certified by a prescribed person. General Telephone 131 881 during business hours Prescribed persons include those who are a: enquiry line in Australia to speak to an operator (recorded Justice of the Peace; information available outside these hours).

5 Medical practitioner; If you are outside Australia, please contact legal practitioner; your nearest Australian mission. civil marriage celebrant or registered minister of religion;. dentist;. nurse;. optometrist;. pharmacist;. physiotherapist;. full-time teacher;. bank manager or bank officer with 5 or more continuous years of service;. postal manager or permanent employee of the Australian Postal Commission with 5 or more continuous years of service;. police officer; or public servant with 5 or more continuous years of service. A full list of prescribed persons can be found on the Attorney-General's Department website. Please keep this information page for your reference COMMONWEALTH OF AUSTRALIA, 2015 888 (Design date 10/15) - Page 1. This page is intentionally blank Statutory declaration by a supporting witness Form in relation to a Partner or Prospective Marriage visa application 888.

6 Please use a pen, and write neatly in English using BLOCK LETTERS. 3 State how you know the applicant and the applicant's partner or fianc (e), Tick where applicable and indicate how often you have been in contact with them Details of person making the statutory declaration I, Family name Given names of Your residential address POSTCODE. Occupation or qualification Telephone numbers Office hours (AREA CODE ). After hours (AREA CODE ). If insufficient space, please attach additional details make the following declaration under the Statutory Declarations Act 1959: 4 State whether you believe the relationship of the applicant and 1 Visa applicant's name his/her partner or fianc (e) to be genuine and continuing, and give your reasons for your belief Family name Given names How long have you known this person?

7 2 Name of applicant's partner or fianc (e). Family name Given names How long have you known this person? Office use only If insufficient space, please attach additional details File number COMMONWEALTH OF AUSTRALIA, 2015 888 (Design date 10/15) - Page 3. 5 State any other matters you wish to add in support of the visa application 6 Have you attached evidence of your Australian citizenship or Australian permanent residency status? Note: All copies must be certified. No Yes 7 WARNING: Giving false or misleading information is a serious offence. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular.

8 Your signature . Declared at DAY MONTH YEAR. On Before me, Signature of qualified person . DAY MONTH YEAR. Date Details of person before whom the declaration is made in printed letters Family name Given names Preferred title Mr Mrs Miss Ms Other Contact address POSTCODE. Occupation or qualification Telephone number Office hours (AREA CODE ). We strongly advise that you keep a copy of this statutory declaration and all attachments for your records. If insufficient space, please attach additional details 888 (Design date 10/15) - Page 4 COMMONWEALTH OF AUSTRALIA, 2015.