澳大利亚签证表家庭构成修订稿

Coca-colastandardizationoffice【ZZ5AB-ZZSYT-ZZ2C-ZZ682T-ZZT18】澳大利亚签证表家庭构成Form家庭构成54你想申请下列何种签证﹖访问(600)注意﹕1.你只能用英文填写此表。其它2.你必须填写你在原籍国和外国的所有家庭成员的细节，其中包括同父异母（或同母异父）的兄弟姐妹和子女，继父与其前妻（或继母与其前夫）所生的兄弟姐妹和子女，领养的兄弟姐妹和子女。（如果人已不在世，可在“家庭地址”一栏填上“已故”。如果去向不明，可在“家庭地址”一栏填上“不知道”。3.你填写此表时如果有人协助，你只能在所填真实和正确，而且你完全知道﹑同意并理解资料的填入的情况下，才能在宣誓一栏下签字。家庭构成姓名出生婚恋状况家庭地址以前是否来过澳大利亚﹖（请使用下表的代码）日月年日月年你本人////配偶////事实婚姻////父亲/母亲////父亲/母亲////兄弟/姐妹////兄弟/姐妹////兄弟/姐妹////儿子/女儿////儿子/女儿////儿子/女儿////“婚恋状况”代码M=已婚=订婚=事实婚姻=分居=离婚=寡/鳏=未婚或未有过事实婚姻宣誓申请人签名见证人签名我特此宣誓﹕本表中填写的资料完整而正确在他人协助下填写的本表任何部份的资料都是真实和日月年日月年正确的﹐而且我完全知道﹑同意并理解资料的填入。COMMONWEALTHOFAUSTRALIA,201354(Designdate04/13)FormFamilycomposition54Areyouapplyingfora:Visitorvisa(600)OtherNote:1.YoumustcompletethisforminEnglishonly.Youmustgivedetailsofallyourfamilymemberslivinginyourhomecountryandabroadincludinghalf,stepandadoptedbrothers,sistersandchildren(ifnotliving,write‘Deceased’inHomeaddresscolumn.Ifwhereaboutsunknown,write‘Unknown’inHomeaddresscolumn).Ifyouhavebeenassistedincompletingthisform,youshouldonlysigntheDeclarationiftheinformationistrueandcorrectandhasbeenincludedwithyourfullknowledge,consentandunderstanding.FamilyFamilynameGivennamesDateofbirthRelationshipstatusHomeaddressPreviousvisitstoAustraliacomposition(usecodesbelow)DAymonthYearDAymonthYearYourself////Spouse////Defacto////Father/Mother////Father/Mother////Brother/sister////Brother/sister////Brother/sister////Son/daughter////Son/daughter////Son/daughter////‘Relationshipstatus’codesM=Married=Engaged=DefactoS=SeparatedD=DivorcedW=Widowed=NevermarriedorbeeninadefactorelationshipDeclarationIdeclarethat:theinformationIhavegivenonthisformiscompleteandcorrect.inanysectionofthisformwhichhasbeencompletedwiththeassistanceofanotherperson,theinformationassetdownistrueandcorrectandhasbeenincludedwithmyfullknowledge,consentandunderstanding.SignatureofapplicantDAYMONTHYEARSignatureofwitnessDAYMONTHYEARCOMMONWEALTHOFAUSTRALIA,201354(Designdate04/13)