澳大利亚及新西兰签证家庭成员表
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Department of Immigration,Local Government ang Ethnic Affairs | ||
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FAMILY COMPOSITION |
家 庭 成 员 表 |
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Application for 申请 |
.Citizenship 入籍 .Permanent Residence 永久居留 .Temporary Residence 临时居留 .Extension of Stay 签证延长 |
Ⅰ To be completed applicant's own handwriting in English and Chinese - where applicable ⅱ Each item must be completed as fully as possible ⅲ All dates should be completed according to Gregorian calendar. ⅳ indicate hall blood ,step or adoptive relationships ⅴ Itis an offence to furnish false or misleading information. offenders will be prosecuted. |
1 此表栏由申请人亲笔填写（中文或英文皆可）. 2 表中每栏均须详尽填报. 3 表中所有日期均须按 阳历填报。 4请指出混血、异父母所生或领养关系。 5 填报假的或使人误解的材料是违法的。违法者将受到法律起诉。 |
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RELATIONSHIP |
FAMILY NAME |
GIVEN OR CHRISTIAN NAMES (include aliases) |
BIRTH DETAILS |
MARRIAGE DETAILS |
PRESENT ADDRESS |
ARRIVAL DETAILS IN AUSTRALIA |
MOTHER'S NAME | |||
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Date |
Village or Town |
Date |
Village or Town |
Date |
Place | |||||
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关系 |
姓 |
名（包括别名） |
出生详情 |
婚姻详情 |
现住地址 |
抵澳详情 |
母亲姓名 | |||
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日期 |
地点 |
日期 |
地点 |
日期 |
地点 | |||||
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APPLICANT 申请人 |
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FATHER 父 |
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MOTHER 母 |
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FATHERS OTHER MMES* 继父或继母* |
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BROTHER/SISTER 兄/弟/姐/妹* |
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BROTHER/SISTER 兄/弟/姐/妹* |
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BROTHER/SISTER 兄/弟/姐/妹* |
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APPLICANT SPOUSE（S） 申请人的配偶 |
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SON/DAUGHTER 子/女* |
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SON/DAUGHTER 子/女* |
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SON/DAUGHTER 子/女* |
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SON/DAUGHTER 子/女 |
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SON/DAUGHTER 子/女* |
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SON/DAUGHTER 子/女* |
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| Certication: |
Signature 签名.... Witness 见证人签名.... Date .............Date.................. PM54 |
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I certify this to be a true and complete statement of my family Delete whichever is inapplicable 删除星号栏内的不适之同 |
