CONTRATO DE PRESTAÇÃO DE SERVIÇOS DE ASSESSORIA
CONTRATO DE PRESTAÇÃO DE SERVIÇOS DE ASSESSORIA
Por este Instrumento Particular de Contrato de Prestação de Serviços de Assessoria, e na melhor forma de direito, de um lado, a SOS TURISMO LTDA., empresa de direito privado, com sede nesta Capital do Estado de São Paulo, na Xxx Xxxxxxx Xxxxxxx xx Xxxx, xx000, xxxxxx Xxxxxxxx, inscrita no CNPJ/MF sob o nº 09.517.844/0001-89, neste ato representada pelo colaborador infra-assinado, daqui por diante simplesmente denominada MUNDO DOS VISTOS, e, de outro lado, o CLIENTE, e se menor de 18 anos, seu Representante Legal, doravante simplesmente denominado CLIENTE, têm entre si, justa e contratada a presente prestação de serviços, a que se obrigam as Partes mutuamente a cumprir e respeitar o presente instrumento, que se regerá pelas Cláusulas e condições que abaixo seguem:
1. OBJETO:
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1.1 O presente Contrato tem como objeto a prestação de serviços de Assessoria para obtenção de vistos, através da orientação e encaminhamento dos documentos para os Consulados e/ou Embaixadas, conforme descriminado:
País para obtenção do visto: Tipo de visto: Número de pessoas assessoradas: Nome das pessoas assessoradas:
2. OBRIGAÇÕES E RESPONSABILIDADES DA MUNDO DOS VISTOS:
2.1. A MUNDO DOS VISTOS responsabiliza-se pela assessoria sobre quais os documentos são solicitados pelo Consulado e/ou Embaixada e indica os documentos adicionais necessários para fortalecer o processo. Assim, é de sua responsabilidade indicar a relação de documentos necessários para obtenção do visto.
2.2. Caberá a MUNDO DOS VISTOS o encaminhamento da documentação ao Consulado e/ou Embaixada, com exceção dos países que exigem o comparecimento pessoal do CLIENTE.
2.3. A MUNDO DOS VISTOS garantirá o sigilo nos documentos enviados, responsabilizando-se por todas as pessoas que vierem a ter acesso às informações e comprometendo-se a utilizar única e exclusivamente para fins de obtenção de visto.
3. OBRIGAÇÕES E RESPONSABILIDADES DO CLIENTE
3.1. Caberá ao CLIENTE a entrega de toda documentação informada pela MUNDO DOS VISTOS.
3.1.1. No caso da obtenção do visto americano, a documentação deverá ser entregue pelo próprio CLIENTE diretamente ao Consulado. De acordo com políticas internas do Consulado, a MUNDO DOS VISTOS não poderá representar o CLIENTE no dia da entrevista, exceto caso tenha menores de 16 anos, maiores de 65 e em alguns casos de renovação de visto de turismo.
3.2. É de responsabilidade do CLIENTE a veracidade das informações prestadas, ficando a seu cargo a omissão de documentos/informações ou entrega de documentos de origem duvidosa e/ou fraudulenta.
3.3. Todos os documentos necessários para o embarque são de total responsabilidade do CLIENTE, que devem portá-los no dia da viagem. Eventuais prejuízos causados pela impossibilidade do embarque na data prevista, são de total responsabilidade do CLIENTE.
3.4. No caso de voos com conexões, é de inteira responsabilidade do CLIENTE verificar, previamente, a necessidade de obtenção de documentos adicionais.
3.5. O CLIENTE é responsável pelo comparecimento na entrevista (quando necessária) de acordo com data e horário agendado, devendo efetuar sua prévia remarcação no caso de impossibilidade de comparecimento.
4. TAXAS E HONORÁRIOS
4.1. O CLIENTE pagará para o MUNDO DOS VISTOS, a título de honorários, o valor de R$ ( _) por pessoa assessorada, pagos na assinatura do contrato.
4.2. Os honorários não incluem despesas com Correios e/ou serviço de retorno do passaporte.
4.3. No caso do visto ser negado, as taxas consulares e honorários não serão devolvidos.
5. PRAZO
5.1. O presente instrumento vigorará até a data da finalização do processo junto ao Consulado e/ou Embaixada.
6. RESCISÃO
6.1. O presente contrato poderá ser rescindido pelo CLIENTE a qualquer momento, sendo devolvido 50%(cinquenta por cento) do valor total dos honorários indicados na cláusula 4.1, ficando o valor restante destinado aos custos operacionais da assessoria.
6.2. No caso de rescisão, as taxas consulares só serão reembolsadas se o processo ainda não tiver sido encaminhado ao Consulado e/ou Embaixada.
7. DISPOSIÇÕES GERAIS
7.1. Todos os documentos recepcionados serão enviados ao respectivo Consulado e/ou Embaixada e não serão devolvidos, com exceção do passaporte. Assim, no caso do envio de documento original, este não será devolvido.
7.2. A análise consular é feita com base na documentação apresentada. É reservado ao Consulado e/ou Embaixada solicitar a qualquer momento entrevista por telefone e/ou pessoalmente assim como documentos adicionais.
7.3. A aprovação ou não do visto é de inteira responsabilidade do Consulado e/ou Embaixada do respectivo país, não cabendo à MUNDO DOS VISTOS qualquer interferência sobre a decisão final do oficial. O pagamento dos honorários e da taxa consular não é garantia de aprovação do visto.
7.4. O prazo para obtenção da resposta final do Consulado varia de acordo com o tipo de visto. A informação pode ser obtida através do site oficial do consulado no Brasil ou através do telefone para contato disponibilizado pelo próprio consulado. Esse prazo deverá ser contado a partir da entrada dos documentos. O prazo não pode ser garantido pelo Consulado, podendo haver greves e falhas no sistema, que acabam por atrasar o processo. Por isso, é necessário que o processo seja iniciado com antecedência da viagem. A MUNDO DOS VISTOS muito embora se esforçará para concluir o processo no menor tempo possível, não se responsabiliza por atrasos no prazo de resposta.
7.5. Eventualmente algum processo poderá ser analisado pelo Consulado e/ou Embaixada de maneira mais criteriosa e assim sem previsão de retorno. Nesses casos poderá ocorrer a demora na decisão final e esta é de inteira responsabilidade do Consulado e/ou Embaixada e não da MUNDO DOS VISTOS.
7.6. No caso de recusa do visto, o CLIENTE poderá iniciar novamente o processo, sendo necessário a entrega novamente de todos os documentos, bem como o recolhimento das taxas consulares e honorários.
7.7. A devolução do passaporte após análise final do consulado será feita a cargo do CLIENTE, isentando à MUNDO DOS VISTOS de quaisquer responsabilidades sobre atrasos e/ou extravios da empresa contratada.
8. FORO
8.1. As partes elegem o Foro Central da Cidade de São Paulo, Estado de São Paulo, como o competente para dirimir dúvidas ou controvérsias oriundas do presente Contrato.
E, por estarem assim justas e contratadas, assinam as partes o presente instrumento em 2 (duas) vias de igual forma e teor, para um só efeito, juntamente com as duas testemunhas abaixo assinadas.
São Paulo, de de 20 .
MUNDO DOS VISTOS
Cliente/Representante Legal Nome:
CPF: RG:
Testemunhas:
1. 2.
Nome: Nome:
CPF: CPF:
Form
157A
Application for a student visa
MUNDO DOS VISTOS
✓
PHOTOGRAPH
Please attach required photographs of yourself
AND
all members of your family unit included in this application
Please use a pen, and write neatly in English using BLOCK LETTERS. Tick where applicable
Application overview Part A – To be completed by the student
1 How many people are included in this application?
2 TYPE OF APPLICATION
i Are you applying as a student?
Student details
3 Please select the student visa subclass you are applying for:
No Yes
Go to ii
Complete Part A (Questions 3 to 49) and Part C (Questions 76 to 113)
Go to Part A
Independent ELICOS Sector (subclass 570) visa School Sector (subclass 571) visa
Vocational Education and Training Sector (subclass 572) visa Higher Education Sector (subclass 573) visa
Postgraduate Research Sector (subclass 574) visa
ii Are you a member of a student visa holder/applicant’s family unit lodging a separate application?
Non-award Sector (subclass 575) visa
No Yes
WARNING: In order to complete this form you must answer ‘Yes’ to one of the above Questions i or ii.
Complete Part B (Questions 50 to 75) and Part C (Questions 76 to 113)
Go to Part B
Foreign Affairs or Defence Sector (subclass 576) visa
4 Your full name in English Family name
Given names
5 Name in your own language or script (if applicable)
6 Have you been known by any other names?
(including name at birth, previous married names, aliases)
No
Yes
Give details and provide supporting evidence eg. birth certificate/marriage certificate
Family name Given names
7 Sex Male
Female
8 Date of birth
DAY MONTH YEAR
9 Have you ever used a different date of birth?
No DAY MONTH YEAR
16 Details of identity card or identity number issued to you by your government (if applicable) eg. National identity card.
Note: If you are the holder of multiple identity numbers because you
Yes
Other date of birth
are a citizen of more than one country, you need to enter the identity
If insufficient space, attach an additional statement.
10 Place of birth Town/city Country
number on the card from the country that you live in. Identity number
Country of issue
17 Your country of usual residence
11 Relationship status
Married Engaged
De facto Separated Divorced
Date of marriage
Date of intended marriage
(if applicable)
Date cohabitation began
DAY MONTH YEAR
18 Your residential address in your country of usual residence
Note: A post office box address is not acceptable as a residential address. Failure to give a residential address will result in your application being invalid.
POSTCODE |
DAY MONTH YEAR
Widowed
Never married or
Stay period
Date from
been in a de facto
relationship
12 Your present country of citizenship
13 Do you hold any other citizenship? No
19 Your telephone numbers outside Australia
( ) ( )
COUNTRY CODE AREA CODE NUMBER
( ) ( )
Office hours After hours
Personal/private mobile/cell
20 Your residential address in Australia (if known)
POSTCODE |
Yes Which countries?
14 Preferred language
The department may contact you for an interview and may use an interpreter based on your preferred language.
15 Do you have a passport? No
21 Your telephone numbers in Australia (if known)
(AREA CODE )
(AREA CODE )
Office hours After hours
Personal/private mobile/cell
POSTCODE |
22 Address for correspondence
Yes
Details from your passport Passport number
Country of passport
Date of issue
DAY MONTH YEAR
23 Do you agree to the department communicating with you by fax, email or other electronic means?
No
Date of expiry
Issuing authority/Place of issue as shown in your passport
Yes
Fax number
Give details
( ) ( )
COUNTRY CODE AREA CODE NUMBER
Email address
24 Are you applying for a student visa while you are in Australia? 30 Provide details of your highest qualification obtained outside Australia,
No Yes
Go to Question 27 Go to Question 25
as well as all other studies and training obtained outside Australia.
You must provide evidence of your study and training, including academic records, if you are:
25 Important – If you are applying in Australia, you must currently hold a qualifying visa, or held a certain visa within 28 days from the expiry of that visa.
Information on qualifying visas and certain visas is available from the department’s website xxx.xxxxxx.xxx.xx/xxxx/xxxx/xxxx/xxxxxxxxxx-xxxxx-xxx- student-and-student-guardian-visa
Do you currently hold a qualifying visa?
• in Assessment Level 3; or
• in Assessment Level 2 seeking to undertake studies in the postgraduate research sector.
All other applicants may be requested to provide evidence where considered necessary.
In certain limited circumstances, you may be requested to provide copies of any published works written by you.
1. Highest qualification
No Yes
Go to Question 26 Go to Question 28
Name of education provider or training body
26 Were you the holder of a certain visa and lodging an application within 28 days from the expiry of that visa?
POSTCODE |
Address of education provider or training body
No Yes
WARNING: You do not meet the criteria for the grant of a student visa.
Go to Question 28
27 What date do you intend to arrive in Australia?
DAY MONTH YEAR
Go to Question 29
Commencement date Finish date
DAY MONTH YEAR
28 Do you currently hold a student visa?
Documentation attached? No
Yes
No
POSTCODE |
Yes
If you are in Assessment Level 2 or 3 and applying for a student visa in Australia, you will be required at Question 49 to provide exceptional reasons why you should be granted a student visa in Australia.
2. Other course undertaken outside Australia Name of education provider or training body
29 What date do you intend to depart Australia after completing your course?
DAY MONTH YEAR
Address of education provider or training body
Commencement date Finish date
DAY MONTH YEAR
Documentation attached? No Yes
3. Other course undertaken outside Australia Name of education provider or training body
Address of education provider or training body
POSTCODE |
Commencement date Finish date
DAY MONTH YEAR
Documentation attached? No Yes
31 Have you previously studied in Australia? No
32 Give details of your intended courses of study in Australia.
You must provide evidence of enrolment (an electronic confirmation of
Yes
Give details below
You must provide evidence of your studies and training, including academic records
enrolment) or a letter of offer of a place in a course unless you are seeking
to study in Australia as a secondary school exchange student or as a student sponsored by the Department of Foreign Affairs and Trade or the Australian Department of Defence.
1. Previous course in Australia
Name of education provider or training body
Period of study
If you are seeking to study as an exchange student, you must attach to this application the Acceptance Advice Secondary Exchange Student (AASES) form as evidence of enrolment.
If you wish to study in Australia as a student sponsored by the Department of Foreign Affairs and Trade or the Australian Department of Defence, you must attach evidence of sponsorship from the Department of Foreign Affairs and Trade or the Department of Defence.
From
MONTH YEAR
MONTH YEAR
to
1. Intended course
2. Previous course in Australia
Name of education provider or training body
Name of education provider or training body
Period of study
MONTH YEAR MONTH YEAR
From to
Commencement date Finish date
Have you enrolled?
DAY MONTH YEAR
No Attach letter of ‘offer of a place in a course’
3. Previous course in Australia
Yes
Is evidence of enrolment attached? No
Yes
Name of education provider or training body
2. Intended course
Name of education provider or training body
Period of study
MONTH YEAR MONTH YEAR
From to
Commencement date Finish date
Have you enrolled?
DAY MONTH YEAR
No Attach letter of ‘offer of a place in a course’
Yes
Is evidence of enrolment attached? No
Yes
3. Intended course
Name of education provider or training body
DAY MONTH YEAR
Commencement date Finish date
Have you enrolled?
No Attach letter of ‘offer of a place in a course’
Yes
Is evidence of enrolment attached? No
Yes
Note: If you are enrolled in more than 3 courses you must attach evidence of these additional courses with your application.
33 Provide a brief statement setting out your reasons for undertaking your intended course(s) of study in Australia. The statement should include:
• your reasons for choosing to undertake the course of study specified in your application;
• your reasons for choosing your education provider;
35 Have you studied for at least 5 years (in the English language) in Australia, Canada, New Zealand, the Republic of South Africa, the Republic of Ireland, the United Kingdom and/or the United States of America?
No
• your reasons for choosing to study in Australia rather than in your home country;
• the relevance of your course of studies to your academic and/or employment background; and
• the relevance of the course to your future career/educational plans.
If insufficient space, attach an additional statement.
Yes
Indicate which county:
(Tick all that apply)
Australia Canada
New Zealand the Republic of South Africa the Republic of Ireland
the United Kingdom the United States of America
What is the highest academic qualification you obtained from the countries listed above?
Evidence attached? No Yes
If insufficient space, attach an additional statement.
Your employment details
36 Give details of your employment history since leaving school/college/university.
MONTH YEAR MONTH YEAR
POSTCODE |
1. Period: From to Name and address of employer
Your English language details
34 Have you undertaken an English language proficiency test within the last 24 months?
No
Type of business Occupation Salary level
Documentation attached?
No Yes
Yes
Name of test:
International English Language Testing System (IELTS)
the Test of English as a Foreign Language Paper-Based Test (TOEFL PBT)
the TOEFL Internet-Based Test (TOEFL IBT) the Pearson Test of English Academic
the Cambridge English: Advanced (CAE) test (also known as Certificate in Advanced English)
the Occupational English Test
DAY MONTH YEAR
Date of test
MONTH YEAR MONTH YEAR
POSTCODE |
2. Period: From to Name and address of employer
Type of business Occupation Salary level
Test location (country where test taken)
Documentation attached?
No Yes
Test certificate number
Test score (overall band score)
If insufficient space, attach an additional statement.
37 What is your employment status? Employed
Details of employer Name
Address
38 Have you been offered a job for when you return home at the completion of your course?
No What kind of employment will you be seeking on your return to your home country?
POSTCODE |
( ) ( )
Telephone number
Position you hold
COUNTRY CODE AREA CODE NUMBER
Yes
Name and address of your employer
How long have you been employed by this employer?
Have you attached evidence of your employment details?
Self employed Details of business Name
POSTCODE |
Address
YEARS MONTHS
No Yes
POSTCODE |
Telephone number
COUNTRY CODE AREA CODE NUMBER
( ) ( ) |
Occupation
Salary level (if known)
Documentation attached? No Yes
Telephone number
Position you hold
COUNTRY CODE AREA CODE NUMBER
( ) ( )
How long have you been employed by this business?
Have you attached evidence of your business details?
YEARS MONTHS
No Yes
Retired – Date of retirement
DAY MONTH YEAR
Student
Your current course
Name of educational Institution
YEARS MONTHS
How long have you been studying at this institution?
Other – Provide details
Unemployed – Provide details of your last employment (if applicable)
Relative details
39 Give details of any immediate relatives in Australia (ie. parent, partner, child, brother or sister)
Financial details
41 Are you applying to study in Australia as a secondary school exchange student?
No
1. Name
Relationship
Yes
Go to Question 49
to you
DAY MONTH YEAR
Date of birth
Passport number (if known)
POSTCODE |
Address
Immigration status in Australia (eg. temporary or permanent resident, Australian citizen)
DAY MONTH YEAR
Date of arrival
2. Name
Relationship to you
42 Living costs are a minimum amount set for visa purposes. Living costs vary depending on where you will be living and studying. It is your responsibility to determine what your own costs will be to live and study in Australia. Even if you have permission to work you should not rely on work to support yourself in Australia as a student
Do you have access to sufficient funds to support you and your family unit members for the TOTAL period of your stay in Australia (including proposed course fees for you and any school-age family members, living costs and travel costs, regardless of whether your dependants intend to accompany you to Australia)?
No Yes
Note: More information on the total period of stay in Australia and the level of funds you are required to declare and/or demonstrate is available on the department’s website xxx.xxxxxx.xxx.xx/xxxx/xxxx/xxxx/xxxx-xxxxxxxxxxx- document-checklists
43 If you are in:
Date of birth
DAY MONTH YEAR
Assessment Level 1 or eligible
Go to Question 49
Passport number (if known)
POSTCODE |
Address
Immigration status in Australia (eg. temporary or permanent resident, Australian citizen)
for Streamlined
Visa Processing
Assessment Level 2–3
You must provide documentary evidence that you have sufficient funds (unless you are a secondary school exchange student). It is important that you refer to the department’s website xxx.xxxxxx.xxx.xx/xxxx/xxxx for details regarding the level of funds you are required to demonstrate, acceptable sources of funds and of the length of time funds must have been held.
Date of arrival
DAY MONTH YEAR
44 How much are your funds
AUD
(if converted into Australian dollars)?
40 Give details of your closest relative in your home country who is neither accompanying nor joining you in Australia
Name
Relationship to you
POSTCODE |
Address
45 Is any part of your funds borrowed? No
AUD
Yes Amount borrowed (in Australian dollars)
Is any part of the amount borrowed given conditionally? No
Yes Give details of the conditions
Telephone number
COUNTRY CODE AREA CODE NUMBER
( ) ( )
46 How will you access your funds in Australia?
47 Are your funds being sourced from another person? No
Yes Give details of each person
1. Family name Given names
Relationship to you
Source of income
2. Family name Given names
Part B – To be completed only if you are a family unit member joining a student in Australia
Family unit member details
50 Your full name in English Family name
Given names
51 Name in your own language or script (if applicable)
52 Have you been known by any other names?
(including name at birth, previous married names, aliases)
No
Relationship
Yes
Give details and provide supporting evidence eg. birth certificate/marriage certificate
to you
Source of income
48 Are your funds being sourced from an institution or third party? No
Yes Give details of the institution or third party Name
Family name Given names
53 Sex Male
54 Date of birth
Female
DAY MONTH YEAR
Address
55 Have you ever used a different date of birth?
POSTCODE |
No Yes
Other date of birth
DAY MONTH YEAR
Telephone number
COUNTRY CODE AREA CODE NUMBER
If insufficient space, attach an additional statement.
( ) ( )
56 Place of birth Town/city
Additional information
49 Is there any other information or documentation you would like taken into consideration in assessing your application?
Remember that a decision may be based solely on the information you provide in this application.
No
Yes You must attach evidence
Note: If you are applying in Australia as an Assessment Level 2–3
Country
57 Relationship status
Married Engaged
De facto
Date of marriage
Date of intended marriage
(if applicable)
Date cohabitation began
DAY MONTH YEAR
applicant and do not hold a student visa, you must provide exceptional reasons to justify the grant of your visa.
Now go to Part C
Separated Divorced Widowed
Never married or been in a de facto
relationship
Attach evidence that you have been in cohabitation with your partner for at least 12 months (eg. joint account statements, utility billing accounts)
58 Your present country of citizenship
59 Do you hold any other citizenship? No
66 Your residential address in Australia (if known)
POSTCODE |
Yes
Which countries?
67 Your telephone numbers in Australia (if known)
(AREA CODE )
Office hours
60 Preferred language
The department may contact you for an interview and may use an interpreter based on your preferred language.
61 Do you have a passport? No
After hours Personal/private mobile/cell
(AREA CODE )
POSTCODE |
68 Address for correspondence
Yes
Details from your passport Passport number
Country of passport
69 Do you agree to the department communicating with you by fax, email or other electronic means?
No
Date of issue
DAY MONTH YEAR
Yes
Fax number
Give details
COUNTRY CODE AREA CODE NUMBER
( ) ( )
Date of expiry
Issuing authority/Place of issue as shown in your passport
Email address
70 Has the student you are joining, who is a member of your family unit, completed form 919 Nomination of student dependants?
62 Details of identity card or identity number issued to you by your government (if applicable) eg. National identity card.
Note: If you are the holder of multiple identity numbers because you
No
Yes
If applying outside Australia, you must provide a completed form 919 with this application
Attach the completed form 919 to this application
are a citizen of more than one country, you need to enter the identity number on the card from the country that you live in.
71 Do you intend to study in Australia for more than 3 months? No
Identity number Country of issue
63 Your country of usual residence
Yes
If you are 5 years up to 18 years of age, please provide documentary evidence of school enrolment in Australia.
If you are 18 years of age or older and you intend to study in Australia for more than 3 months, you must apply for a student visa as a principal applicant, rather than as a family unit member.
64 Your residential address in your country of usual residence
Note: A post office box address is not acceptable as a residential address. Failure to give a residential address will result in your application being invalid.
POSTCODE |
65 Your telephone numbers outside Australia
COUNTRY CODE AREA CODE NUMBER
( ) ( )
( ) ( )
Office hours After hours
Personal/private mobile/cell
72 Provide details of the student you are joining in Australia Name
Relationship
to you
Part C – To be completed by all applicants
About your family
Date of birth
Citizenship(s) Address
DAY MONTH YEAR
76 Give details of all members of your family unit whether or not they intend to accompany you to Australia.
POSTCODE |
Members of your family unit are your partner and any dependent children of you or your partner who are unmarried, not in a de facto relationship and who have not turned 18 years of age.
Please attach evidence of your relationship to each family member (eg. certified copies of birth certificates or marriage certificate).
Type of student visa held
What Assessment Level were they assessed against (if known)?
DAY MONTH YEAR
Date granted Expiry date
Note: You cannot join your family unit member in Australia on a student visa if they are Assessment Level 3 unless the total duration of the course(s) they are undertaking in Australia is at least 12 months or more.
73 Did the student you are joining declare in their initial student visa application you and other members of their family unit included in this application?
1. Family name Given names
Relationship to you
Evidence of relationship attached? No Yes
Citizenship(s)
DAY MONTH YEAR
Date of birth
Is this person included in this application? No
No Yes
74 Is the student you are joining:
• the holder of an International Postgraduate Research Scholarship;
• sponsored by the Department of Foreign Affairs and Trade or the Australian Department of Defence;
• fully sponsored by the federal, or a state or territory government of Australia;
• fully sponsored by the government of your home country, or by a state or provincial government of your home country;
• fully sponsored by a multilateral organisation eg. the United Nations, World Bank?
Yes
Details from passport Passport number
Country of passport
DAY MONTH YEAR
Date of issue Date of expiry
Issuing authority/Place of issue as shown in passport
No Yes
If the student you are joining is in Assessment Level 2–3 and was granted their visa after 1 December 2003, there are specific financial evidentiary requirements that you must meet. Please go to the department’s website for details on the levels of funds you are required to demonstrate, acceptable sources of funds and the length of time funds must be held.
Go to Part C
Does this person intend to study in Australia for more than 3 months?
No Yes
75 Does the student you are joining have sufficient funds to financially support themselves, you and any other family members included in this application, for the remainder of his or her stay in Australia?
No
Yes You must attach evidence of this financial support
2. Family name Given names
Relationship to you
Evidence of relationship attached?
No Yes
Dependants under 18 years of age
77 Have any school age dependants (that is, those who have turned 5 but who have not yet turned 18 years of age) included in this application been enrolled in a school in Australia?
Not applicable
No
Citizenship(s)
DAY MONTH YEAR
Yes
You must provide evidence (eg. enrolment advice, offer letter)
Date of birth
Is this person included in this application? No
78 Do you have the sole legal right to determine where any dependants under 18 years of age who are included in this application will live or to remove each such dependant from their country of usual residence?
Not applicable Go to Question 79
Yes
Details from passport Passport number
No Yes
Give details below
Go to Question 79
Country of passport
DAY MONTH YEAR
Give details of ALL other people not included in this application who have custody, access or guardianship rights in relation to the dependant(s).
Attach a statutory declaration from each of these people giving permission for the dependant to accompany you to Australia.
Date of issue
Date of expiry
Issuing authority/Place of issue as shown in passport
POSTCODE |
1. Family name Given names
Residential address
Does this person intend to study in Australia for more than 3 months?
3. Family name Given names
No Yes
Telephone
Relationship to dependant
Nature of legal right
COUNTRY CODE AREA CODE NUMBER
( ) ( ) |
Relationship to you
Evidence of relationship attached?
Citizenship(s)
DAY MONTH YEAR
Date of birth
Is this person included in this application? No
No Yes
Statutory declaration attached? No
POSTCODE |
2. Family name Given names
Residential address
Yes
Yes
Details from passport Passport number
Country of passport
Telephone
Relationship to dependant
Nature of legal right
COUNTRY CODE AREA CODE NUMBER
( ) ( ) |
Date of issue
DAY MONTH YEAR
Statutory declaration attached? No
Yes
Date of expiry
Issuing authority/Place of issue as shown in passport
79 Are any of your dependants who are under 18 years of age, and who are included in this application, the subject of a court order giving you:
• the sole legal right to determine where they will live; or
• the right to remove them from their country of usual residence? Not applicable
Does this person intend to study in Australia for more than 3 months?
No Yes
No Yes
Attach a certified copy of the court order(s)
Previous visa applications
WARNING: In general, a person can only hold one visa at a time. If you are granted a visa while you already have another, your current visa, if
81 Have you, or any other person included in this application, ever travelled outside your country of citizenship?
No
still in effect, will cease automatically when a new visa is granted.
No
No
Yes
Yes
80 Have you or any other person included
Yes
1.
Name
Give details of the 8 most recent countries travelled to
in this application previously applied for any type of Australian visa?
Country
DAY MONTH YEAR
DAY MONTH YEAR
Do you currently hold a visa?
If you answered ‘Yes’ to any of the above questions, give details below
Date
2. Name
from to
1. Name
Type of visa
Country
DAY MONTH YEAR
DAY MONTH YEAR
Application
Invalid Withdrawn Refused
Date
3. Name
from to
Awaiting decision
Granted
Visa label number
Country
DAY MONTH YEAR
DAY MONTH YEAR
If granted a visa without a label, provide the 13-digit visa grant number (as shown on the
Date
V <
4. Name
from to
letter notifying you of visa grant).
Country
Place of issue
Date
from
DAY MONTH YEAR
DAY MONTH YEAR
to
Date of issue
DAY MONTH YEAR
5. Name Country
2. Name
Type of visa Application
Invalid
Date
6. Name
from
DAY MONTH YEAR
DAY MONTH YEAR
to
Withdrawn
Refused
Country
DAY MONTH YEAR
DAY MONTH YEAR
Awaiting decision
Granted
Visa label number
Date
V <
7. Name
from to
If granted a visa without a label, provide the 13-digit visa grant number (as shown on the
Country
DAY MONTH YEAR
DAY MONTH YEAR
letter notifying you of visa grant).
Date
from to
Place of issue
DAY MONTH YEAR
8. Name Country
Date of issue
Date
from
DAY MONTH YEAR
DAY MONTH YEAR
to
82 Have you, or any other person included in this application, ever:
• been in Australia and not complied with visa conditions or departed Australia outside your authorised period of stay?
• had an application for entry to Australia refused, or had a visa for
85 Do you, or any other person included in this application, intend to work as, or study to be, a doctor, dentist, nurse or paramedic during your stay in Australia?
No
Australia cancelled?
No
Yes
Give details
Yes Give details
Health
83 In the last 5 years, have you, or any other person included in this application, visited or lived outside your country of passport for more than 3 consecutive months?
No
86 Do you, or any other person included in this application, intend to work, or be a trainee, at a child care centre (including preschools and creches) while in Australia?
No
Yes 1.
Name
Give details
Yes
Give details
Country(s)
Date
from
DAY MONTH YEAR
DAY MONTH YEAR
to
2. Name Country(s)
DAY MONTH YEAR
DAY MONTH YEAR
87 Have you, or any other person included in this application:
• ever had, or currently have, tuberculosis?
Date
3. Name
from to
• been in close contact with a family member that has active tuberculosis?
• ever had a chest x-ray which showed an abnormality?
No
Country(s)
DAY MONTH YEAR
DAY MONTH YEAR
Yes
Give details
Date from to
84 Do you, or any other person included in this application, intend to enter a hospital or a health care facility (including nursing homes) while in Australia?
No
Yes Give details
88 During your proposed visit to Australia, do you, or any other person included in this application, expect to incur medical costs, or require treatment or medical follow up for:
• blood disorder;
Health insurance
91 Do you and all applicants included in this application hold health insurance for the duration of your intended stay on a student visa?
• cancer;
• heart disease;
• hepatitis B or C and/or liver disease;
• HIV infection, including AIDS;
No
Yes
Important – This visa application may not be approved without adequate health insurance arrangements for all applicants.
• kidney disease, including dialysis;
• mental illness;
• pregnancy;
92 Please select what health insurance arrangements are in place for all student visa applicants included in this application:
• respiratory disease that has required hospital admission or oxygen therapy;
• other?
No
Overseas Student Health Cover (OSHC)
Other health
You must provide evidence of OSHC for all student visa applicants included in this application.
Give details
Yes
Give details
insurance arrangements
You are strongly advised to carry certification of your vaccination status, especially for children attending Australian child care centres (including preschools and creches) and schools. Vaccination against polio, tetanus, measles, mumps, rubella, diphtheria, pertussis (whooping cough), Haemophilus influenzae hypo B (Hib), and Hepatitis B is recommended for children, with certification sought at time of child care centre (including preschool and creche) and school enrolment. Vaccination against rubella is also recommended for women of child bearing age.
Examples of other forms of acceptable health insurance arrangements can be found in the information sheet ‘Applying for a student visa’, available from the department’s website xxx.xxxxxx.xxx.xx/xxxxxxxxxxxxxxxxx/xxxxxxxxx/xxxxxxxx- student.pdf
89 Do you, or any other person included in this application, require assistance with mobility or care due to a medical condition?
No
Yes Give details
90 Have you, or any other person included in this application, undertaken a health examination for an Australian visa in the last 12 months?
No
Yes Give details (including HAP ID if available)
Character | ||
93 Have you, or any member of your family unit | ||
included in this application, ever: | ||
• been charged with any offence that is | ||
currently awaiting legal action? | No | Yes |
• been convicted of an offence in any country | ||
(including any conviction which is now | ||
removed from official records)? | No | Yes |
• been the subject of an arrest warrant or | ||
Interpol notice? | No | Yes |
• been found guilty of a sexually based offence | ||
involving a child (including where no | ||
conviction was recorded)? | No | Yes |
• been named on a sex offender register? | No | Yes |
• been acquitted of any offence on the grounds | ||
of unsoundness of mind or insanity? | No | Yes |
• been found by a court not fit to plead? | No | Yes |
• been directly or indirectly involved in, or | ||
associated with, activities which would | ||
represent a risk to national security in | ||
Australia or any other country? | No | Yes |
• been charged with, or indicted for: genocide, | ||
war crimes, crimes against humanity, torture, | ||
slavery, or any other crime that is otherwise | ||
of a serious international concern? | No | Yes |
• been associated with a person, group or | ||
organisation that has been/is involved in | ||
criminal conduct? | No | Yes |
• been associated with an organisation | ||
engaged in violence or engaged in acts of | ||
violence (including war, insurgency, freedom | ||
fighting, terrorism, protest) either overseas or | ||
in Australia? | No | Yes |
• served in a military force, police force, state | ||
sponsored/private militia or intelligence agency (including secret police)? | No | Yes |
• undergone any military/paramilitary training, | ||
been trained in weapons/explosives or in the manufacture of chemical/biological products? | No | Yes |
• been involved in people smuggling or people trafficking offences? | No | Yes |
• been removed, deported or excluded from any country (including Australia)? | No | Yes |
• overstayed a visa in any country (including Australia)? | No | Yes |
• had any outstanding debts to the Australian | ||
Government or any public authority in Australia? | No | Yes |
If you answered ‘Yes’ to any of the questions at Question 93, you must state who it applies to and give ALL relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.
If insufficient space, attach an additional statement.
Accommodation/welfare arrangements for students under 18 years of age
94 Are you under 18 years of age?
Note: Depending on your Assessment Level, you may need to meet a
96 As the parent or a person who has legal custody of a student applicant under 18 years of age, do you hold or have you applied for a visa
(eg. Student Guardian visa – subclass 580) to accompany your child during their stay in Australia?
No
minimum age or education standard requirement. Refer to the department’s website for more details.
Yes
Please give your details below, then go to Question 101
No Yes
Go to Question 104
Questions 95 (and either Question 96, 97, 98, 99 or 100) and the declaration at 101 must be completed on your behalf by your parents or a person(s) who has legal custody of you, as you are under 18 years of age. If your parents or a person(s) who has legal custody of you have not made adequate arrangements for your accommodation, support
Family name Given names
Date of birth
DAY MONTH YEAR
and general welfare while in Australia, a student visa cannot be granted. Evidence of their relationship to you must be provided.
Your intended address in Australia
95 This question, and other questions as indicated, must be completed by the parents, or person(s) who has legal custody of the applicant under 18 years of age.
Which statement best explains your situation?
I am a parent or person who has legal custody of the student applicant and I am
going to accompany the child to Australia. Go to Question 96
POSTCODE |
Application: Granted
Visa label number
V <
If granted a visa without a label, provide the
13-digit visa grant number (as shown on the letter notifying you of visa grant).
I am a parent or person who has legal custody of the student applicant and have made arrangements for the child to stay in Australia with a relative* who is 21 years of age or older.
Go to Question 97
Not yet decided
Period of stay Expiry date (DAY/MONTH/YEAR)
MONTHS
Australian Government office where application lodged
* A relative is defined under the Migration Regulations as a spouse, de facto partner, child, parent, brother, sister, step-child,
step-parent, step-brother, step-sister, grandparent, grandchild, aunt, uncle, xxxxx or nephew, or a step-grandparent, xxxx- xxxxxxxxxx, step-aunt, step-uncle, xxxx-xxxxx or step-nephew.
The student applicant will not be accompanied by either a parent or a person who has legal custody, and will
Now go to Question 101
97 As the parents or a person(s) who has legal custody of a student applicant under 18 years of age, have you made arrangements with a relative who is at least 21 years of age and of good character with whom your child will stay in Australia?
not stay in Australia with a relative who is 21 years of age or older.
Go to Question 100
No Yes
Please give details of the relative
Family name Given names
Date of birth
DAY MONTH YEAR
Address of relative in Australia
POSTCODE |
Relationship of relative to the child
Form 157N must be completed and lodged together with this application.
98 Will your relative reside in Australia as: an Australian citizen or
101 I am satisfied with the reception, care and support arrangements that have been made in Australia for my dependent child under
permanent resident a Temporary resident
Go to Question 101
How long are they permitted to stay in Australia?
DAY MONTH YEAR
OR until
18 years of age.
Note: Both parents must sign this declaration even when the student visa applicant will be accompanied to Australia by one or both parents.
✍
Signature of parent/person who has legal custody
99 Give details of your relative’s Student Guardian visa application
Date
DAY MONTH YEAR
Granted
Visa label number
V <
MONTHS
Period of stay Expiry date (DAY/MONTH/YEAR)
Full name (print in English)
Relationship to student applicant
Not yet decided
Australian Government office where application lodged
MONTHS
Period of stay sought
Signature of parent/person who has legal custody
✍
DAY MONTH YEAR
Now go to Question 101
100 As the parents or a person(s) who has legal custody of a student applicant under 18 years of age, who is neither being accompanied by you nor staying with a relative who is at least 21 years of age, have you obtained a written statement from your child’s education provider(s) that accommodation, support and general welfare arrangements for your child are appropriate?
No
Date
Full name (print in English)
Relationship to student applicant
Yes
Please attach the original or a copy of the signed undertaking from the education provider
Custody arrangements for students under 18 years of age
102 Do you have the sole legal right to determine where the applicant will live or to remove the applicant from their country of usual residence?
No Provide details of ALL other people who have custody, access or guardianship rights in relation to the applicant
If there is more than one person, please attach details.
Name
Residential address
103 Declaration by the parent(s) or person(s) with legal custody of a student visa applicant under 18 years of age
I am not aware of any reason why the visa applicant should not travel to Australia (the custody/access/guardianship rights of another person are not affected).
✍
Signature of parent/person who has legal custody
POSTCODE |
Date
DAY MONTH YEAR
Full name (print in English)
Telephone number
COUNTRY CODE AREA CODE NUMBER
Relationship to student applicant
( ) ( ) |
Relationship to student visa applicant Nature of legal right
Signature of parent/person who has legal custody
✍
DAY MONTH YEAR
Yes
You must sign the declaration at Question 103.
All other people who have custody, access or guardianship rights in relation to the applicant must also sign the declaration at Question 103.
If any of these people are unable to complete the declaration at Question 103 for any reason, you must attach a statutory declaration from them giving permission for the applicant to travel to Australia as a student.
Complete the declaration at Question 103
Date
Full name (print in English)
Relationship to student applicant
If more than 2 people have custody, access or guardianship rights in relation to the applicant, please attach a statutory declaration from them giving permission for the applicant to travel to Australia as a student.
Assistance with this form
104 Did you receive assistance in completing this form?
Options for receiving written communications
No Yes
Go to Question 109
Please give details of the person who assisted you
109 All written communications about this application should be sent to:
(Tick one box only)
POSTCODE |
Title: Mr Family name Given names Address
Mrs
Miss
Ms Other
Myself
OR
Authorised recipient
OR
Migration agent
OR
Exempt person
You should complete form 956A Appointment or withdrawal of an authorised recipient
Your migration agent/exempt person should complete form 956 Advice by a migration agent/exempt person of providing immigration assistance
Telephone number or daytime contact
COUNTRY CODE AREA CODE NUMBER
( ) ( )
Office hours Mobile/cell
105 Is the person an agent registered with the Office of the Migration Agents Registration Authority (Office of the MARA)?
No
Yes Go to Question 109
106 Is the person an education agent? No
Yes Please give details below Education Agency Business Name
Education Agent Registration Number (if known)
Address (if different from address given in Question 102)
POSTCODE |
Email address
Telephone number or daytime contact Office hours
( ) ( ) |
COUNTRY CODE AREA CODE NUMBER
Mobile/cell Fax number
COUNTRY CODE AREA CODE NUMBER
( ) ( ) |
107 Is the person/agent in Australia?
No Yes
Go to Question 109
108 Did you pay the person/agent and/or give a gift for this assistance? No
Yes
Payment details
110 IMPORTANT: You must refer to the department’s website at xxx.xxxxxx.xxx.xx/xxxx/xxxx/xxxx to complete this part of your application. The website shows reference tables with the Visa Application Charges applicable to each visa subclass.
Visa subclass you are applying for
Base Application Charge
Write the amount shown on the reference table for your visa subclass
Non-internet Application Charge (if applicable)
(1)
AUD
+
AUD
(2)
Additional Applicant Charge aged 18 years or over at the time your application is lodged +
Write the amount shown on the reference table for your visa subclass
Number of additional applicants aged 18 years or over
AUD
AUD
X (multiplied by) = (3)
Additional Applicant Charge under 18 years of age at the time your application is lodged +
Write the amount shown on the reference table for your visa subclass
Number of additional applicants
under 18 years of age
AUD
AUD
X (multiplied by) = (4)
Subsequent Temporary Application Charge (if applicable)
AUD
Write the amount shown on the reference table for your visa subclass
+
AUD
Number of applicants
Total (1) + (2) + (3) + (4) + (5)
X (multiplied by) =
=
AUD
Total
(5)
You must pay the total amount or your visa application will not be valid. Note: A second instalment of the Visa Application Charge must also be paid before we can grant some visas.
111 How will you pay your application charge?
Note: A surcharge may apply to payments made by credit card. Further information is available from
xxx.xxxxxx.xxx.xx/xxxx/xxxx/xxxx/xxx-xx-xxx-xxx-xx-xxxxxxxxxxx
If applying in Australia, credit card is the preferred method of payment. If paying by bank cheque or money order please make payable to the Department of Immigration and Border Protection.
If applying outside Australia, please check with the Australian Government office where you intend to lodge your application as to what methods of payment and currencies they can accept and to whom the payment should be made payable.
Bank cheque Money order
Credit card Give details below
MasterCard American Express
Visa
Diners Club
JCB
AUD
Payment by (tick one box) Australian Dollars
Telephone number
Address
COUNTRY CODE AREA CODE NUMBER
( ) ( )
: : : : : : : : : : : : : : : : : : |
Credit card number
:
MONTH
Expiry date Cardholder’s name
YEAR
:
POSTCODE |
As the cardholder I acknowledge and accept that a credit card surcharge may apply to the transaction.
✍
Signature of cardholder
Credit card information will be used for charge paying purposes only.
Signatures 113
112 BIOMETRICS DECLARATION AND CONSENT
This declaration and consent must be signed by the main applicant and each accompanying person aged 16 years or over.
If I am requested or required to provide my fingerprints and facial image: I consent to:
• the collection of my fingerprints and facial image; and
• if applicable, the collection of the fingerprints and facial image of each accompanying person under 16 years of age.
I declare that:
• I understand that my fingerprints and facial image and my biographical information (and those of each accompanying person under 16 years of age) held by the department may be given to Australian law enforcement agencies to help identify me and each accompanying person, to help determine my eligibility and the eligibility of each accompanying person for grant of the visa applied for, and for law enforcement purposes.
I consent to:
• Australian law enforcement agencies disclosing my biometric, biographical and criminal record information (and that of each accompanying person under 16 years of age) to the department for any of the purposes outlined above; and
• the department using the information obtained for the purposes of the Migration Xxx 0000 or the Australian Citizenship Xxx 0000.
X
✍
Signature of student (if over the
age of 16)
DAY MONTH YEAR
Date
✍
Signature
Family name Given names
DAY MONTH YEAR
Date
✍
Signature
Family name Given names
DECLARATION
WARNING: Giving false or misleading information or documents is a serious offence.
Before signing the declaration and consent refer to the department’s website to ensure that you have attached all relevant documentation.
I declare that:
• I have read the information contained in the xxx.xxxxxxxxxxxxxxxx.xxx.xx website on living and studying in Australia including information on the cost of living, accommodation and employment.
• the information I have supplied in this application is complete, correct and up-to-date in every detail.
• I am aware that I must immediately advise the department if I become aware that any information provided in this form is incorrect or if there is a change in my circumstances that is relevant to this application at any time.
• I have attached all relevant documentary evidence as specified on the department’s website for the student visa for which I am applying.
• I have access to sufficient funds to support myself and my family unit members (regardless of whether they are accompanying me to Australia) for the total period of my stay in Australia.1
• I have made adequate arrangements to health insurance for the period of my stay in Australia and I acknowledge that I am required to maintain these arrangements while in Australia as the holder of a student visa.
• I will respect Australian values as listed on this form, during my stay in Australia and will obey the laws of Australia.
• I understand that a student visa is a temporary visa, and that being granted a student visa will not guarantee that I will be eligible for the grant of a further visa to remain in Australia, including a skilled migration visa.
• I understand that if I cannot obtain a further visa, I must depart Australia on or before the cease date of the student visa.
• I have read the information contained in form 1442i Privacy notice.
• I understand the department may collect, use and disclose my personal information (including biometric information and other sensitive information) as outlined in form 1442i Privacy notice.
• I understand that if any fraudulent documents or false or misleading information has been provided with this application, or if I fail to satisfy the Minister of my identity, my application may be refused and I, and any other member of my family unit, may become unable to be granted a visa for specified periods of time.
• If documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.
Date
DAY MONTH YEAR
✍
Signature
Family name Given names
Date
DAY MONTH YEAR
1 More information on the total period of stay in Australia and the level of funds you are required to declare and/or demonstrate is available on the department’s website xxx.xxxxxx.xxx.xx/xxxx/xxxx/xxxx/xxxx-xxxxxxxxxxx- document-checklists
Visa conditions:
• If granted a student visa, I acknowledge that I am required to understand and abide by the visa conditions imposed on my visa.
• I understand that if the 8534 visa condition is imposed on my visa, it will be indicated by the condition code ‘8534’ and by the short description ‘further stay restricted’. I acknowledge that this means that the 8534 condition has been imposed on my visa and that I will
not, while in Australia, be entitled to the grant of any other visa,2 other than a subclass 580 (Student Guardian) visa.
• I understand that the effect of the 8534 visa condition is that it will not be possible for me to apply to remain in Australia beyond the date authorised by my visa 2 and that I will be required to depart Australia on or before that date. I agree to having this condition included on any visa issued to me as a result of this application if the department decides to impose it as a condition of grant of a visa.
• I understand that if the 8535 visa condition is imposed on my visa, it will be indicated by the condition code ‘8535’ and by the short description ‘further stay restricted’. I acknowledge that this means that the 8535 condition has been imposed on my visa and that I will not, while in Australia, be entitled to be granted any other visa 2, other than a further student visa in circumstances where the Commonwealth, or a foreign government (as the case requires), does not oppose me undertaking a relevant course of study.
• I understand that the effect of the 8535 visa condition is that it will not be possible for me to remain in Australia beyond the date authorised by my visa 2, unless I am applying for a further student visa in circumstances where the Commonwealth, or a foreign government (as the case requires), does not oppose me undertaking a relevant course of study, and that I will be required to depart Australia on or before the authorised date.
For students under 18 years of age:
• I acknowledge my responsibility for organising appropriate accommodation and travel to and from Australia on behalf of the student visa holder under the age of 18.
• I am aware that condition 8532 will be imposed on the visa of the student under the age of 18 and I will ensure that appropriate welfare arrangements are in place and maintained at all times.
The declaration must be signed and dated by all people over 18 years of age included in this application.
Both parents or any person who has legal custody must complete the declaration and consent on behalf of any children under
18 years of age or any person who lacks the legal capacity to sign on their own behalf.
X
✍
Signature of student (if over the
age of 18)
DAY MONTH YEAR
Date
✍
Signature
Family name Given names
DAY MONTH YEAR
Date
✍
Signature
Family name Given names
DAY MONTH YEAR
Date
✍
Signature
Family name Given names
Date
DAY MONTH YEAR
We strongly advise that you keep a copy of your application and all attachments for your records.
2 Except in certain circumstances or to engage Australia’s protection obligation.