Questionnaire - Australian Citizenship Application

Application of Australian Citizenship

Dear Client,

This questionnaire that is designed to ask you questions relevant to your Application of Australian Citizenship based on your personal circumstances.

Questionnaire - Australian Citizenship Application

"*" indicates required fields

Matter ID

For example: SMIT0003

Your email address*

Email of the migration agent assisting you with your application*

What type of application are you seeking to make?*

What type of visa are you hold?*

Part A – Applicant's details

1. Preferred title*

Prefix

2. Applicant's full name*

Given names Family name

(including all middle names)

3. Have you been known by any other names?*

Yes

(including name at birth, previous married names, aliases, alternative spellings or full spelling of all names)

Given names

Family name

Reason for change of name

If you have been known by more than one other name, add additional rows for details.

4. Sex*

Male

Female

Indeterminate / Intersex / Unspecified

5. Date of birth*

6. Place of birth*

Town/city

Country

7. Current residential address*

Street Address City State / Province / Region ZIP / Postal Code Country

Note: You must tell your migration agent if your address changes after you lodge the application.

8. Current postal address*

Same as the above residential address

Different address

Current postal address*

Street Address City State / Province / Region ZIP / Postal Code Country

Note: You must tell your migration agent if your address changes after you lodge the application.

9. Telephone numbers*

+[Country Code] [Mobile Number without leading 0]

10. Do you agree to the Department communicating with your agent by email?*

Yes

11. Current Occupation*

If no job, write ‘unemployed’ or ‘retired’.

12. Do you have Australian Driver Licence?*

Yes

Part B – PR & Citizenship details

How many citizenships have you held in your lifetime*

(including expired ones)

Date your first Australian visa was granted

I don’t remember at all

I need to check and get back to you

I know the exact date

I only know the approximate date

Other

Exact date*

Approximate date*

Date you first arrived in Australia on the first visa

I don’t remember at all

I need to check and get back to you

I know the exact date

I only know the approximate date

Other

Exact date*

Approximate date*

How many children do you have?*

includes step child and adopted child.

Preferred citizenship appointment location*

Please enter the area/district closest to where you would like your appointment.

Select your pledge preference*

Name of your current local council*

Do you intend to depart Australia within the next 12 months?*

Yes

Not sure

Approximate travel plan*

Country, Departure date, Return date

All Residential History in the past 5 years*

Date from

Date to

Country

Address

Give details of all countries that the applicant has lived in the last 5 years.

Countries resided / visited (in the past 10 years) - no gaps*

Date from

Date to

Country

Reason for travel

Give details of all countries that the applicant has lived in or travelled in the last 10 years only (Since the age of 18). Include: • Visit family/friend • Work or study • Holidays or leisure • Business • Military deployment

Part C – Your child

Give details of your children*

Family name

Given names

Date of Birth

Relationship to you

Place of birth

Country of current residence

includes child, step child and adopted child. Please provide her/her passport ID if they used it to enter Australia last time.

List all countries where your children‘s citizenship*

Family name

Given names

Country (Citizenship)

Citizenship status

Method of acquiring citizenship

Place acquired

Date citizenship acquired

Date citizenship ended

List all countries where the child holds permanent residency

Citizenship status: Current/Previous. Method of acquiring citizenship: Adoption/Application/Birth/Descent/Other.

Part D – Your parents

Biological mother, Biological father, Stepfather, Stepmother

Give details of your parents*

Relationship to you

Family name

Given names

Date of Birth

Place of birth

Country of current residence

Please provide their passport ID if they used it to enter Australia last time.

List all countries where your parents‘ citizenship*

Given names

Country (Citizenship)

Citizenship status

Method of acquiring citizenship

Place acquired

Date citizenship acquired

Date citizenship ended

List all countries where she/he holds permanent residency

Please add additional rows for different person. Citizenship status: Current/Previous. Method of acquiring citizenship: Adoption/Application/Birth/Descent/Other. Place acquired: Place of birth//Citizenship ceremony place. Date citizenship acquired: Birth Date/Citizenship ceremony date.

Have your parents been known by any other names?*

Yes

(including name at birth, previous married names, aliases, alternative spellings or full spelling of all names)

Given names

Family name

Reason for change of name

If they have been known by more than one other name, add additional rows for details.

Is there any parent deceased?*

Yes

Please list their names.

Add additional rows for more details.

Part E – Your other family members

Spouse/De-factor Partner, Siblings

Give details of your other family memebers*

Relationship to you

Family name

Given names

Date of Birth

Place of birth

Country of current residence

Relationship to you: Spouse/De Facto Partner Fiance/Fiancee Brother Sister Adopted brother Adopted sister Half brother Half sister Step-brother Step-sister Please provide their passport ID if they used it to enter Australia last time.

List all countries where these family members citizenship*

Family name

Given names

Country (Citizenship)

Citizenship status

Method of acquiring citizenship

Place acquired

Date citizenship acquired

Date citizenship ended

List all countries where she/he holds permanent residency

Have your family members been known by any other names?*

Yes

(including name at birth, previous married names, aliases, alternative spellings or full spelling of all names)

Given names

Family name

Reason for change of name

If they have been known by more than one other name, add additional rows for details.

Is there any family member deceased?*

Yes

Please list their names.

Add additional rows for more details.

Is there any thing you want tell us?

Signature*

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Application of Australian Citizenship

Questionnaire - Australian Citizenship Application

Part A – Applicant's details

Part B – PR & Citizenship details

Part C – Your child

Part D – Your parents

Part E – Your other family members

Australia Migration Updates: Visa Processing Times, Program Levels, and New Visas – September 2025

Changes to English Language Tests for Visa Applicants from 7 August 2025

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