BEGIN YOUR APPLICATION

Title:

From the list provided, select your preferred title based on your gender, marital status or professional designation.

Mr.: Identifies a male person who may be single, married or widowed.

Mrs.: Identifies a female person who may be married or widowed.

Miss.: Identifies a female person who is not married.

Ms.: Identifies a female person who may be married, single or widowed and prefers not to use Mrs. or Miss.

Dr.: Identifies a person who prefers to use their professional designation indicating they are a medical doctor or have obtained a doctorate degree.

Given Name(s)/First Name(s) as stated in passport:

Enter your first (given) name as it appears on official documents such as your passport or birth certificate.

Only use standard characters (A to Z), and do not use hyphens.

E.g. John Smith - 'John' would be the first name.

Middle Name as stated in passport:

Surname(s)/Last Name(s) as stated in passport:

Enter your last name (surname) as it appears on official documents such as your passport or birth certificate.

Only use standard characters (A to Z), and do not use hyphens.

E.g. John Smith - 'Smith' would be the last name.

Email Address:

Nationality (Passport issuing country):

Country of Birth:

Date of Birth:

A basic requirement of this visa category is determined by age. This question must be answered honestly to enable us to provide an accurate eligibility assessment result. Please enter the date which appears on your official birth certificate.

Your date of birth must be entered in day/month/year format, as indicated by the drop-down menus.

Gender as Appears on Passport:

Marital Status:

De facto: You currently live together with your partner (opposite or same-sex), without being legally married, in a genuine domestic relationship to the exclusion of all others.

Divorced: Your marriage has been legally dissolved by legal authority, usually a family court, and you have documentary evidence to this effect.

Engaged: You are betrothed to enter into a legally recognised marriage.

Married: You and your partner have entered into a marriage which is legally recognised and documented.

Never married: You have never entered into a legally recognised marriage or de facto relationship.

Separated: You and your partner no longer live together in a marital situation or in a genuine domestic relationship to the exclusion of all others and would normally live apart without having finalised divorce proceedings to terminate the marriage.

Widowed: Your partner is deceased and immediately prior to their death, you were in a legal marriage or de facto relationship.

Please provide your National Identify Number:

Additional Countries of Citizenship:

Do you have a criminal conviction (including for any crime/s or offence/s which is now removed from official records)?

Please answer this question honestly as it may impact your eligibility for an Australian visa. All information provided is held in the strictest of confidence.

In order to qualify for an ETA, an applicant must not have any criminal convictions, for which the sentence or sentences (whether served or not) are for a total period of 12 months duration or more. Upon arrival, all visitors are required to declare their criminal conviction(s) on the incoming passenger card. Failure to do so may result in the ETA or other visa type being cancelled on arrival and entry being refused.

Have you ever been refused an ETA?

Please indicate if you have ever had an application for an Electronic Travel Authority refused by the Australian Government – Department of Home Affairs (DOHA).

Only select yes if you have had an earlier ETA application refused. Otherwise, select no.

Are you currently outside Australia?

Passport Number:

• Make sure you enter your passport information correctly.

• Enter the passport number exactly as it appears in the machine readable zone of your passport.

• You may not board your flight if you enter the wrong information.

Passport Date of Issue:

Please provide the date your passport was issued as indicated in your passport.

Please note, on the confirmation screen, this date will be displayed in day/month/year format.

Passport Expiry Date:

Please provide the expiry date of your passport.

Please note, on the confirmation screen, this date will be displayed in day/month/year format.

Country of Residence:

Please type the name of the country in which you live into the text box.

Examples: Australia, or United Kingdom, or United States, or Canada.

Address:

Please type your current Street Address in the text box. Your street address may include an apartment or suite number, house/building number, and a street name

Example: 329 Queensberry Street

City/Suburb:

Please type the name of the city or suburb in which you live into the text box.

Example: North Melbourne

State/Province:

Please type the name of the state or province in which you live into the text box.

Examples: Victoria, or England, or Ontario, or New York.

Post Code/Zip Code:

Please type your Post Code / ZIP code into the text box.

Examples: 3051, or W1B 4JE, or M4P 2Y1, or 13251.

Phone number:

Please type your current telephone number into the text box. Your phone number should include your country code, your area code, and your local number.

Your Country Code should appear automatically after you indicate the country in which you live.

Example: 44 0207 494 6464

Please select the type of Visa:

Visitor/tourist Visa

Please select "Visitor/tourist Visa" if you are travelling to Australia for tourism purposes or to visit family and friends. Please note: this visa is usually valid for multiple visits to Australia within 12 months from date of issue with a maximum stay on each visit of three months. You are not permitted to work or study during these visits.

Business Short Term Visa

Please select "Business Short Term Visa" if you are travelling to Australia for business related activities, other than employment, for a stay of up to three months. Please note: this visa is usually valid for one visit to Australia within 12 months from the date of issue with a maximum stay of three months.

Intended date of travel:

Please select the date you intend to enter Australia. An ETA is valid for up to 12 months from date of issue.

Please note, on the confirmation screen, this date will be displayed in day/month/year format.

Are you currently, or have you ever been, known by any other names?

It is important to provide details of all other names that you have been known by.

These may include:

• Names before marriage

• Aliases or any alternative spelling in your names

• Full spelling of initials of names included in your passport

Provide Details of other names:

Do you have any family members who live outside Australia who will not be travelling with you?

Please provide details regarding your family members who are not travelling to Australia:

Please select your employment status:

Please provide details of your employer :

Please provide details as requested below:

Please provide details as requested below:

Please provide details of your studies:

Please provide full details of your employment status including commencement and completion dates (as applicable) :

Do you have sufficient funds to support yourself during your stay in Australia?

If NO, please give details of the person who will be providing support while you are in Australia.
(Note: the person you have listed may be requested to provide evidence of their ability to provide this support.):