1、家 庭 構 成 54 Form 你想申請下列何種簽証 1. 你只能用英文填寫此表。 2. 你必須填寫你在原籍國和外國的所有家庭成員的細節，其中包括同父異母（或同母異父）的兄弟姐妹和子女，繼父與其前妻（或繼母與其前夫）所生的兄弟姐妹 和子女，領養的兄弟姐妹和子女。（如果人已不在世，可在“家庭地址”一欄填上“已故”。如果去向不明，可在“家庭地址”一欄填上“不知道”。 3. 你填寫此表時如果有人協助，你只能在所填資料真實和正確，而且你完全知道同意並理解資料的填入的情況下，才能在宣誓一欄下籤字。 訪問 (600) 其它 / / / / / / / / / / / / / / / / / / / / /
2、 / / / / / / / / / / / / / / / / / / / 你本人 配偶 父親/母親 父親/母親 兄弟/姐妹 兄弟/姐妹 兄弟/姐妹 兒子/女兒 兒子/女兒 兒子/女兒 54 (Design date 04/13) COMMONWEALTH OF AUSTRALIA, 2013 注意 家庭構成 / / / / 事實婚姻 姓 名 出生 日 月 年 婚戀狀況 （請使用下表的代碼） 家庭地址 以前是否來過澳大利亞 日 月 年 “婚戀狀況”代碼 M = 已婚 E = 訂婚 F = 事實婚姻 S = 分居 D = 離婚 W = 寡/鰥 N = 未婚或未有過事實婚姻 日 月 年 申請人簽
3、名 日 月 年 見證人簽名 我特此宣誓 本表中填寫的資料完整而正確 在他人協助下填寫的本表任何部份的資料都是真實和 正確的而且我完全知道同意並理解資料的填入。 宣誓Family composition 54 Form Are you applying for a: 1. You must complete this form in English only. 2. You must give details of all your family members living in your home country and abroad including half, step and ado
4、pted brothers, sisters and children (if not living, write Deceased in Home address column. If whereabouts unknown, write Unknown in Home address column). 3. If you have been assisted in completing this form, you should only sign the Declaration if the information is true and correct and has been inc
5、luded with your full knowledge, consent and understanding. Visitor visa (600) Other Home address Previous visits to Australia Given names Date of birth DAY MONTH YEAR / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / Family name Yourself Spouse Father/Mother Father/Moth
6、er Brother/sister Brother/sister Brother/sister Son/daughter Son/daughter Son/daughter Relationship status (use codes below) 54 (Design date 04/13) COMMONWEALTH OF AUSTRALIA, 2013 DAY MONTH YEAR Note: Family composition / / / / De facto Relationship status codes M = Married E = Engaged F = De facto
7、S = Separated D = Divorced W = Widowed N = Never married or been in a de facto relationship DAY MONTH YEAR Signature of applicant DAY MONTH YEAR Signature of witness Declaration I declare tha t: the inf orma tion I ha ve g iven on this f orm is complete and correct. in an y section of this f orm which has been completed with the assistance of another person, the inf orma tion as set down is true and correct and has been included with m y full knowledge, consent and understanding.
