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Form54(676)(456)1.2.(679)3.//////////////////////////////////////////////••////©COMMONWEALTHOFAUSTRALIA,200754(Designdate07/07)FormFamilycomposition54Areyouapplyingfora:Note:Touristvisa(676)Businessshortstay(456)1.YoumustcompletethisforminEnglishonly.2.Youmustgivedetailsofallyourfamilymemberslivinginyourhomecountryandabroadincludinghalf,stepandadoptedbrothers,sistersSponsoredfamilyvisitor(679)Otherandchildren(ifnotliving,write‘Deceased’inHomeaddresscolumn.Ifwhereaboutsunknown,write‘Unknown’inHomeaddresscolumn).3.Ifyouhavebeenassistedincompletingthisform,youshouldonlysigntheDeclarationiftheinformationistrueandcorrectandhasbeenincludedwithyourfullknowledge,consentandunderstanding.FamilyFamilynameGivennamesDateofbirthMaritalstatusHomeaddressPreviousvisitstoAustraliacomposition(Married,engaged,defacto,separated,DAYMONTHYEARdivorced,widowedornevermarried)DAYMONTHYEARYourself////Spouse////Father////Mother////Brother/sister////Brother/sister////Brother/sister////Son/daughter////Son/daughter////Son/daughter////DeclarationIdeclarethat:•theinformationIhavegivenonthisformiscompleteSignatureofapplicantSignatureofwitnessandcorrect.•inanysectionofthisformwhichhasbeencompletedwiththeassistanceofanotherperson,theinformationDAYMONTHYEARDAYMONTHYEARassetdownistrueandcorrectandhasbeenincluded//withmyfullknowledge,consentandunderstanding.Date//Date©COMMONWEALTHOFAUSTRALIA,200754(Designdate07/07)
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