B-9 Form Application For An Australian Travel Document Page 2
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4Form B-9
3 Parents’ relationship
Were you married to the child’s other parent at the time of birth?
YES / NO
status
What is your current relationship with the child’s other parent? (please circle one answer)
Married
De facto
Registered relationship
Separated
Divorced
No relationship
If divorced, please provide date and copy of decree nisi:
______/________/________
day
month
year
4 Other person with
Full name and current address of other person who may have parental responsibility for passport purposes:
parental responsibility
If applicable, former name(s) of other person who may have parental responsibility for passport purposes:
Relationship to the child:
Date of birth: ______/________/______
OR
approximate age now:
day
month
year
Is this person an:
Australian citizen
Permanent resident
Temporary resident
Non-resident
(circle one answer)
(foreign national)
Has this person ever visited Australia? YES / NO
If YES, give approximate date(s): ______/________/________
to
______/________/________
day
month
year
day
month
year
What are the last contact details you have for this person?
(include postal, email or social media addresses, phone numbers, friends, relatives or employers’ addresses)
Have you tried to contact this person using any of these contacts? YES / NO
If YES, what was the result?
If NO, please give reasons:
5 Court orders affecting
Is the child the subject of any court orders? YES / NO
If yes, please complete a Form B-7 and provide all the original court orders.
rights in relation to the
child
Note: If legal proceedings are underway that may affect parental responsibility for the child or the child’s right to
travel internationally, there are limits to the special circumstances we can consider. You may wish to seek the
court’s direction on passport issue before lodging the child’s passport application.
6 Child support payments
Do you receive or make any child support payments in respect of this child? YES / NO
If YES, please provide details:
Form B-9, October 2015
Page 2 of 4 pages
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