B-9 Form Application For An Australian Travel Document (Page 3 of 4) in pdf

B-9 Form Application For An Australian Travel Document Page 3

Form B-9

7 Contact between child

escribe the contact between the child and this person (e.g. give details of the nature and frequency of visits,

and other person with

phone calls, e-mails, text messages, social media, etc.):

parental responsibility

When was the last contact of any type between the child and this person?

______/________/________

day

month

year

What was its purpose?

8 Further information

The special circumstances under which this application may be approved are defined in subsection 11(2) of the

Australian Passports Act 2005 and section 10 of the Australian Passports Determination 2015.

Please provide any further information and attach any relevant evidence.

9 Disclosure of

The Department of Foreign Affairs and Trade may disclose the information that has been provided in or with

the child’s passport application to any organisation or individual that can verify the information to establish the

information

child’s eligibility for an Australian travel document. This may include contacting the person named in Section 4

whose consent has not been provided.

Your contact details will NOT be disclosed to that person.

Do you have any objection to the department contacting that person? YES / NO

If yes, please state your reasons here:

Form B-9, October 2015

Page 3 of 4 pages

B-9 Form Application For An Australian Travel Document Page 3