Form O - Pio Card Application/renewal
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APPLICATION FORM FOR THE GRANT/RENEWAL OF A PIO CARD
SOUTH AUSTRALIA & NSW: Recommended Option, apply by Registered POST, mail in your application to: GPO Box 2892
SYDNEY NSW 2001 or Queue in person at IPVSC, Encounter Australia 63 Grote Street, Adelaide, South Australia 5000. Or Queue
in person at IPVSC, Level 1, 64, Clarence Street, Sydney 2000.
VICTORIA & TASMANIA: Recommended Option, apply by POST, mail in your application to: PO Box 23057
DOCKLANDS VIC 3008 or Queue in person at IPVSC, Suite 4.Level 12, 55 Swanston Street, Melbourne, VIC 3000.
QUEENSLAND & ACT: Recommended Option, apply by POST, mail in your application to: PO Box 936, Civic Square, ACT
2608 or Queue in person at
. Or Queue in person at
IPVSC,Level 3, 490 Upper Edward Street,Spring Hill,Brisbane, QLD - 4000
IPVSC, Unit 2, 20 Allara, Canberra city, Canberra ACT 2601.
NORTHERN TERRITORY & WESTERN AUSTRALIA: Recommended Option, apply by POST, mail in your application to:
Locked Bag 200 PERTH BC WA 6849 Or Queue in person at IPVSC, Level 1, Room 22, 195 Adelaide Terrace (Good Earth
Hotel); Perth WA – 6004
.
POST:
You must add $13.50 (inclusive of GST) Postal Processing Fee. This is to return your
processed/unprocessed (in case incomplete) application.
Download the checklist for your visa application from
READ INSTRUCTIONS CAREFULLY. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
FEE PAID A $___________ POSTAL CHARGES A$_____________
DETAILS AND MODE OF PAYMENT OF FEE: CASH / BANK CHEQUES / AUSTRALIAN M.O
1. (a) Name of the applicant _______________________________________________________________
(Surname)
(Middle Name)
(Given Name)
(b) Surname at birth (if any) _______________________________________________________________
(c) Other names (where applicable) _________________________________________________________
(d) Date of birth __________________________
(Day/Month/Year)
(e) Place of birth ________________________________________________________________________
(City)
(State)
(Country)
(Pin Code)
2. (a) Father’s name __________________________________________ Nationality _________________
(Surname)
(Given Names)
(b) Mother’s name ___________________________________________ Nationality _________________
(Surname)
(Given Names)
(c) Spouse’s name (where applicable) _____________________________ Nationality ________________
(Surname) (Given Names)
3. (a) Present Address ____________________________________________________________________
City _________________ State ________________ Post Code ____________ Tel. No. ______________
(b) Permanent Address ___________________________________________________________________
F/AUS/IND/05
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PIO Card Form
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