Application For An Australian Travel Document (Page 3 of 3) in pdf

Application For An Australian Travel Document Page 3

8 Further information

Form B-9

The special circumstances under which this application may be approved are defined in subsection

11(2) of the Australian Passports Act 2005 and subsection 2.1 of the Australian Passports

Determination 2005.

Do you wish to provide any further information?

9 Disclosure of information

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

application to any organisation or individual that can verify the information to establish the child’s eligibility for an

Australian travel document. This may include contacting the person named in Section 4 above whose consent

has not been provided.

Your contact details will NOT be disclosed to that person.

If you have any objection to the department contacting that person please state your reasons here:

10 Declaration

Declaration by the person completing this statement

I declare that:

I am aware of the information in the brochure Children and parental consent*;

I am aware that processing this application may take an additional 3 to 4 weeks;

I am aware that it is a criminal offence under the Australian Passports Act 2005 to make false or

misleading statements. (There are penalties of up to 10 years’ imprisonment or a fine

of $110 000, or both); and

the information I have given in this statement is complete and correct.

Signature

______/________/________

day

month

year

*Copies of the brochure Children and parental consent are available at

passport offices in Australia, Australian diplomatic missions and consulates overseas, online at

or by calling 131 232 from anywhere in Australia.

Form B-9, March 2011

Page 3 of 3 Pages

Application For An Australian Travel Document Page 3