Application for a Maritime Crew Visa

Application context

The applicant may already hold a Maritime Crew visa with more than 12 months validity. To confirm this, use the Department's Maritime Crew visa status enquiry service.

The applicant of this application is:

a crew member (or under offer of employment as a crew member) on a non-military ship
a member of the family unit of a crew member that holds or has already applied for a Maritime Crew visa

Current location

Select the applicant's current location. If the applicant is currently 'at sea', then select the departing location.

Current location

Arrival date in Australia

Select the applicant's first intended arrival date in Australia after this application is lodged (if known).

Intended arrival date

Related application

Give details of the related crew member's application.

Reference number type:

Application ID

Transaction reference number (TRN)

Visa grant numberPrimary applicant's date of birth

Primary applicant's date of birth

Applicant

Passport details

Enter the following details as they appear in the applicant's personal passport.

Family name

Given names

Sex:
Female
Male
Other
Passport number

Country of passport

Date of expiry

Place of issue / issuing authority

It is strongly recommended that the passport be valid for at least six months.

Australian visa grant number

Does this applicant have an Australian visa grant number from a previous visa application?

Yes No

Australian visa grant number (if known)

National identity card

Does this applicant have a national identity card?

Yes No

Add details

Family name

Given names

Identification number

Country of issue

Actions

Place of birth

Town / City

State / Province

Country of birth

Relationship status

Relationship status:

De Facto

Divorced

Engaged

Married

Never Married

Separated

Widowed

Other names / spellings

Is this applicant currently, or have they ever been known by any other names?

Yes No

Add details

Family name

Given names

Reason

Actions

Citizenship

Is this applicant a citizen of the selected country of passport?

Yes No

Is this applicant a citizen of any other country?

Yes No

List countries

Is this applicant currently stateless?

Yes No

The responses to the questions above indicate that this applicant holds no citizenship and is not stateless. If this is not correct, then amend the answers above. If this is correct, give details as to why the applicant is not a citizen of any country and is not stateless.

Give details

Critical data confirmation

All information provided is important to the processing of this application.

Confirm that the following information is correct and that it is in the correct fields.

Family name

Karman

Given names

Sex

Date of birth

Country of birth

Passport number

Country of passport

Contact details

Country of residence

Usual country of residence

Department office

The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant’s current location?

Office:

Residential address

Note that a street address is required. A post office address cannot be accepted as a residential address.

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Postal address

Is the postal address the same as the residential address?

Yes No

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Enter numbers only with no spaces.

Home phone

Business phone

Mobile / Cell phone

Email address

Authorised recipient

Does the applicant authorise another person to receive written correspondence on their behalf?

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

No
Yes, a migration agent
Yes, another person

This person is referred to as the 'authorised recipient'.

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address

Note: The holder of this email address may receive a verification email from the Department if the address has not already been verified. If the address holder receives a verification email, they should click on the link to verify their address before this application is submitted.

Migration agent contact details

Migration agent

MARN

Family/Given Names

Family name

Given names

Organisation

Postal address

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Electronic communication

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address

Authorised recipient contact details

Authorised person

Family/Given Names

Family name

Given names

Postal address

Country

Address

Suburb / Town

State or Province

Postal code

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Electronic communication

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address

Education

Give details of the highest recognised qualification obtained by the applicant that relates to a 'Seafarer'.

Highest recognised qualification obtained :

Doctoral Degree in Science, Business or Technology

Doctoral Degree (Other)

Masters Degree in Science, Business or Technology

Masters Degree (Other)

Honours Degree in Science, Business or Technology

Honours Degree (Other)

Bachelor Degree in Science, Business or Technology

Bachelor Degree (Other)

Graduate Diploma

Other qualification or award recognised by assessing authority

Advanced Diploma

Associate Degree

Diploma

AQF Certificate IV

AQF Certificate III

Certificate III (non-AQF)

Senior Secondary School Certificate

Other - Non AQF accreditation

Other

Course name

Institution name

Country of institution

Date from

Date to

Employment

Current employment

Give details of the vessel operator, shipping company or manning agency with which the applicant is employed or under offer of employment.

Employer name

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Occupation

Sea crew job title:

Auxiliary Captain

Bosun Petty Officer

Captain / Master

Charterer or Charterers Rep.

Chief Integrated Rating

Crew Catering

Crew Clerical or Administration

Crew Deck

Crew Engine

Crew Medical

Crew Passenger Support or Service

Crew Trainee

Deck Officer

Dependent of Crew

Engineer Officer

Entertainer Permanent Crew Only

Fishing Master

Gov't or Company Representatives

Owner

Security or Safety Officer

Stockman

Supernumerary

Technician

Training Officer

Other (specify)

Nature or type of business

Employment / Contract reference number (if known)

Visa history

Has the applicant held or does the applicant currently hold a visa to Australia or any other country?

Yes No

Give details

Has the applicant ever been in Australia or any other country and not complied with visa conditions or departed outside their authorised period of stay?

Yes No

Give details

Has the applicant ever had a visa for Australia or any other country refused or cancelled?

Yes No

Give details

Character declarations

If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details.

If the matter relates to a criminal conviction, provide:

the date and nature of the offence

full details of the sentence

dates of any period of imprisonment or other detention

Has the applicant ever been charged with any offence that is currently awaiting legal action?

Yes No

Has the applicant ever been convicted of an offence in any country (including any conviction which is now removed from official records)?

Yes No

Has the applicant ever been the subject of a domestic violence or family violence order, or any other order, of a tribunal or court or other similar authority, for the protection of another person?

Yes No

Has the applicant ever been the subject of an arrest warrant or Interpol notice?

Yes No

Has the applicant ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?

Yes No

Has the applicant ever been found guilty of a sexually based offence involving a child (including where no conviction was recorded)?

Yes No

Has the applicant ever been named on a sex offender register?

Yes No

Has the applicant ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?

Yes No

Has the applicant ever been found by a court not fit to plead?

Yes No

Has the applicant ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?

Yes No

Has the applicant ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?

Yes No

Has the applicant ever been charged with, or indicted for: genocide, war crimes, crimes against humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?

Yes No

Has the applicant ever been associated with a person, group or organisation that has been or is involved in criminal conduct?

Yes No

Has the applicant ever been associated with an organisation engaged in violence or engaged in acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in Australia?

Yes No

Has the applicant ever served in a military force, police force, state sponsored / private militia or intelligence agency (including secret police)?

Yes No

Has the applicant ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?

Yes No

Has the applicant ever been involved in people smuggling or people trafficking offences?

Yes No

Has the applicant ever been removed, deported or excluded from any country (including Australia)?

Yes No

Has the applicant ever overstayed a visa in any country (including Australia)?

Yes No

Has the applicant ever overstayed a visa in any country (including Australia)?

Yes No

Has the applicant ever had any outstanding debts to the Australian Government or any public authority in Australia?

Yes No

Declarations

Warning:

Giving false or misleading information is a serious offence.

The applicants declare that they:

Have read and understood the information provided to them in this application.

Yes No

Have provided complete and correct information in every detail on this form, and on any attachments to it.

Yes No

Understand that if any fraudulent documents or false or misleading information has been provided with this application, or if any of the applicants fail to satisfy the Minister of their identity, the application may be refused and the applicant(s), and any member of their family unit, may become unable to be granted a visa for a specified period of time.

Yes No

Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.

Yes No

Understand that if this application is approved, any person not included in this application will not have automatic right of entry to Australia.

Yes No

Will inform the Department in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in or with this application, while it is being considered.

Yes No

Have read the information contained in the Privacy Notice (Form 1442i).

Yes No

Understand that the department may collect, use and disclose the applicant's personal information (including biometric information and other sensitive information) as outlined in the Privacy Notice (Form 1442i).

Yes No

Provide fingerprints and facial image

Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical information held by the Department may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being applied for, and for law enforcement purposes.

Yes No

Visa ceases to be in effect

As an applicant:

I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such, I will be expected to depart from Australia, and be subject to removal under the Migration Act 1958.

Yes No

Review Page

Please check that the information provided is correct before you continue.

Application context

Click here to edit the Application context

The applicant may already hold a Maritime Crew visa with more than 12 months validity. To confirm this, use the Department's Maritime Crew visa status enquiry service.

The applicant of this application is:

a crew member (or under offer of employment as a crew member) on a non-military ship

Current location

Select the applicant's current location. If the applicant is currently 'at sea', then select the departing location.

Current location

Arrival date in Australia - MCV

Arrival date in Australia

Select the applicant's first intended arrival date in Australia after this application is lodged (if known).

Intended arrival date

Primary applicant

Applicant

Click here to edit the Applicant

Passport details

Enter the following details as they appear in the applicant's personal passport.

Names, Sex & DoB

Family/Given Names

Family name

Given names

Sex

Date of birth

Passport details

Passport number

Country of passport

Nationality of passport holder

Date of issue

Date of expiry

Place of issue / issuing authority

United State Department of State

It is strongly recommended that the passport be valid for at least six months.

Australian visa grant number

Does this applicant have an Australian visa grant number from a previous visa application?

National identity card

Does this applicant have a national identity card?

Place of birth

Town / City

State / Province

Country of birth

Relationship status

Never Married

Other names / spellings

Is this applicant currently, or have they ever been known by any other names?

Citizenship

Is this applicant a citizen of the selected country of passport

Is this applicant a citizen of any other country?

Other identity documents

Does this applicant have other identity documents?

Critical data confirmation

Click here to edit the Critical data confirmation

All information provided is important to the processing of this application.

Confirm that the following information is correct and that it is in the correct fields.

Family name

Given names

Sex

Date of birth

Country of birth

Passport number

Country of passport

Is the above information correct?

Yes

Contact details

Click here to edit the Contact details

Country of residence

Usual country of residence

Department office

The applicant may be required to attend an Australian Government Office for an interview. Which is the closest office to the applicant’s current location?

Office

Residential address

Note that a street address is required. A post office address cannot be accepted as a residential address.

Country

Address

Address 2

Address International

Suburb / Town

State or Province

Postal code

Postal address

Is the postal address the same as the residential address?

Contact telephone numbers

Enter numbers only with no spaces.

Home phone

Business phone

Mobile / Cell phone

Email address

Authorised recipient

Click here to edit the Authorised recipient

Does the applicant authorise another person to receive written correspondence on their behalf?

This authorises the department to send the authorised person all written correspondence that would otherwise be sent directly to the applicant.

Yes, another person

This person is referred to as the 'authorised recipient'.

Authorised recipient contact details

Authorised person

Family/Given Names

Family name

Given names

Postal address

Country

Address

Address 2

Suburb / Town

State / Territory

Postcode

Contact telephone numbers

Enter numbers only with no spaces.

Business phone

Mobile / Cell phone

Electronic communication

The Department prefers to communicate electronically as this provides a faster method of communication.

All correspondence, including notification of the outcome of the application will be sent to:

Email address

Education

Click here to edit the Education

Give details of the highest recognised qualification obtained by the applicant that relates to a 'Seafarer'.

Highest recognised qualification obtained

Masters Degree (Other)

Course name

Institution name

NYC University

Country of institution

UNITED STATES

Date from

Date to

Employment

Click here to edit the Employment

Current employment

Give details of the vessel operator, shipping company or manning agency with which the applicant is employed or under offer of employment.

Employer name

Country

Address

Address 2

Suburb / Town

State / Territory

Postcode

Occupation

Sea crew job title

Engineer Officer

Nature or type of business

Electronics

Employment / Contract reference number (if known)

Employment history

Give details of the applicant's employment and unemployment history in the last 2 years.

Employment history - 2 years - Employed/Unemployed #1

Employment history

Employment status

Employed

Employment details (employed) - MCV

Employment details

Position

Employer name

Country

AUSTRALIA

Description of duties

Managing electronic gadgets.

Date from and Date to

Date from

Date to

Visa history

Click here to edit the Visa history

Has the applicant held or does the applicant currently hold a visa to Australia or any other country?

Yes

Give details

Has the applicant ever been in Australia or any other country and not complied with visa conditions or departed outside their authorised period of stay?

Has the applicant ever had a visa for Australia or any other country refused or cancelled?

Character declarations - Single applicant

Character declarations

Click here to edit the Character declarations