Work and Holiday visa(462)

Application context

Current location

​Give details of the applicant's current location.

Current location

Current application

Will the applicant be accompanied by dependent children at any time during their stay in Australia on this visa?

    Yes     No

Has the applicant been granted and entered Australia on a Working Holiday visa (subclass 417) before?

    Yes    No

Application Type

Select the type of work and holiday visa the applicant is applying for:

  • First Work and Holiday visa (subclass 462)
  • Second Work and Holiday visa (subclass 462)
  • Third Work and Holiday visa (subclass 462)

Has the applicant been granted and entered Australia on a first Work and Holiday visa (subclass 462) before?

    Yes   No


Applicant

Information: Entering names incorrectly may result in denial of permission to board an aircraft to Australia, or result in delays in border processing on arrival to Australia, even if the applicant has been granted a visa.

Passport details

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

Family name

Given names

Sex:

Male
Female
Other

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

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

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

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

Other passports

Does this applicant have other current passports?

    Yes  No

Other identity documents

Does this applicant have other identity documents?

    Yes   No

Health examination

Has this applicant undertaken a health examination for an Australian visa in the last 12 months?

    Yes  No



Critical data confirmation

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

If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been granted.

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   No

Additional identity questions

Provide further details below, where available.

Previous travel to Australia

Has this applicant previously travelled to Australia or previously applied for a visa?

    Yes   No

Previous passports

Does this applicant have previous passports that have been used to travel to Australia?

    Yes  No

Add details

Family name

Given names

Passport number

Country of passport

Actions

Grant number

Grant Number Does this applicant have an Australian visa grant number?

    YES   nO

Australian visa grant number (if known)

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

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'.

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

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.



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

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.



Education

Does the applicant meet the education requirements for this visa?

    Yes   No

Add details

Qualification

Institution name

Course name

Date from

Date to

Action

Employment

Usual occupation

Intended employment

Industry type:

  Accommodation and Food Services

  Administrative and Support Services

  Agriculture, Forestry and Fishing

  Arts and Recreation Services

  Construction

  Education and Training

  Electricity, Gas, Water and Waste Services

  Financial and Insurance Services

  Health Care and Social Assistance

  Information Media and Telecommunications

  Manufacturing

  Mining

  Other Services
 Professional, Scientific and Technical Services

  Public Administration and Safety

  Rental, Hiring and Real Estate Services

  Transport, Postal and Warehousing

  Wholesale Trade

Language

Does the applicant hold a current passport from the USA, UK, Canada, New Zealand, or the republic of Ireland?

    Yes   No

Does the applicant have at least functional English language ability?

    Yes   No

Main language

Main language

Health declarations

In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include time spent in Australia.

    Yes   No

Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while in Australia?

    Yes   No

Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia?

    Yes   No

Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia?

    Yes   No

Does any applicant intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer)?

    Yes   No

Has any applicant:

  • ever had, or currently have, tuberculosis?
  • been in close contact with a family member that has active tuberculosis?
  • ever had a chest x-ray which showed an abnormality?

    Yes   No

During their proposed visit to Australia, does any applicant expect to incur medical costs, or require treatment or medical follow up for:

  • blood disorder
  • cancer
  • heart disease
  • hepatitis B or C and/or liver disease
  • HIV infection, including AIDS
  • kidney disease, including dialysis
  • mental illness
  • pregnancy
  • respiratory disease that has required hospital admission or oxygen therapy
  • other?

    Yes    No

Does any applicant require assistance with mobility or care due to a medical condition?

    Yes    No



Character declarations

If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details. For combined applications, state which applicant the declaration applies to.

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

    Yes   No

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

    Yes   No

Has any 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 personal protection of another person?

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No

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

    Yes   No


Work and Holiday declarations

Warning:

Giving false or misleading information is a serious offence.

The applicant declares that they:

Understand that they must abide by the conditions of the visa.

    Yes   No

Understand that the visa they are applying for does not permit them to be employed in Australia with one employer for more than 6 months without prior permission.

    Yes   No

Understand that the visa they are applying for does not permit them to undertake studies or training for more than 4 months.

    Yes   No

Have sufficient funds for the initial period of their stay in Australia and for the fare to their intended overseas destination on leaving Australia.

    Yes   No

Understand that any employment is incidental to their holiday in Australia and the purpose of working is to supplement their holiday funds.

    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

Biometrics declarations

Applicant Biometrics

Give consent to the collection of their fingerprints and facial image if required.

    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

Give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the Department to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes.

    Yes   No

Give consent to the Department using the applicant's biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.

    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

Australian values

Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian society and values, and agrees to the Australian values statement.

    Yes   No

Life in Australia booklet

Australian values statement



Transaction Reference Number (TRN): EGOQNX6WDT

Review Page

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

Application context - subclass 462

Application context

Click here to edit the Application context

Current location

Current location

Give details of the applicant's current location.

Current location

  UNITED STATES

Legal status

  Citizen

Current application

Will the applicant be accompanied by dependent children at any time during their stay in Australia on this visa?

  No

Has the applicant been granted and entered Australia on a Working Holiday visa (subclass 417) before?

  No

Application Type

Select the type of work and holiday visa the applicant is applying for:

First Work and Holiday visa (subclass 462)

Has the applicant been granted and entered Australia on a first Work and Holiday visa (subclass 462) before?

  No

Proposed arrival date

Proposed arrival date

  14 Jan 2021

Government support

Does the applicant have a letter of government support to attach to this visa application?

  Yes

Primary applicant

Applicant

Click here to edit the Applicant

Information: Entering names incorrectly may result in denial of permission to board an aircraft to Australia, or result in delays in border processing on arrival to Australia, even if the applicant has been granted a visa.

Passport details

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

Names, Sex & DoB Family/Given Names

Family name

  Karman

Given names

  Stephen evan

Sex

  Male

Date of birth

  15 Jan 1990

Passport details

Passport number

  531946507

Country of passport

  UNITED STATES - USA

Nationality of passport holder

  UNITED STATES - USA

Date of issue

  06 Aug 2015

Date of expiry

  05 Aug 2025

Place of issue / issuing authority

  United State Department of State

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

National identity card

National identity card

Does this applicant have a national identity card?

  No

Place of birth

Town / City

  New York

State / Province

  New York

Country of birth

  UNITED STATES

Relationship status

Relationship status

  Married

Other names / spellings

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

  No

Citizenship

Is this applicant a citizen of the selected country of passport

  No

Is this applicant a citizen of any other country?

  No

Is this applicant currently stateless?

  Yes

Other passports

Does this applicant have other current passports?

  No

Other identity documents

Does this applicant have other identity documents?

  No

Health examination

Has this applicant undertaken a health examination for an Australian visa in the last 12 months?

  No

Critical data confirmation

Click here to edit the Critical data confirmation

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

If the information included on this page is incorrect, it may lead to denial of permission to board an aircraft to Australia, even if a visa has been granted.

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

Family name

 Karman

Given names

 Stephen evan

Sex

 Male

Date of birth

 15 Jan 1990

Country of birth

 UNITED STATES

Passport number

 531946507

Country of passport

 UNITED STATES - USA

Is the above information correct?

 Yes

Additional identity questions

Click here to edit the Additional identity questions

Provide further details below, where available.

Previous travel to Australia

Has this applicant previously travelled to Australia or previously applied for a visa?

 No

Contact details - CR9

Contact details

Click here to edit the Contact details

Country of residence

Usual country of residence

 UNITED STATES

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

 United States, Washington

Residential address

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

Country

 UNITED STATES

Address

 New York

Address 2

 Address International

 Suburb / Town

 New York

State or Province

 NEW YORK

Postal code

Postal address

Is the postal address the same as the residential address?

  Yes

Contact telephone numbers

Enter numbers only with no spaces.

Home phone

 54579448524

Business phone

 6521365478

Mobile / Cell phone

 5633214584

Email address

Email address

[email protected]

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.

 No

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

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

[email protected]

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.

 

Education - Work and Holiday

Education

Click here to edit the Education

Does the applicant meet the education requirements for this visa?

 Yes

Give details of all past and current studies undertaken at secondary level or above.

Education history details #1

Education history

Qualification

 Bachelor Degree (Other)

Course name

 Human Resource

Institution name

 NYC

Country of institution

 UNITED STATES

Date from

 11 Jan 2017

Date to

 07 Jan 2021

Status

 Graduated

Employment

Usual occupation

 Traveling

Intended employment

Industry type

 Arts and Recreation Services

Language - Work and Holiday

Language

Click here to edit the Language

Does the applicant hold a current passport from the USA, UK, Canada, New Zealand, or the republic of Ireland?

 Yes

Main language

Main language

 English

Health declarations

Click here to edit the Health declarations

In the last five years, has any applicant visited, or lived, outside their country of passport, for more than 3 consecutive months? Do not include time spent in Australia.

 No

Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while in Australia?

 No

Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia?

 No

Does any applicant intend to work or be a trainee at a child care centre (including preschools and creches) while in Australia?

 No

Does any applicant intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer)?

 No

Has any applicant:

ever had, or currently have, tuberculosis?

been in close contact with a family member that has active tuberculosis?

ever had a chest x-ray which showed an abnormality?

 No

During their proposed visit to Australia, does any applicant expect to incur medical costs, or require treatment or medical follow up for:

 blood disorder

 cancer

 heart disease

 hepatitis B or C and/or liver disease

 HIV infection, including AIDS

 kidney disease, including dialysis

 mental illness

 pregnancy

 respiratory disease that has required hospital admission or oxygen therapy

other?

  No

Does any applicant require assistance with mobility or care due to a medical condition?

 No

Character declarations

Click here to edit the Character declarations

If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details. For combined applications, state which applicant the declaration applies to.

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

 No

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

 No

Has any 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 personal protection of another person?

 No

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

 No

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

 No

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

 No

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

 No

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

 No

Has any 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?

 No

Has any 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?

 No

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

 No

Has any 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?

 No

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

 No

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

 No

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

 No

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

 No

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

 No

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

 No

Work and Holiday Declarations - 2nd WHV

Work and Holiday declarations

Click here to edit the Work and Holiday declarations

Warning:

Giving false or misleading information is a serious offence.

The applicant declares that they:

Understand that they must abide by the conditions of the visa.

 Yes

Understand that the visa they are applying for does not permit them to be employed in Australia with one employer for more than 6 months without prior permission.

 Yes

Understand that the visa they are applying for does not permit them to undertake studies or training for more than 4 months.

 Yes

Have sufficient funds for the initial period of their stay in Australia and for the fare to their intended overseas destination on leaving Australia.

 Yes

Understand that any employment is incidental to their holiday in Australia and the purpose of working is to supplement their holiday funds.

 Yes

Declarations - 400 SeriesDeclarations

Declarations

Click here to edit the 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

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

 Yes

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

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

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

 Yes

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

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

 Yes

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

Biometrics declarationsApplicant Biometrics

Give consent to the collection of their fingerprints and facial image if required.

 Yes

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

Give consent to Australian law enforcement agencies disclosing the applicant's biometric, biographical and criminal record information to the Department to help identify the applicant, to determine eligibility for grant of a visa and for law enforcement purposes.

 Yes

Give consent to the Department using the applicant's biometric, biographical and criminal record information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.

 Yes

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

Australian values

Australian values

Each applicant who is 18 years or over has read, or had explained to them, information provided by the Australian Government on Australian society and values, and agrees to the Australian values statement.

 Yes

Life in Australia booklet

Australian values statement


Application for a Work and Holiday visa

Attach documents

Transaction Reference Number (TRN):

EGOQNX6WDT

Attach the documents listed below then click Next to pay for and submit the application.

If you choose to submit the application without attaching all required documents, you will need to provide a reason.

Applications submitted without all the required documents may take longer to process.

There are specific

quality and formatting

requirements when scanning documents.

If the applicant does not meet the requirements below, the applicant will be able to lodge but may not be granted a visa.

Submit Application

This application is now ready to submit. You can submit it now or return to your account and submit it at a later date.

Your application will not be processed until after it is submitted.

Verify Email

The email address below was specified as the address for all communication about this application:

This address has not been verified by the email account holder.

You can request a new verification email.



Application charges

Reference no.        Name        Date of birth        Amount (AUD)

Total application charges:

Payment options

If you pay now, your application will be sent to the Australian Government.

Your decision to pay will be final, your payment cannot be disputed, even if you change your mind about your application.

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