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Once you have completed this form we strongly advise that you keep a copy for your records.  \nThis form is to be completed in English by applicants who are 16 years of age or over, as requested by the office processing the application.  \nIntegrity of application  \nThe Department of Home Affairs (the Department) is committed to maintaining the integrity of the visa and citizenship programs. Please be aware that if you provide us with fraudulent documents or claims, this may result in processing delays and possibly your application being refused.  \nImportant information about privacy  \nThe Privacy Act 1988 contains 13 Australian Privacy Principles which regulate the way that the Department collects and handles personal information. Information about how the Department collects, uses and discloses personal information for its key functions can be found in form 1442i Privacy notice. More information about the Department’s general information handling practices (including form 1442i) can be found in the Department’s Privacy policy at [https://www.homeaffairs.gov.au/access-and](https://www.homeaffairs.gov.au/access-and)accountability/our-commitments/privacy  \nPlease open this form using Adobe Acrobat Reader.  \nEither type (in English) in the fields provided or print this form and complete it (in English) using a pen and BLOCK LETTERS.  \nTick where applicable 3  \nIf you need more space for any answers, give details at Part T– Additional information  \nPart A–Applicant details  \n1 Please provide your details as they appear in your official documents. For example, passport, identity document, travel document, birth certificate.  \nNote: If you have one name only, please write it in the ‘Family name’field.  \nFamily name  \nAll given names  \n\n|  |\n| --- |\n|  |\n\nSex Male   \nFemale   \nIndeterminate / Intersex / Unspecified  \nDate of birth  \nDay, month and year MUST be provided  \nTown/City of birth  State/Province/Region  \nCountry   \n2 Do you ever use a Chinese Commercial Code Number for your names shown in the passport/travel document at Question 1?  \nNo   \nYes  Chinese Commercial Code Number (in full)  \n3 Are you of Russian descent?  \nNo   \nYes  In English, provide your patronymic name  \n© COMMONWEALTH OF AUSTRALIA, 2021 80 (Design date 03/21) -Page 1  \n4 Have you been known by any other name(s)? Include:  \n• name at birth • cultural or tribal name or  \n• name before or after marriage clan/subclan name  \n• adoptive or foster name • preferred name  \n• alias or pseudonym • other spellings of names No   \nYes  Give details in English  \nType of name  \nFamily name  \nGiven names  \n\n|  |\n| --- |\n|  |\n\nIf more than one name, give details at Part T–Additional information  \n5 Have you ever had a different date of birth to the one shown at Question 1?  \nNo  Day Month Year  \nYes  \n Different date of birth  \n6 Do you currently have citizenship from any country? No, I am stateless  Give details  \n\n|  |\n| --- |\n|  |\n|  |\n\nYes  How did you gain this citizenship (eg. birth, descent, naturalisation)?  \nDay Month Year  \nDate you gained this citizenship   \n7 Do you hold or have you held citizenship from any other country (including dual citizenships and all previous citizenships)? No   \nYes  Country  \nHow did you gain this citizenship (eg. birth, descent, naturalisation)?  \nWhen did you have this citizenship?  \nDay Month Year Day Month Year  \nNote: If you still have the citizenship, write ‘CURRENT’. If more than one country, give details at Part T–Additional information  \n8 Do you currently have permanent residency rights in any country other than those declared in Questions 6 or 7?  \nNo   \nYes  List all other countries  \n\n|  |\n| --- |\n|  |\n\nPart B–Passport / Travel document details  \n9 Do you have a current passport or travel document?  \nNo  Go to Question 13  \nYes  Give ","cbCailP5EkfMrFBi","https://ap.wps.com/l/cbCailP5EkfMrFBi","pdf",610274,"English","# Integrity of application\n# Privacy and completion instructions\n# Part A–Applicant details\n# Part B–Passport / Travel document details\n# Part C–Identity documents\n# Part D–Address and contact details","[{\"question\":\"What does the form require regarding integrity of the visa and citizenship application?\",\"answer\":\"Provide truthful information and documents. Submitting fraudulent documents or claims may cause processing delays and possibly refusal.\"},{\"question\":\"How is applicants’ personal information handled under Australian privacy rules?\",\"answer\":\"The Privacy Act 1988 sets out 13 Australian Privacy Principles. Collection, use, and disclosure details are referenced through the form’s privacy notice and the Department’s privacy policy.\"},{\"question\":\"In what language and how should the form be completed?\",\"answer\":\"The form must be completed in English. Applicants either type in the provided fields or print and complete it in English using pen and BLOCK LETTERS.\"}]","Personal particulars for assessment - Form 80 - Visa and citizenship application integrity and privacy | PDF",48]