1290
1290
A national identity card, or Note: If you are outside Australia when applying you can have
the identity declaration completed by a citizen of your country
Another document containing a signature and of residence who has known you for at least one year and
photograph, eg. an air crew identity document, belongs to a profession on the list on pages 9–10.
seafarer identity document, military identity
document or student card Photograph requirements
The person who signs the declaration must also write on the
Document for travel to Australia (DFTTA) back of your photograph the words: This is a true photograph
of (your full name) and sign the back of the photograph
Evidence of your current residential address using the same signature as on the declaration.
A utilities notice eg. electricity, gas or water bill, The photograph should be carefully attached to the front of
bank notice, or the application form without obscuring the image, or you can
place the photograph in a plastic sleeve or envelope and
Rental contracts or rates notice staple it to the form.
The photograph must be:
Evidence of your date of birth, birth name • no more than 6 months old
and any changes of name
• a full-face view of your head and shoulders (untinted
A full birth certificate prescription glasses can be worn – a photograph that shows
facial features only is acceptable if you wear a head covering
Evidence of links between present and previous for religious reasons)
names, for example an official marriage or divorce • of good quality, in colour, against a plain, light coloured
certificate, if applicable background (laser copies are not acceptable).
A certificate issued by an Australian Registry of
Children
Births, Deaths and Marriages as evidence of other
changes of name, if applicable An identity declaration and endorsed photograph are required
if you are an applicant under 16 years of age, or for each child
Evidence of your identity in the community under 16 years of age you are including in your application at
Question 28.
One passport-sized photograph and identity
If you are including more children than the space on the
declaration signed by an Australian citizen with the
application form allows, please use form 1195 Identity
correct authority
declaration for each additional child.
Evidence of when you first arrived in Australia The declaration and photograph should be signed by an
and your present country of citizenship Australian citizen who has known your child for at least one
year and belongs to a profession on the list on pages 9–10.
Current and previous passport, or In the case of children under 6 years of age, if no Australian
citizen has known them for one year, the declaration can be
Travel document with a visa such as a Document for
signed by a person who has known them for less than one
Travel to Australia, PLO56 (M56), Titre de Voyage or
year and belongs to a profession on the list on pages 9–10.
ImmiCard
The photograph of each child should be individually attached
Children to the front of the application form without obscuring the
image, or you can place the photographs in a plastic sleeve or
The following documents are required for all children under
envelope and staple it to the form.
16 years of age
A full birth certificate or family register containing
parent’s details
Part F – Identity declaration – Part F is not to be completed by Children under 16 years of age may be included in the online
the applicant. See page 4 for information about who should application of a responsible parent.
complete the Identity declaration and sign the back of your Generally, you can make an application online if you:
photograph. • are a permanent resident
Part G – Travel, good character and criminal offences – Part G • have travelled in and out of Australia since July 1990
requires you to list travel outside Australia in the last 10 years. You • are not applying for a fee concession or exemption
are asked to complete questions concerning your background
in relation to good character and any criminal activity. • are not part of the Australian Defence Force.
See page 5 for information about this part of the application. You must provide a separate form 1195 Identity declaration.
You can download and print this form from the website.
Part H – Supporting documents – Part H requires you to list the
supporting documents you are providing with your application. If you lodge your application online you must bring the
following to your citizenship appointment for yourself and any
Part I – Nomination of representative – Part I allows you to children included in your application:
nominate another person who can make enquiries about your
• form 1195 Identity declaration with one current endorsed
application on your behalf. Make sure you sign the
photograph. This form is completed, and the photograph
authorisation at Part I if you want this to happen.
endorsed by a person with the correct authority. See
Part J – Preference for ceremony – Part J allows you to choose Identity declarations – list of professions on pages 9–10
between 2 citizenship pledges. • originals of the documents you have listed in Part E –
Pledge 1 From this time forward, under God, Identity documents
I pledge my loyalty to Australia and its people, • originals of other supporting documents, if required
whose democratic beliefs I share,
whose rights and liberties I respect, and
Lodge your application by post
whose laws I will uphold and obey.
Send your completed paper application to the relevant postal
Pledge 2 From this time forward,
address listed on page 11.
I pledge my loyalty to Australia and its people,
whose democratic beliefs I share, If you lodge your application by post you must include
whose rights and liberties I respect, and certified copies of original documents with your application.
whose laws I will uphold and obey. Do not post original documents with your application.
You must bring the following to your citizenship appointment
Part K – Proposed overseas travel – It is important that you for yourself and any children included in your application:
notify the Department of any proposed overseas travel while
your application is being processed. • originals of the documents you have listed in Part E –
Identity documents
• originals of other supporting documents, if required
Checklist
This checklist will help ensure that you have everything you Step 9 – Wait to receive notification
need for your citizenship appointment. When a decision is made on your application, you will be
For you notified in writing.
You must tell the Department if you change your
Identity documents (Step 4) address, and in some circumstances your application
cannot be approved if you are outside Australia.
Original overseas penal clearance certificates, if
applicable (Step 4)
If your application is refused
Supporting documents as required (Step 4) If your application is refused you may have the right to ask for
the decision to be reviewed by the Administrative Appeals
If you applied online: Tribunal (AAT). Your letter of notification will advise you where
you can lodge an application for review. You should lodge your
• one passport-sized photograph and identity
application with the AAT as soon as possible.
declaration signed by an Australian citizen with
the correct authority (Step 4)
• original documents
Number
Box File
Client ID
ICSE
PHOTOGRAPH
Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form You must attach the endorsed
and complete it (in English) using a pen and BLOCK LETTERS. photograph of yourself
Family name
Given names
(including all
middle names) 8 Place of birth
Town/city
3 Have you been known by any other names?
(including name at birth, previous married names, aliases, patronymic State/province
names, clan or tribal names, alternative spellings or full spelling of all
names) Country
No
9 Residential addresses over the last 5 years
Yes Give details If insufficient space, attach a separate signed sheet with details
Family name Current address
Given names Note: You must tell the Department if your address
changes after you lodge this form.
Reason for
change of
name POSTCODE
If you have been known by more than one other name,
attach additional details on a separate sheet. Previous address 1 (if applicable)
DAY MONTH YEAR DAY MONTH YEAR
7 Have you ever had a different date of birth to the one shown at Question 6?
No DAY MONTH YEAR POSTCODE
Date acquired
11 Telephone numbers Date ended
Work (AREA CODE )
2. Country of citizenship
Home (AREA CODE )
Date acquired
12 If you are 18 years of age or over, do you have any email addresses?
(including work, business, personal, home or other emails) Date ended
Do not include migration agent email addresses.
No 3. Country of citizenship
Yes List all of your email addresses
Citizenship is: Current Previous
DAY MONTH YEAR
Date acquired
Date ended
16 List all the countries where you hold permanent residence and are not
13 Do you agree to the Department communicating with you by a citizen
email or other electronic means?
No
Yes Give details
17 Your occupation
Email address
Date of issue
Date of expiry
Issuing authority/
Place of issue as
shown in your
passport
19 Do you ever use Chinese Commercial Code Numbers for the name
shown in the passport at Question 18?
No
Yes Chinese Commercial Code Numbers (in full)
Given names Yes Date your first Australian visa was granted (if known)
DAY MONTH YEAR
Type of document
21 Which of the following circumstances apply to you? 26 Are you seeking a residence exemption or discretion?
(See Step 2 – Residence requirement on page 2)
I am aged 60 years or over
No
Yes Exemption and/or discretion you are applying under
I am aged under 18 years
27 Do you have any children under 16 years of age, that you have
responsibility or legal custody for, and whom you are including in this
application?
No Go to Question 30
Yes
© COMMONWEALTH OF AUSTRALIA, 2018 1290 (Design date 07/18) - Page 15
Details of children included in this application
Child 1 Child 2
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Has this child ever been known by or used any other names, Has this child ever been known by or used any other names,
dates of birth or gender? dates of birth or gender?
Other names include alternative spellings, patronymic names, Other names include alternative spellings, patronymic names,
maiden names, clan or tribal names maiden names, clan or tribal names
No No
Yes Give details of change(s) Yes Give details of change(s)
If insufficient space, attach additional details If insufficient space, attach additional details
List all countries where this child holds permanent residency List all countries where this child holds permanent residency
Does this child have their own passport/travel document? Does this child have their own passport/travel document?
No Name of person whose passport they are on No Name of person whose passport they are on
Yes Give details from the child’s passport/travel document Yes Give details from the child’s passport/travel document
Passport number Passport number
30 Do you have any other children you are NOT including in this application?
No
Yes Give details of each child
If you are have more than 4 other children, attach their details on a separate sheet
Other child 1 (not included in this application) Other child 2 (not included in this application)
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Is this child included in another citizenship application? Is this child included in another citizenship application?
No No
Yes Yes
Has this child ever held citizenship of any country? Has this child ever held citizenship of any country?
No No
Yes Give details (including all current and previous citizenships Yes Give details (including all current and previous citizenships
held) held)
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Is this child included in another citizenship application? Is this child included in another citizenship application?
No No
Yes Yes
Has this child ever held citizenship of any country? Has this child ever held citizenship of any country?
No No
Yes Give details (including all current and previous citizenships Yes Give details (including all current and previous citizenships
held) held)
31 Parent 1 32 Parent 2
Relationship to you Relationship to you
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Has this parent/adoptive parent ever been known by or used any Has this parent/adoptive parent ever been known by or used any
other names, dates of birth or gender? other names, dates of birth or gender?
Other names include alternative spellings, patronymic names, Other names include alternative spellings, patronymic names,
maiden names, clan or tribal names maiden names, clan or tribal names
No No
Yes Give details of change(s) Yes Give details of change(s)
If insufficient space, attach additional details If insufficient space, attach additional details
Has this parent/adoptive parent ever held Australian citizenship? Has this parent/adoptive parent ever held Australian citizenship?
No DAY MONTH YEAR No DAY MONTH YEAR
Yes Date acquired (if known) Yes Date acquired (if known)
Date parent/adoptive parent Date parent/adoptive parent
ceased to be an Australian ceased to be an Australian
citizen (if known) citizen (if known)
Present country(s) of citizenship (if not living, write ‘DECEASED’) Present country(s) of citizenship (if not living, write ‘DECEASED’)
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Name in Chinese Commercial Code Numbers (if applicable) Name in Chinese Commercial Code Numbers (if applicable)
Max 36mm
Min 32mm
Evidence of your current residential address JOHN CITIZEN
(full name of applicant)
Evidence of your date of birth, birth name and any changes of name PSmith
(signature)
SIZE
Evidence of your identity in the community
Part F – Identity declaration See Identity declaration on page 4 for more information including
photograph requirements.
Children
Evidence of the child’s date of birth and birth name Details of person making this declaration
Family name
A document with the child’s photograph and current name Given names
Telephone numbers
Evidence of any changes of name, if applicable Work (AREA CODE )
Family name
Given names
Signature
of person
making this
declaration -
DAY MONTH YEAR
Date
Given names
Telephone numbers
Work (AREA CODE )
Mobile/cell
Are you an Australian citizen? No Yes
What is your profession or occupation group number
from pages 9–10?
I declare that I have known (full name of Child 1)
Family name
Given names
Signature
of person
making this
declaration -
DAY MONTH YEAR
Date
Given names
Telephone numbers
Work (AREA CODE )
Mobile/cell
Are you an Australian citizen? No Yes
What is your profession or occupation group number
from pages 9–10?
I declare that I have known (full name of Child 2)
Family name
Given names
Signature
of person
making this
declaration -
DAY MONTH YEAR
Date
37 Since the age of 18 years, have you lived or travelled outside Australia for
periods totalling 12 months or more (only consider the time since you were
granted an Australian permanent visa)?
No
Yes Provide an original penal clearance certificate from each
country you have spent more than 90 days in
(See Overseas penal clearance certificates on page 5)
41 Do you want to nominate a person to make enquiries about your Given names
application on your behalf? DAY MONTH YEAR
Date of birth
46 The Department occasionally conducts citizenship ceremonies which
Relationship to may attract media interest. Please tick the box below if you do not want
main applicant
to take part in such a ceremony.
Telephone numbers I do not want to be involved in a ceremony
Work (AREA CODE )
which may attract media attention
Mobile/cell
Signature of
applicant
-
DAY MONTH YEAR
Date
47 Do you intend to spend time outside Australia within the next Yes Provide a certified copy of both sides of your concession
12 months? card as detailed in form 1298i Citizenship fees.
If you do not provide the certified copy, or are not eligible,
No your application will be returned to you.
Yes Purpose of your proposed travel Go to Question 50
Date of proposed departure Note: Fee exemptions apply to some British and Maltese former child
migrants, persons with relevant Defence service and persons applying
Length of proposed absence under the Statelessness provision only. Refer to form 1298i Citizenship
fees for further information.
No
Yes Provide evidence as detailed in form 1298i Citizenship fees.
If you do not provide evidence, or are not eligible, your
application will be returned to you.
Go to Part M – Declaration
50 Method of payment
Make your payment electronically through the ‘My Payments’ section of
ImmiAccount. Sign into, or create, your ImmiAccount and select
My Payments>Manage Payments>Pre-Pay Paper Service, at
www.homeaffairs.gov.au/immiaccount
Lodge your application within 30 days of making your payment online.
Do not provide credit card details on this form. Make your credit
card payment electronically through the ‘My Payments’ section of
ImmiAccount.
Payment receipt number from the ‘My Payments’ section of ImmiAccount
Telephone numbers
Signature of COUNTRY CODE AREA CODE NUMBER
applicant
- Work ( ) ( )
Date Mobile/cell