b7

0.55 MB·

by  Toni C Laurenson

Statement under the Australian Passports Act 2005
Application for an Australian Travel Document Form B-7
APPLICATION NUMBER
No further court orders
BLOCK LETTERS
and print within the boxes in
X X✗
Use CROSSES in boxes marked with an ‘X’
This form must be completed and submitted with a travel document application for a child (i.e. a person under 18 years of age
who has never married) if a court order is submitted with that application.
If there is insufficient space on this form to provide all information please complete a B11 General Declaration form
available at www.passports.gov.au
1. PERSON LODGING
Details of the person completing this form
Your full name

Your current address

Your relationship to the child applicant (parent, guardian, or other – you must show proof at lodgment)

2. CHILD’S DETAILS
Full name of the child
3. DETAILS OF COURT ORDERS
Details of court orders
Name of the court
Registration number
Date of court order DD / MM / YYYY
X X
Is this the most recent order? Yes No (provide all orders)
Are you aware of any other court orders, existing or pending, that may affect the rights of the child to hold an Australian
travel document or to travel internationally or which may affect another person’s parental responsibility for the child?
Court orders include those made in favour of yourself, another person or an institution (e.g. government welfare agency)
X
No
X
Yes (provide details below)
4. DECLARATION BY THE PERSON COMPLETING THIS FORM
I declare that the information I have given on this form is complete and correct and that I am aware that it is a criminal offence Form
B
uimnpdreisr othnem Aeunst torar laia fnin Pea osfs 1p0o0rt0s pAecnt a2lt0y0 u5n tiots m oar kbeo tfha)ls.e or misleading statements (there are penalties of up to 10 years -7 (11/16) P
ag
DD MM YYYY e 1 of 1
Signature Date signed / /
Full name