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Title | Select the applicant’s title from the drop-down list. |
First Name | Enter the applicant’s current legal first name. |
Middle Names | Enter any middle names the applicant may have. |
Family Name | Enter the applicant’s current legal family name. |
Original First Name | Enter the first name on the applicant’s birth certificate. |
Original Middle Names | Enter any middle names on the applicant’s birth certificate. |
Original Family Name | Enter the family name on the applicant’s birth certificate. |
Other Name Used? | Select 'Yes' if the applicant has previously used another name. certificate. |
Date of Birth |
Enter the date of birth of the applicant, in DD/MM/YYYY
format. Note: Entering an applicant under the age of 18 will cause the application to be rejected (for NT jurisdiction) or suspended (for all other jurisdictions). |
State/Territory of Birth | Enter the town or suburb where the applicant was born. |
Country of Birth | Select the country where the applicant was born. |
Contact Phone | Enter the applicant’s daytime contact telephone number. Note: This field will not appear if you are in the Add Applicant page. |
Email Adress | Enter the applicant's email address |