Citizenship Assessment Form

Australian Citizenship Assessment

Full Name (Per Passport)*

Date Of Birth Per Passport (DD/MM/YYYY)

Gender*

Male

Female

Other

Your email*

Whatsapp Number*

Year you entered Australia?

Have you lived in Australia on a valid visa for the past 4 years?

Yes

No

During the past 4 years, have you been absent from Australia for more than 12 months in total?

Yes

No

Are you a permanent resident or a New Zealand Special Category Visa (SC 444) holder?

Yes

No

Have you been a permanent resident (or held an SCV) for at least 12 months

Yes

No

In the 12 months before applying, have you been absent from Australia for more than 90 days in total?

Yes

No

Do you have any children?

Yes

No

How many children do you have?

How many children are 16 years or older?

Do you have children who were born in Australia more than 10 years ago?

Yes

No

Do you have any outstanding Centrelink debt?

Yes

No

Do you consider yourself to be of good character (no significant criminal record or legal issues)?

Yes

No

Do you have basic English proficiency?

Yes

No

Are you prepared to take the Australian Citizenship Test?

Yes

No

Do you intend to reside in Australia or maintain a close and continuing association with Australia?

Yes

No

Australian Citizenship Assessment

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