919 (Design date 04/12) - Page 1 COMMONWEALTH OF AUSTRALIA, 2012

About this formImportant Please read this information carefully before youcomplete this nomination. Once you have completed thisnomination we strongly advise that you keep a copy for yourrecords.

This form is to be used by Student (Temporary) (Class TU) visaholders in Australia who wish to nominate members of theirfamily unit to join them in Australia. It is to be used where thefamily unit members are applying separately from the studentvisa holder outside Australia.

Under the migration legislation, a person is a member of thefamily unit of a Student (Temporary) (Class TU) visa holder ifthe person is:

a partner (including spouse or de facto partner) of thestudent visa holder; or

a dependent child of the student visa holder, or of thatpartner, who is unmarried and has not turned 18.

AusAID or Defence sponsored students should contact AusAIDor the Department of Defence for procedures. It is notnecessary for you to complete this form.

How to nominateComplete this form and send it, along with the documents youare required to provide, to your dependant(s) overseas.

Your dependant(s) should complete form 157A Application fora student visa and lodge it, together with this form 919Nomination of student dependants and the documents youhave provided, at an Australian mission overseas.

What documents do you need to provide? Certified or notarised copies of all pages of your passport,

including the page showing your current Student(Temporary) visa and your personal details;

an original letter from your education provider stating: the course you are studying the duration of that course and anticipated completion

date whether you are satisfying course requirements;

evidence of, and/or declaration of access to, funds to supportyour nominated dependants: original bank statements an original letter from your financial institution confirming

the status of your account;

For details of evidence of funds required refer to the relevantvisa application document checklist which is available fromthe departments websitewww.immi.gov.au/students/checklists

evidence of your relationship with your nominateddependants (for example, original marriage or birthcertificates);

evidence that adequate arrangements have been made forthe education in Australia of all your school aged dependants(children who are unmarried and who have turned 5 yearsof age, but have not yet turned 18 years of age), where theproposed period of stay is more than 3 months;

evidence of payment of the Overseas Student Health Coverpremium in favour of each nominated family unit member.

Where stated, original documents must be provided. Wherecopies of original documents are required, the copies must becertified copies. In Australia, a certified copy is one certified bya Justice of the Peace or a Commissioner for Declarations or aperson before whom a statutory declaration may be made underthe Statutory Declarations Act 1959.

ChargesYour dependant(s)s completed student visa application form,together with the correct Visa Application Charge and thisnomination, can be lodged at an Australian mission overseas.

The Visa Application Charge is not refundable.

Fees may be subject to adjustment at any time. Visa ApplicationCharges may be subject to adjustment on 1 July each year. Thismay increase the cost of a visa.

You can check the Visa Application Charge with your nearestoffice of the Department of Immigration and Citizenship(the department) in Australia, or from form 990i Charges, whichis available from the departments websitewww.immi.gov.au/allforms/

Integrity of nominationThe department is committed to maintaining the integrity ofthe visa and citizenship programs. Please be aware that if youprovide us with fraudulent documents or claims, this may resultin processing delays and possibly your nomination beingrefused.

About the information you giveThe department is authorised to collect information providedon this form under Part 2 of the Migration Act 1958. Theinformation collected will be used for assessing the eligibility ofyour dependant(s) for a Student (Temporary) visa to travel toand enter and/or remain in Australia, to monitor the conduct ofmigration agents, and for other purposes relating to theadministration of the Migration Act.

The information collected might also be disclosed to agencieswho are authorised to receive information relating to adoption,border control, business skills, citizenship, education, healthassessment, health insurance, health services, law enforcement,payment of pensions and benefits, taxation, superannuation,review of decisions and registration of migration agents. It willalso be disclosed to any agency of the Australian Government,or of a state or territory, that is responsible for or otherwiseconcerned with the regulation of education providers.

The information on this form, including the results of any testsfor Human Immunodeficiency Virus (HIV), will be used toassess your health for an Australian visa. A positive HIV or othertest result will not necessarily lead to a visa being denied. Yourresult(s) may be disclosed to relevant Australian Governmentstate and territory health agencies.

Form

919Nomination of student dependants

Telephone 131 881 during business hoursin Australia to speak to an operator (recordedinformation available outside these hours).If you are outside Australia, please contactyour nearest Australian mission.

Generalenquiry line

Home page www.immi.gov.au

919 (Design date 04/12) - Page 2 COMMONWEALTH OF AUSTRALIA, 2012

Please keep these information pages for your reference

In addition, the relevant registered education provider(s) maybe told whether or not your visa has been granted. Thecollection, access, storage, use and disclosure by the departmentof the information you provide in this form is governed by thePrivacy Act 1988 and, in particular, by the 11 InformationPrivacy Principles. The information form 993i Safeguardingyour personal information gives details of agencies to whichyour personal information might be disclosed. This form isavailable from the departments websitewww.immi.gov.au/allforms/ or from any office of thedepartment or Australian mission overseas.

The department is authorised under the Migration Act 1958, incertain circumstances, to collect a range of personal identifiersincluding a facial image, fingerprints and a signature from non-citizens, including from visa applicants. The department requirespersonal identifiers to assist in assessing your identity. Thedepartment is authorised to disclose your personal identifiersand information relating to your name and other relevantbiographical data to a number of agencies including lawenforcement and health agencies and to other agencies whomay need to check your identity with this department. Wherethe department obtains personal identifiers they will becomepart of your official record with the department.

The department is involved in international informationexchanges with a number of countries, including the UnitedKingdom, the United States of America, Canada and NewZealand. These international information exchanges may involvethe sharing of personal identifiers, including facial images andfingerprint data, collected by immigration agencies such as thisdepartment. If, as a result of this sharing between countries,there is a match with your personal identifiers, the departmentwill disclose your biographical data, copies of travel and otheridentity documents or information from such documents, yourimmigration status and immigration history (which may includeany immigration abuse and offences) and any criminal historyinformation relevant to immigration purposes. The purpose ofsuch disclosure would be to help confirm your identity anddetermine if you have presented to the department and theother agency under the same identity and with similar claims.

For more detailed information you should read informationform 1243i Your personal identifying information, which isavailable from the departments websitewww.immi.gov.au/allforms/ or from any office of thedepartment or Australian mission overseas.

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Your detailsYour family name in English1

Sex2 Male Female

Date of birth3

Place of birth4

Your current Australian residential address6

Your telephone numbers8Office hours

After hours

(AREA CODE )

(AREA CODE )

DAY MONTH YEAR

Citizenship/Nationality5

Your immigration file number (if known)11

Overseas

In Australia

Given names

Family name

Country

Town/city

Address for correspondence

(If the same as your residential address, write AS ABOVE)

7

14Visa label number

Office of visa issue

Give details of the Australian visa that you currently hold

Date of issue

12

DAY MONTH YEARYes

No

Do you agree to the department communicating with you by fax, e-mailor other electronic means?

Fax number

E-mail address

Give details

(AREA CODE )

9

POSTCODE

POSTCODE

10

Note: If this application is refused, you will be notified by mail

Form

919

Passport number

Date of issueDAY MONTH YEAR

Details from your passport

Country of passport

Date of expiry

Issuing authority/Place of issue asshown in yourpassport

If you were granted a visa without a label, give the 13-digit visa grantnumber (as shown on the letter that notified you of visa grant).

V