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澳大利亚157N监护人提名表


Form

Nomination of a student guardian

157N

Who should use this form?
You should use this form if you are: ? applying for a student visa to study in Aust

ralia and wish to nominate a guardian to accompany you to Australia on a Student Guardian visa; ? already studying in Australia as the holder of a student visa and wish to nominate a guardian to join you in Australia on a Student Guardian visa; ? applying for a student visa to study in Australia and wish to nominate a relative in Australia who is an Australian citizen or holds a visa other than a Student Guardian visa with whom you will reside while you are in Australia under the age of 18; ? already studying in Australia on other welfare arrangements and wish to change those arrangements to reside with a relative in Australia who is an Australian citizen or holds a visa other than a Student Guardian visa with whom you will reside while you are in Australia under the age of 18. Important – Please read this information carefully before you complete this nomination. Once you have completed this nomination we strongly advise that you keep a copy for your records.

Every applicant for a Student Guardian visa must satisfy the criteria for grant. These criteria include, but are not limited to, their relationship to you, their age, financial capacity, family composition and arrangements for any dependent family members, intention to comply with visa conditions and other relevant matters. Information on these criteria and the conditions, which are likely to be attached to their visa, can be found in the information sheet Applying for a Student Guardian visa.

Character requirements
If you will be in the care of a relative in Australia, they must be a relative as defined above, aged 21 years or over and of good character. More information on character requirements and penal clearances is available from the department’s website www.immi.gov.au/allforms/

Welfare arrangements for students under 18 years of age
The department bears no responsibility for welfare arrangements made on a student’s behalf. It is the responsibility of the parents or legal custodians of a student under the age of 18 to ensure that the arrangements they make on the student’s behalf provide appropriate welfare for the entirety of the student’s stay in Australia while they are under the age of 18.

Integrity of nomination
The Department of Immigration and Border Protection (the department) is committed to maintaining the integrity of the visa and citizenship programmes. Please be aware that if you provide us with fraudulent documents or claims, this may result in processing delays and possibly your nomination being refused.

Condition 8532
The effect of condition 8532 is that if the student visa holder has not turned 18 and is not a Foreign Affairs student or a Defence student: ? the holder must stay in Australia with a person who is: – a parent of the holder or a person who has custody of the holder; or – a relative of the holder who is nominated by a parent of the holder or a person who has custody of the holder, and has turned 21, and is of good character; or ? the arrangements for the holder’s accommodation, support and general welfare must be approved by the education provider for the course to which the holder’s visa relates, and the holder must not enter Australia before the day nominated by the education provider as the day on which those arrangements are to commence.

Nominating a student guardian
Complete this form in ENGLISH using BLOCK LETTERS. In order to complete this form you must first read these notes and, if applying for a Student Guardian visa, read information sheet Applying for a Student Guardian visa, available from your nearest Australian Government office overseas or the website of the department www.immi.gov.au/allforms/ You may nominate a guardian to accompany you to, or join you in, Australia on a Student Guardian visa if: ? you are less than 18 years of age and require a guardian to provide appropriate care and welfare arrangements; or ? you are more than 18 years of age and there are exceptional reasons for you to require a guardian. Except in very limited circumstances, your guardian, if applying for a Student Guardian visa, must be a parent or relative aged 21 years or over. A relative is defined as a spouse, de facto partner, a child, brother or sister of the applicant, step-child, step?parent, step-brother or step-sister of the applicant, grandparent, grandchild, aunt, uncle, niece or nephew, or a step?grandparent, step-grandchild, step-aunt, step-uncle, step?niece or step-nephew of the applicant.

Lodging the student guardian nomination form
If your guardian is applying for a Student Guardian visa, this form should be completed and lodged together with form?157G Application for a Student Guardian visa. If you are applying for a student visa and your guardian is already in Australia on another temporary visa or as an Australian citizen or permanent resident, this form should be completed and lodged together with form 157A Application for a student visa. If you currently hold a student visa and wish to change your current welfare arrangements to stay with your relative in Australia, only this form needs to be completed and lodged.

? COMMONWEALTH OF AUSTRALIA, 2014

157N (Design date 07/14) - Page 1

If we need further information in relation to your nomination, we will contact your student guardian. If any information provided in this nomination form changes, or you no longer wish to nominate this person as your student guardian, you must advise the office of the department where the nomination was lodged.

Consent to communicate electronically
The department may use a range of means to communicate with you. However, electronic means such as fax or email will only be used if you indicate your agreement to receiving communication this way. To process your application the department may need to communicate with you about sensitive information, for example, health, police checks, financial viability and personal relationships. Electronic communications, unless adequately encrypted, are not secure and may be viewed by others or interfered with. If you agree to the department communicating with you by electronic means, the details you provide will only be used by the department for the purpose which you have provided them, unless there is legal obligation or necessity to use them for another purpose, or you have consented to use for another purpose. They will not be added to any mailing list. The Australian Government accepts no responsibility for the security or integrity of any information sent to the department over the internet or by other electronic means.

Important information about privacy
Your personal information is protected by law, including the Privacy Act 1988. Important information about the collection, use and disclosure (to other agencies and third parties, including overseas entities) of your personal information, including sensitive information, is contained in form 1442i Privacy notice. Form 1442i is available from the department’s website www.immi.gov.au/allforms/ or offices of the department. You should ensure that you read and understand form 1442i before completing this form.

Home page General enquiry line

www.immi.gov.au
Telephone 131 881 during business hours in Australia to speak to an operator (recorded information available outside these hours). If?you are outside Australia, please contact your nearest Australian mission.

Please keep these information pages for your reference
157N (Design date 07/14) - Page 2 ? COMMONWEALTH OF AUSTRALIA, 2014

Form

Nomination of a student guardian

157N

Please use a pen, and write neatly in English using BLOCK LETTERS. Tick where applicable

3

9

Details from your passport Passport number Country of passport
DAY MONTH YEAR

Your details – to be completed by nominating student
1
Your full name in English Family name Given names

Date of issue Date of expiry Issuing authority/ Place of issue as shown in your passport

2

Name in your own language or script (if applicable)

10 Details of identity card or identity number issued to you by your
government (if applicable) eg. National identity card. Note: If you are the holder of multiple identity numbers because you are a citizen of more than one country, you need to enter the identity number on the card from the country that you live in. Identity number Country of issue

3

Have you been known by any other names? (including name at birth, previous married names, aliases) No Yes Give details and provide supporting evidence eg. birth certificate/marriage certificate

11 How long do you intend to study in Australia?
DAY MONTH YEAR DAY MONTH YEAR

Family name Given names From

until

12 Are you 18 years of age or older? 4 5 6
Sex Male
DAY

Female
MONTH YEAR

No Yes Why do you require a student guardian in Australia?

Date of birth Place of birth Town/city Country You must provide evidence to support your claims

7

Your present country of citizenship

8

Do you hold any other citizenship? No Yes Which countries?

? COMMONWEALTH OF AUSTRALIA, 2014

157N (Design date 07/14) - Page 3

Your student guardian’s details
13 Guardian’s full name in English
Family name Given names

22 Does your guardian have a passport?
No Yes Give details below Details from passport Passport number Country of passport

14 Name in guardian’s own language or script (if applicable)

DAY

MONTH

YEAR

Date of issue Date of expiry

15 Has your guardian been known by any other names?
(including name at birth, previous married names, aliases) No Yes Give details and provide supporting evidence eg. birth certificate/marriage certificate

Issuing authority/ Place of issue as shown in passport

23 Will your guardian reside in Australia as:
an Australian citizen or permanent resident Student Guardian visa holder Go to Question 28 Go to Question 24

Family name Given names

16 Sex

Male
DAY

Female
MONTH YEAR

a Temporary resident other than on a Student Guardian visa

How long are they permitted to stay in Australia?
DAY MONTH YEAR

17 Date of birth 18 Guardian’s place of birth
Town/city Country OR until Go to Question 25

24 Give details of your relative’s Student Guardian visa application
Granted Visa label number V Period of stay < Expiry date (DAY/MONTH/YEAR)
MONTHS

19 Guardian’s present country of citizenship

20 Does your guardian hold any other citizenship?
No Yes Which countries? Not yet decided

Australian Government office where application lodged

21 What is your guardian’s relationship to you? (select one only)
Spouse De facto partner Parent Sibling Grandparent Legal custodian Aunt or uncle Provide evidence of relationship Niece or nephew Step-parent Step-sibling Step-grandparent Step-aunt or uncle Step-niece or nephew

Period of stay sought

MONTHS

25 Guardian’s country of usual residence

26 Guardian’s residential address in their home country

POSTAL CODE

27 Guardian’s telephone numbers outside Australia
COUNTRY CODE AREA CODE ) (??????????? ) (??????????? ) ) NUMBER

Office hours After hours Personal/private mobile/cell
157N (Design date 07/14) - Page 4 ? COMMONWEALTH OF AUSTRALIA, 2014

(??????????? (???????????

28 Guardian’s residential address in Australia (if known)

Assistance with this form
31 Did you receive assistance in completing this form?
No Go to Question 35 Please give details of the person who assisted you Mr Mrs Miss Ms Other

POSTCODE

Yes Title:

29 Guardian’s telephone numbers in Australia (if known)
Office hours After hours Personal/private mobile/cell
(AREA CODE????????? ?? (AREA CODE????????? ?? ) )

Family name Given names Address

30

You must attach evidence: ? of your relationship with your guardian; and ? (if your guardian does not hold or has not applied for a Student Guardian visa) that your guardian is of good character; and ? of your guardian’s residence or citizenship status in Australia (if applicable). Telephone number or daytime contact
COUNTRY CODE AREA CODE ) (??????????? ) NUMBER POSTCODE

Office hours Mobile/cell

(???????????

32 Is the person an agent registered with the Office of the Migration
Agents Registration Authority (Office of the MARA)? No Yes Go to Question 35

33 Is the person/agent in Australia?
No Yes Go to Question 35

34 Did you pay the person/agent and/or give a gift for this assistance?
No Yes

? COMMONWEALTH OF AUSTRALIA, 2014

157N (Design date 07/14) - Page 5

Declaration
WARNING: Giving false or misleading information is a serious offence.

35 To be completed by the parents or legal custodians if the nominating
student is under the age of 18. I declare that: ? the information supplied on or with this form is correct. ? I have attached all documentary evidence as required. ? I am aware that I must immediately advise the department if I become aware that any information provided in this form is incorrect or if there is a change in the nominating student’s circumstances that is relevant to this application at any time. ? If the student guardian nominated in this form is granted a Student Guardian visa, the nominating student will reside in Australia with that guardian, and will not reside with any other Student Guardian visa holder, parent or legal custodian. ? I acknowledge my responsibility for organising appropriate accommodation and travel to and from Australia on behalf of the nominating student under the age of 18. ? I am aware that condition 8532 will be imposed on the visa of the nominating student under the age of 18 and I will ensure that appropriate welfare arrangements are in place and maintained at all times. ? I have read the information contained in form 1442i Privacy notice. ? I understand the department may collect, use and disclose my personal information (including biometric information and other sensitive information) as outlined in form 1442i Privacy notice. Signature of student (if over the age of 18) Date Signatures of parents/legal custodians (if the nominating student is under the age of 18) Note: Both parents and/or legal custodians must sign this declaration. Signature of parent/legal custodian Family name Given names
DAY MONTH YEAR

36 To be completed by the student guardian
I declare that: ? I will provide appropriate welfare arrangements for the nominating student. Signature of student guardian Date

DAY MONTH YEAR

We strongly advise that you keep a copy of this nomination and all attachments for your records.

DAY MONTH YEAR

-

Date Signature of parent/legal custodian Family name Given names
DAY MONTH YEAR

-

Date

157N (Design date 07/14) - Page 6

? COMMONWEALTH OF AUSTRALIA, 2014


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