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Department of Home Affairs Record of

Application for a transit visa Responses

Terms and Conditions

View Terms and Conditions View Privacy statement
I have read and agree to the terms and conditions
Yes
Application context

Current location
Give details of the applicant's current location.
Current location: BURKINA FASO
Legal status: Citizen
Transit details

Proposed arrival date: 31 Aug 2026

Purpose of transit:
Depart as passenger on a flight
Will the applicant transit or enter and depart Australia in less than 72 hours?
Yes
Applicant
Information: Entering names incorrectly may result in denial of permission to board an aircraft to
Australia, or result in delays in border processing on arrival to Australia, even if the applicant has
been granted a visa.
Passport details
Enter the following details as they appear in the applicant's passport.
Family name: MINOUNGOU
Given names: ZACHARIA
Sex: Male
Date of birth: 10 Nov 1997
Passport number: A3254179

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This form submitted by : kingambobene@[Link]
Role(s) : Self-registered user
Submitted on : 22/07/2026 17:43

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Country of passport: BURKINA FASO - BFA

Nationality of passport holder: BURKINA FASO - BFA
Date of issue: 10 Sep 2022
Date of expiry: 09 Sep 2027
Place of issue / issuing DIRECTION GENERALE DELA POLICE NATIONALE
authority:
It is strongly recommended that the passport be valid for at least six months.
Australian visa grant number

Does this applicant have an Australian visa grant number from a previous visa application?
No
National identity card

Does this applicant have a national identity card?

No
Place of birth

Town / City: TENKODOGO

State / Province: TENKODOGO
Country of birth: BURKINA FASO
Relationship status

Relationship status: Never Married

Other names / spellings

Is this applicant currently, or have they ever been known by any other names?
No
Citizenship

Is this applicant a citizen of the selected country of passport (BURKINA FASO)?

Yes
Is this applicant a citizen of any other country?
No
Other passports or documents for travel

Does this applicant have any other passports or documents for travel?
No

Other identity documents

Does this applicant have other identity documents?

No

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Health examination

Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
No
Critical data confirmation
All information provided is important to the processing of this application.
If the information included on this page is incorrect, it may lead to denial of permission to board an
aircraft to Australia, even if a visa has been granted.
Confirm that the following information is correct and that it is in the correct fields.

Family name: MINOUNGOU

Given names: ZACHARIA
Sex: Male
Date of birth: 10 Nov 1997
Country of birth: BURKINA FASO
Passport number: A3254179
Country of passport: BURKINA FASO - BFA

Is the above information Yes

correct?
Contact details

Country of residence

Usual country of residence: BURKINA FASO

Department office
The applicant may be required to attend an Australian Government Office for an interview. Which is
the closest office to the applicant’s current location?

Office: Singapore
Residential address
Note that a street address is required. A post office address cannot be accepted as a residential
address.
Country: BURKINA FASO
Address: Commune of Boulgou City Tenkodogo Neig3
Suburb / Town: Tenkodogo
State or Province: CENTRE (BURKINA FASO)
Postal code: 70000

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Contact telephone numbers

Enter numbers only with no spaces.
Home phone:
Business phone:
Mobile / Cell phone: 22675753021
Postal address

Is the postal address the same as the residential address?

Yes
Email address

Email address: kingambobene@[Link]

Authorised recipient
Does the applicant authorise another person to receive written correspondence on their behalf?
This authorises the department to send the authorised person all written correspondence that would
otherwise be sent directly to the applicant.
No
This person is referred to as the 'authorised recipient'.
Electronic communication
The Department prefers to communicate electronically as this provides a faster method of
communication.
All correspondence, including notification of the outcome of the application will be sent to:
Email address: kingambobene@[Link]

Note: The holder of this email address may receive a verification email from the Department if the
address has not already been verified. If the address holder receives a verification email, they should
click on the link to verify their address before this application is submitted.

Transit details

Arrival details
Give details of the applicant's planned flight to Australia.
Arrival date: 31 Aug 2026
Country where travel will SINGAPORE
commence:
Will the applicant transit through any other countries on the way to Australia?
No

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Last city/airport before Singapore, Singapore

transiting Australia:
Name of incoming airline: Scoot - TR
Incoming flight number: TR010
City/airport of arrival in Sydney
Australia:
Departure details
Give details of the applicant's intended departure from Australia.
Departure date from Australia:01 Sep 2026
City/airport of departure from Sydney
Australia:
Name of outgoing airline: Jetstar Airways - JQ
Outgoing flight number: JQ113
Destination country: COOK ISLANDS
City/airport of destination after Cook Islands, Rarotonga
departure from Australia:

Select the applicant's status in their destination country.

Legal status: Visitor
Multiple transits

Does the applicant intend to transit Australia on more than one occasion?
Yes
Does the applicant know the transit dates for each occasion after the first transit to Australia?
Yes

Give details of each additional transit after the first transit to Australia.
Arrival details
Give details of the applicant's additional planned flight to Australia.
Arrival date: 15 Sep 2026
Country where travel will COOK ISLANDS
commence:
Last city/airport before Cook Islands, Rarotonga
transiting Australia:
Name of incoming airline: Jetstar Airways - JQ
Incoming flight number: JQ104
City/airport of arrival in Brisbane
Australia:
Departure details

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Give details of the applicant's additional intended departure from Australia.

Departure date from Australia:15 Sep 2026
City/airport of departure from Sydney
Australia:
Name of outgoing airline: Japan Airlines - JL
Outgoing flight number: JQ823
Destination country: BURKINA FASO
City/airport of destination after Singapore, Singapore
departure from Australia:

Select the applicant's status in their destination country.

Legal status: Visitor
Health declarations
In the last five years, has any applicant visited, or lived, outside their country of passport, for more
than 3 consecutive months? Do not include time spent in Australia.
No
Does any applicant intend to enter a hospital or a health care facility (including nursing homes) while
in Australia?
No
Has any applicant:
• ever had, or currently have, tuberculosis?
• been in close contact with a family member that has active tuberculosis?
• ever had a chest x-ray which showed an abnormality?
No
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require
treatment or medical follow up for:
• blood disorder
• cancer
• heart disease
• hepatitis B or C and/or liver disease
• HIV infection, including AIDS
• kidney disease, including dialysis
• mental illness
• pregnancy
• respiratory disease that has required hospital admission or oxygen therapy
• other?
No
Character declarations
If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details.
If the matter relates to a criminal conviction, provide:

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• the date and nature of the offence

• full details of the sentence
• dates of any period of imprisonment or other detention
Has the applicant ever been charged with any offence that is currently awaiting legal action?
No
Has the applicant ever been convicted of an offence in any country (including any conviction which is
now removed from official records)?
No
Has the applicant ever been the subject of a domestic violence or family violence order, or any other
order, of a tribunal or court or other similar authority, for the protection of another person?
No
Has the applicant ever been the subject of an arrest warrant or Interpol notice?
No
Has the applicant ever been found guilty of a sexually based offence involving a child (including
where no conviction was recorded)?
No
Has the applicant ever been named on a sex offender register?
No
Has the applicant ever been acquitted of any offence on the grounds of unsoundness of mind or
insanity?
No
Has the applicant ever been found by a court not fit to plead?
No
Has the applicant ever been directly or indirectly involved in, or associated with, activities which
would represent a risk to national security in Australia or any other country?
No
Has the applicant ever been charged with, or indicted for: genocide, war crimes, crimes against
humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?
No
Has the applicant ever been associated with a person, group or organisation that has been or is
involved in criminal conduct?
No
Has the applicant ever been associated with an organisation engaged in violence or engaged in
acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in
Australia?
No
Has the applicant ever served in a military force, police force, state sponsored / private militia or
intelligence agency (including secret police)?
No
Has the applicant ever undergone any military/paramilitary training, been trained in weapons/
explosives or in the manufacture of chemical/biological products?

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No
Has the applicant ever been involved in people smuggling or people trafficking offences?
No
Has the applicant ever been removed, deported or excluded from any country (including Australia)?
No
Has the applicant ever overstayed a visa in any country (including Australia)?
No
Has the applicant ever had any outstanding debts to the Australian Government or any public
authority in Australia?
No
Visa history
Has the applicant held or does the applicant currently hold a visa to Australia or any other country?
No
Has the applicant ever been in Australia or any other country and not complied with visa conditions or
departed outside their authorised period of stay?
No
Has the applicant ever had a visa for Australia or any other country refused or cancelled?
No
Transit declarations
Warning:
Giving false or misleading information is a serious offence.
The applicant declares that they:
Have concluded making arrangements for travel to a destination outside Australia.
Yes
Have the right to legally enter their next destination country outside Australia or they are eligible to
obtain a visa on arrival.
Yes
Understand that the principle purpose of a Transit visa (subclass 771) is to pass through Australia in
transit to another country.
Yes
Understand that the Transit visa (subclass 771) allows visa holders to transit through Australia for up
to 72 hours on each entry.
Yes

Declarations
Warning:
Giving false or misleading information is a serious offence.
The applicants declare that they:
Have read and understood the information provided to them in this application.

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Yes
Have provided complete and correct information in every detail on this form, and on any attachments
to it.
Yes
Understand that if any fraudulent documents or false or misleading information has been provided
with this application, or if any of the applicants fail to satisfy the Minister of their identity, the
application may be refused and the applicant(s), and any member of their family unit, may become
unable to be granted a visa for a specified period of time.
Yes
Understand that if documents are found to be fraudulent or information to be incorrect after the grant
of a visa, the visa may subsequently be cancelled.
Yes
Will inform the Department in writing immediately as they become aware of a change in
circumstances (including change of address) or if there is any change relating to information they
have provided in or with this application, while it is being considered.
Yes
Have read the information contained in the Privacy Notice(Form 1442i).
Yes
Understand that the department may collect, use and disclose the applicant's personal information
(including biometric information and other sensitive information) as outlined in the Privacy
Notice(Form 1442i).
Yes
Agree not to undertake study or training for more than three months.
Yes
Agree to leave Australia on or before the expiry of the period of stay of the visa.
Yes
Give consent to the collection of their fingerprints and facial image if required.
Yes
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints
and facial image and biographical information held by the Department may be given to Australian law
enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being
applied for, and for law enforcement purposes.
Yes
Give consent to Australian law enforcement agencies disclosing the applicant's biometric,
biographical and criminal record information to the Department to help identify the applicant, to
determine eligibility for grant of a visa and for law enforcement purposes.
Yes
Understand that the Visitor visa does not permit them to work in Australia.
Yes
Give consent to the Department using the applicant's biometric, biographical and criminal record
information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.

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Yes
As an applicant:
I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia
at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such, I will be expected
to depart from Australia, and be subject to removal under the Migration Act 1958.
Yes

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Supporting evidence

Applicant 1 - ZACHARIA MINOUNGOU (10 Nov 1997)

Evidence type Document type Description Date received Filename
Evidence of current employment or Letter from employer with current 22/07/2026 (Sauvegarde)minoungou15-2_translated.p
self-employment role
Travel history, Evidence of Entry/exit stamped pages of the 22/07/2026 1430_001 (1).pdf
expired passport
Photograph - Passport Photograph - digital 22/07/2026 1447_001.[Link]
Travel Document Passport 22/07/2026 1448_001-Copy [Link]
Visa for country of residence (and Visa documentation 22/07/2026 1448_001-Copy 1_1.pdf
right to return)
Documentation to Enter Destination Visa documentation 22/07/2026 OFFICIAL COOK ISLANDS
Country, Evidence of ENTRY POLICY FOR
TOURIST VISA EXEMPTION
[Link]
Documentation to Enter Destination Visa documentation 22/07/2026 hotel [Link]
Country, Evidence of
Onward Booking from Australia, Travel Tickets 22/07/2026 minoungou3 (4) (1).pdf
Evidence of

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