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Personal Privacy

Department of Home Affairs Record of

Application for a Visitor Short Stay 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

Is the applicant currently outside Australia?

Yes

Give the current location of the applicant and their legal status at this location.
Current location: VIETNAM
Legal status: Citizen

Purpose of stay

Select the stream the applicant is applying for:

Tourist stream (tourism/visit family or friends)
Note: Once the application has been lodged, the stream cannot be changed. For more information on
each stream, click on the help icon above.
List all reasons for visiting Tourism
Australia:
Give details of any significant dates on which the applicant needs to be in Australia:
Group processing

Is this application being lodged as part of a group of applications?

No
Special category of entry

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This form submitted by : johnbaptist0112@[Link]
Role(s) : Self-registered user
Submitted on : 25/02/2024 16:26

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Is the applicant travelling as a representative of a foreign government, or travelling on a United

Nations Laissez-Passer?
No
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 personal passport.
Family name: Nguyen
Given names: Van Phung
Sex: Male
Date of birth: 01 Dec 1982
Passport number: P01589648
Country of passport: VIET NAM - VNM
Nationality of passport holder: VIET NAM - VNM
Date of issue: 02 Mar 2023
Date of expiry: 02 Mar 2033
Place of issue / issuing viet nam
authority:
It is strongly recommended that the passport be valid for at least six months.
National identity card

Does this applicant have a national identity card?

Yes

National identity card

Enter details exactly as shown on the national identity card.
Family name: Nguyen
Given names: Van Phung
Identification number: 048082006033
Country of issue: VIETNAM
Note: If the National identity card does not have a Date of issue or a Date of expiry, do not enter a
date. Leave the field/s blank.
Date of issue:
Date of expiry: 01 Dec 2042
Pacific-Australia Card

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The Pacific-Australia Card is issued through an invitation process to Pacific leaders. If the applicant
does not hold a Pacific-Australia Card, select 'No' for this question.
Is the applicant a Pacific-Australia Card holder?
No
Place of birth

Town / City: Da nang

State / Province: Da nang
Country of birth: VIETNAM
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 (VIET NAM)?

Yes
Is this applicant a citizen of any other country?
No
Previous travel to Australia

Has this applicant previously travelled to Australia?

No
Has this applicant previously applied for a visa to Australia?
No
Grant number

Does this applicant have an Australian visa grant number?

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: Nguyen

Given names: Van Phung
Sex: Male
Date of birth: 01 Dec 1982
Country of birth: VIETNAM
Passport number: P01589648
Country of passport: VIET NAM - VNM

Is the above information Yes

correct?
Travelling companions
Each person travelling to Australia must submit a separate visitor visa application. This includes
children and other family members. Listing a person's name on this page does NOT mean that the
person has applied for a visa.
Are there any other persons travelling with the applicant to Australia?
No
Contact details

Country of residence

Usual country of residence: VIETNAM

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: Vietnam, Ho Chi Minh City

Residential address

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Note that a street address is required. A post office address cannot be accepted as a residential
address.
Country: VIETNAM
Address: 16 nguyen phuoc nguyen
phuong An Khe
Suburb / Town: Thanh Khe
State or Province: DA NANG
Postal code: 700000
Contact telephone numbers
Enter numbers only with no spaces.
Home phone:
Business phone: 0905344588
Mobile / Cell phone: 0905344588
Postal address

Is the postal address the same as the residential address?

No
Country: VIETNAM
Address: Duong so 9, Khu Cong Nghiep Hoa Khanh
Phuong Hoa Khanh Bac
Suburb / Town: Lien Chieu
State or Province: DA NANG
Postal code: 700000
Email address

Email address: johnbaptist0112@[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: johnbaptist0112@[Link]

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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.

Non-accompanying members of the family unit

Does the applicant have any members of their family unit not travelling to Australia who are not
Australian citizens or Australian permanent residents?
Yes

Non-accompanying member of the family unit

Relationship to the applicant: Parent
Family name: Dang
Given names: Thi Chung
Sex: Female
Date of birth: 02 Jan 1950
Country of birth: VIETNAM
Entry to Australia

Proposed period of stay

Does the applicant intend to enter Australia on more than one occasion?
Yes
How long does the applicant plan to stay in Australia?
Note: If the applicant intends to enter Australia more than once, select the longest period they plan to
stay in Australia on a single visit.
Length of stay in Australia: Up to 3 months
Planned arrival date: 28 Apr 2024
Planned final departure date: 06 May 2024
Note: If granted, the stay period may be less than the period requested. The applicant should check
the Grant Notification Letter to confirm their period of stay in Australia.
Does the applicant know the dates of entry for each occasion after first entry to Australia?
Yes
Give details of the additional entry.
Date from: 24 Dec 2024
Date to: 02 Jan 2025
Give reason: Traveling for Christmas and New Year
Study while in Australia

Will the applicant undertake a course of study in Australia?

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No
Relatives, friends or contacts in Australia

Will the applicant visit any relatives, friends or contacts while in Australia?
No
Visa applicant's current overseas employment

Current employment details

Employment status: Self employed

Occupation grouping: Managers
Organisation: Cong ty co phan thep dana-nhat
Start date with current 01 Jun 2016
employer:
Organisation address
Note that a street address is required. A post office address cannot be accepted as an organisation
address.
Country: VIETNAM
Address: duong so 9, khu cong nghiep hoa khanh
phuong hoa khanh bac
Suburb / Town: lien chieu
State or Province: DA NANG
Postal code: 700000
Contact telephone numbers
Enter numbers only with no spaces.
Business phone: 02363841181
Mobile / Cell phone: 0905344588
Electronic communication

Email address: johnbaptist0112@[Link]

Financial support

Funding details

Give details of how the applicant's stay in Australia will be funded:

Self funded
What funds will the applicant I have my own money from work and saved over the years
have available to support their
stay in Australia?

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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
Does any applicant intend to work as, or study or train to be, a health care worker or work within a
health care facility while in Australia?
No
Does any applicant intend to work, study or train within aged care or disability care 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
Does any applicant require assistance with mobility or care due to a medical condition?
No
Character declarations
If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details.
For combined applications, state which applicant the declaration applies to.
If the matter relates to a criminal conviction, provide:
• the date and nature of the offence
• full details of the sentence
• dates of any period of imprisonment or other detention.
Has any applicant ever been charged with any offence that is currently awaiting legal action?
No

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Has any applicant ever been convicted of an offence in any country (including any conviction which is
now removed from official records)?
No
Has any 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 personal protection of another person?
No
Has any applicant ever been the subject of an arrest warrant or Interpol notice?
No
Has any applicant ever been found guilty of a sexually based offence involving a child (including
where no conviction was recorded)?
No
Has any applicant ever been named on a sex offender register?
No
Has any applicant ever been acquitted of any offence on the grounds of unsoundness of mind or
insanity?
No
Has any applicant ever been found by a court not fit to plead?
No
Has any 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 any 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 any applicant ever been associated with a person, group or organisation that has been or is
involved in criminal conduct?
No
Has any 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 any applicant ever served in a military force, police force, state sponsored / private militia or
intelligence agency (including secret police)?
No
Has any applicant ever undergone any military/paramilitary training, been trained in weapons/
explosives or in the manufacture of chemical/biological products?
No
Has any applicant ever been involved in people smuggling or people trafficking offences?
No
Has any applicant ever been removed, deported or excluded from any country (including Australia)?
No

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Has any applicant ever overstayed a visa in any country (including Australia)?
No
Has any 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

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.
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).

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Yes
Understand that if a no further stay 8503 condition is imposed on this visa, it will limit the ability to
remain in Australia beyond the authorised period of stay of the visa.
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.
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 - Van Phung Nguyen (01 Dec 1982)

Evidence type Document type Description Date received Filename
Evidence of planned tourism Itinerary 25/02/2024 Itinerary in Australia (2).docx
activities in Australia
Travel Document Passport 24/02/2024 z5188904570743_3cf35f354a38b6d81dc71
National Identity Document (other National ID Card 048082006033 24/02/2024 z5188915354717_0d801883c339d79214c1
than Passport)
National Identity Document (other National ID Card 24/02/2024 z5188915373051_f1ace829dd453e6d3d3c
than Passport)
Evidence of the applicant's previous Visa documentation korea, japan, israel 25/02/2024 z5188954309727_76c2d7b82e78defe8eea
travel
Evidence of the applicant's previous Entry/exit stamped pages of the 25/02/2024 z5188954340035_969135ac9bd29962df1c
travel expired passport
Evidence of the applicant's previous Entry/exit stamped pages of the 25/02/2024 z5188954381063_f544799e7798a504390b
travel expired passport
Evidence of the applicant's previous Visa documentation korea, japan, israel 25/02/2024 z5188954420501_fe5853bba1eec29172eb
travel
Evidence of the applicant's previous Visa documentation korea, japan, israel 25/02/2024 z5188954462519_b946191a21dff694435a
travel
Evidence of the applicant's previous Entry/exit stamped pages of the 25/02/2024 z5188954487175_861e7e6bdf2f017d7b5d
travel expired passport
Evidence of the applicant's previous Entry/exit stamped pages of the 25/02/2024 z5188954286248_8e926d985c815ce6e941
travel current passport
Evidence of the applicant's previous Entry/exit stamped pages of the 25/02/2024 z5188954361637_de2c3eb2c16c73162dd6
travel expired passport
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188972988145_f3663a2b46bbe1232cd8
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973014329_663f4140f7180d5028f1e
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973034995_ddacd2032c0e3c5d6f19
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973059178_9ed616e4921205200f13
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973128596_fba032703e777fe2a686
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973150212_788a48b94fd4f091ea9b
form (if applicable) Family Composition Evidence
Family register and composition Family Book/Household Booklet/ 24/02/2024 z5188973173741_f494207a91be6c6e713c
form (if applicable) Family Composition Evidence
Evidence of the financial status and Title Deed 24/02/2024 z5188993942186_c5c3a8c41e0ff78be1a12
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188994916987_4b25e50c9f9a58f53cfb8
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188994946042_baac3a2d6048a3d4c0e6
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188994974535_3b2b85bedf1810ec5dbc
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188995002639_fde6d147e684f3e2aea3
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188995042602_aae729accfe754eb4739
funding for visit

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Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188995108169_6627e6a3cb60ea67dc91
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188995137447_865ff8b1db628018bd56
funding for visit
Evidence of the financial status and Bank Statement - Personal skt 040079772277 24/02/2024 z5188995163715_566badd962a234ac7aa
funding for visit
Evidence of the financial status and Title Deed 24/02/2024 z5189010338762_a067da94ef1df01e2627
funding for visit
Evidence of the financial status and Title Deed 24/02/2024 z5189010387693_c83ea3577228e223aa3
funding for visit
Evidence of the financial status and Title Deed 24/02/2024 z5189020237209_4feae937357c54e54630
funding for visit
Evidence of the financial status and Title Deed 24/02/2024 z5189020254819_5ddf01124d2801c31d7d
funding for visit
Evidence of the financial status and Title Deed 24/02/2024 z5189020274578_246ac022f5ad7492a9fcc
funding for visit
Evidence of current employment or Business Licence/Registration 25/02/2024 z5189052395561_1546355db04e7cc6d55b
self-employment
Evidence of the financial status and Tax Document 25/02/2024 z5190647351935_7042d11ae93d77062ccd
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647389643_1da11e63aa5e5c32e66
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647420276_51474accabc7dbc04690
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647446701_42c813d987f3cebe727f9
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647470620_2d166001c1faf9f830da8
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647494862_1bc9e0fbfb5fe01f133b3
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647519070_859918272543648f6dfa
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647543853_a4bfeb70219de3c511a0
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647570722_726da7df21e2fb993726
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647601031_5e7c7af757e7d3fe2e15
funding for visit
Evidence of planned tourism Planned Activities 25/02/2024 z5190754926909_b08e521fd55547452172
activities in Australia
Evidence of planned tourism Planned Activities 25/02/2024 z5190754937637_1c1779c87d1859c6ae57
activities in Australia
Evidence of planned tourism Planned Activities 25/02/2024 z5190754948675_261363cd78f4da2f37d8
activities in Australia
Evidence of planned tourism Planned Activities 25/02/2024 z5190754959132_d4b2344fcfe681b98840
activities in Australia
Evidence of current employment or Business Licence/Registration 25/02/2024 z5190820222169_e23de19cdaea6746b1a
self-employment
Evidence of the financial status and Tax Document 25/02/2024 z5190647327820_f9cc1d82d5b064c1cde2
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647626492_fd11a25c0fb325cdefb0b
funding for visit
Evidence of the financial status and Tax Document 25/02/2024 z5190647651144_f8a7883b7b6cb46cb9cb
funding for visit

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