Application for an Australian Passport
Adult
A p p o in t m e n t s
Only certain applicants
should lodge their forms
at a Passport Office in
Australia.
■ Appointments are
essential.
■ See Notes for details.
Protect your identity
Lost or stolen passports cause
inconvenience and may be used
by others to assume your identity
for illegal activities.
Keep your passport safe
at all times.
Australian Passport
Information Service
131 232
If you have any questions about
this form or about how to get an
Australian passport, or if you wish
to comment about our service, offer
suggestions for improvement, or
register a complaint, you may
telephone us on 131 232 (from
anywhere in Australia), visit our
website at: www.passports.gov.au,
or write to the following address:
Director, Passport Operations Section
Department of Foreign Affairs and Trade
R.G. Casey Building
John McEwen Crescent
Barton ACT 0221
Check before travelling
Visit the Department’s website
at www.smartraveller.gov.au
to view the latest travel advice.
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Online Form PC1_0309
Who can apply for an Australian passport?
All Australian citizens can apply—if you have any questions or doubts about your Australian
citizenship, call the Department of Immigration and Citizenship on 131 880.
Who should use this form to apply?
Use this form if:
■ you are 18 years of age or over, or
■ you are under 18 years of age and are currently or previously married,
and have your marriage certificate to bring to your passport interview.
Do NOT use this form if:
■ you are renewing your adult Australian passport—check the requirements in the Notes to see whether
you can renew your current passport more quickly using a renewal form, or
■ you are under 18 years of age and have never been married—use the Application for an Australian
Passport: Child form, available from Australia Post passport interview outlets.
If you are aged 75 years or over: You have the option to use this form to apply for a seniors’ passport
(with 5 years validity) for a lower fee.
If you need your passport in a hurry: The Passport Office is committed to issuing a travel document within ten working
days. This timeframe excludes the time taken for the Passport Office to receive the application (from the Australia Post
passport interview outlet) and the time taken to deliver the document from the Passport Office to the applicant. If you need
to travel urgently, ask about our Priority Processing Service (two working days turnaround from when all documentation is
received). An additional fee applies.
Your checklist
The following things will help you complete the form correctly, speed up your application
and minimise our requests for further information:
Completing your form
Use BLACK INK and print within the boxes in B LOC K L ETTE RS
If you are not required to give information in some parts of the form, leave the boxes
blank—do not mark or cross them out.
Make sure you choose an appropriate guarantor to endorse your photograph and
complete section 11 of the form. Please read the criteria for a guarantor in the Notes.
Lodging your form
Lodge your application form and all supporting documents in person at an Australia Post outlet.
In certain circumstances (see page 4), you may lodge at a Passport Office (by appointment only).
Check the passports website at www.passports.gov.au or call 131 318 to find the nearest Australia Post
outlet that will accept your passport application. You may need to ring Australia Post for an appointment.
Bring to your passport interview
Your completed form (with section 11 completed by your guarantor).
The application fee. Phone 131 232 for current fees.
Preferred payment methods are EFTPOS, Mastercard,
Visa or cash (cheques are not accepted). Lodge your form at
Proof of your Australian citizenship (see Notes). Keep this card in case of queries and, if you are eligible
Proof of your identity (see Notes). to collect your passport, present this card at collection.
If you have any questions about your application
Name change documents (see Notes).
phone 131 232 or visit the passports
Two new colour photographs, with one signed as
a true photo of you by your guarantor (see Notes). website: www.passports.gov.au
and quote: 05226531 W
Any current Australian travel document you have.
All documents must be originals. * 
*777 05226531 W*
Department of Foreign Affairs and Trade
ADULT Passport Application
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11F *777 05226531 W*
Use BLACK INK and print within the boxes in B LOC K L ETTE RS
Use CROSSES in boxes ✗ DO NOT MARK ‘INTERVIEWING OFFICER USE ONLY’ sections or circles e.g: 1
1 Date of travel
Date of travel
Do you intend to travel within the next 2 months? No Yes (dd/mm/yyyy)

2 Personal details—to appear on the passport

a Name Family name
This must be your current CANNE L L A
name, i.e. your name at the
Given names
time you lodge this application.
ROB ER T S A L V A TORE
4A
b Birth details Male X Female Date of birth (dd/mm/yyyy) 1 2 0 8 1 9 7 2
You must present your Town or city of birth as shown on birth certificate
original Australian birth
certificate or Australian PERTH
citizenship certificate to Country of birth
confirm your birth details. (will not appear on passport)
AUSTRAL I A
3 Confirming your citizenship—You MUST complete A or B below and provide original documents (and photocopies)
What documents A X Your Australian birth certificate
can you provide Registration number (include any letters) Date of registration of birth (dd/mm/yyyy)
that can confirm
your Australian
8 1 4 3 / 7 2 0 8 0 9 1 9 7 2 2A
State of issue Date of issue of certificate (dd/mm/yyyy)
citizenship?
You must complete: WA 2 7 0 1 2 0 0 9
Family name as shown on certificate
A or B
CANNE L L A
Given names as shown on certificate
ROB ER T S A L V A TORE
Were you born on or after 20/8/1986?  Note: If you have an Australian citizenship certificate go to 3B below.
Yes No X Go to Section 4
Please mark which one of the following documents you are providing (both the original and a photocopy)
to prove that you are an Australian citizen or to prove that one of your parents was either an Australian
citizen or a permanent resident of Australia at the time of your birth.
• Your Australian passport issued on/after 01/01/2000 and valid at least two years
• One parent’s full Australian birth certificate Mother’s Father’s
• One parent’s Australian passport (issued on/after 20/08/86 and valid two years) Mother’s Father’s 2B

• One parent’s Australian citizenship certificate Mother’s Father’s

• One parent’s Australian permanent resident status Mother’s Father’s

or B Your Australian citizenship certificate (or extract from the register of citizenship by descent/Australian births abroad)
NOTE: If your Certificate number (include any letters) Date of issue (dd/mm/yyyy)
Australian citizenship
document does not 3
show sex or place Family name as shown on certificate
and country of birth,
you must present your
foreign birth certificate Given names as shown on certificate
(see notes on page 2).

4 Name changes—you must provide original documents (and photocopies) that explain all name changes (see Notes )
Is your current name Yes No X Go to Section 5
(given in section 2)
different to the name Date current name was registered (dd/mm/yyyy)

given in section 3 (above)?
See Notes for name change
requirements.
Please complete the following details about the document you are providing to explain this name change:
Marriage (or death) certificate (and divorce papers if applicable) 4B
Revised birth certificate
Change of name certificate issued by the Registrar of Births, Deaths and Marriages

Certificate/registration number (include any letters) Date of issue (dd/mm/yyyy) State of issue

Online Form PC1_0309

 ADULT Passport Application
12F
 * 
*$ *777 05226531 W*
5 Security question—you may be asked this question to confirm your identity
What was your mother’s (Family name only)
family name at her birth? FAL LO 5

6 Passport type
What type of passport X Ordinary Frequent Seniors’ Seniors’ frequent Document
do you need? passport traveller passport passport traveller passport of Identity
(32 visa (64 visa pages) (32 visa pages) (64 visa pages) for travel
Note: Seniors’ passports
pages) A higher fee A lower fee to Norfolk
(5 years validity) are available applies applies Island ONLY
to persons aged 75 or over.

7 Contact details
a Telephone numbers Daytime phone number Evening phone number
and email address
Mobile Fax
0 4 1 8 2 3 3 1 2 2
Email (must be written clearly in UPPER case, with one letter in each box)
ROB ER T
@ T H R E E D D . COM

b Who can we contact Full name

in an emergency? N I NA OR G I UL I O CANNE L L A

Relationship to applicant
MO T H E R / F A T H E R
Daytime phone number Evening phone number
0 8 9 3 4 9 4 3 5 8
Address
3 0 B CAMP I ON AVENUE ,
B A L C A T T A WA 6 0 2 1
8 Address
Your residential address Unit or house number and street (or rural delivery address)
This must be your 3 0B CAMP I ON AVE
home address,
not a PO Box, nor
a business address. Locality/suburb
BALCAT TA
State/territory W A Postcode 6 0 2 1
9 Previous Australian passport or travel document
Have you ever been No X Yes a Number (include any letters) of your most
issued an Australian recently issued document (if known)
passport or travel Go to
section 11 b Date of issue (if known)
document? (dd/mm/yyyy)

10 Loss or theft of previous Australian passport or travel document

Have you lost or had No X Yes a Number (include any letters) of your most recently
stolen your most recently issued lost or stolen document (if known)
issued (or concurrent) Go to
section 11 b Was this passport/travel document lost or stolen? Lost Stolen
Australian passport or
travel document? c Date incident occurred (if known)
(dd/mm/yyyy)
NOTE: If replacing an emergency
passport and you can present the document d How many Australian passports or travel documents (including the one above)
at interview, do not complete this section. have you lost or had stolen in
1 2 3 or more
the past 5 years? (See Notes
for futher details)
Online Form PC1_0309
 ADULT Passport Application
13F
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*777 05226531 W*
11 A guarantor must complete this section —see the notes below for who can be a guarantor
To qualify as a guarantor you must: not be related to the applicant by birth or marriage endorse the back of one photograph by
not be in a de facto relationship with the applicant writing ‘This is a true photo of (applicant’s
(this includes a same sex relationship) full name)’ and signing it
not live at the same address as the applicant possess a current (unexpired) Australian passport
that was issued with at least 2 years’ validity, or be
have known the applicant for at least 12 months
Use BLACK INK and on the electoral roll (as an unrestricted Australian
be able to satisfy and complete either A or B below, Electoral Roll registration, at your current address
B LOC K L ETTERS and sign the declaration for the past 12 months).
be an Australian citizen who is 18 years of age or over

Full name of guarantor Family name

WA L L
Given names
A N D R EW J OHN
Male X Female Date of birth (dd/mm/yyyy) 2 7 0 6 1 9 7 4
Proof of identity (of guarantor). Guarantor must complete either A or B below

A Australian passport Passport number (include any letters) Date of expiry (dd/mm/yyyy)
details—if you have a
current Australian passport. Family name as shown on passport

Given names as shown on passport

or
B Electoral Roll details Family name as shown on Australian Electoral Roll
—if you are enrolled as an WA L L
unrestricted Australian Electoral Given names as shown on Australian Electoral Roll
Roll registration and have been
on the roll at your current address A N D R EW J OH N
for the past 12 months. Current address 5
(as shown on the
DOE P E L WA Y
Australian Electoral
Roll)
Locality/suburb WA T T L E GRO V E
State/territory WA Postcode 6 1 0 7

Declaration by guarantor
Have you endorsed and signed the back of one photograph?­ You must endorse one photograph of the applicant before they can lodge the application

WARNING It is a criminal
offence under
the Australian Passports
Act 2005 to make false or
misleading statements.
(There are penalties of up
to 10 years’ imprisonment
or a fine of $110 000, or
both.)
I have personally known the applicant named below for a period of
0 3 years 0 2 months You MUST complete 'years’ and 'months' known boxes on the left
Family name of applicant (as shown in Section 2a)
CANNE L L A
Given names of applicant (as shown in Section 2a)
ROB ER T S A L V A TORE
I declare:
■ that the statements that I have made are true and correct.
Online Form PC1_0309

I understand that:
■ the Department of Foreign Affairs and Trade (DFAT) may disclose the information that I have provided
in this section of this application to any organisation or individual that can verify the information.

Further details about DFAT’s rights,

Signed obligations and policies in relation to
obtaining and disclosing information
are available in the Passports Privacy
Date signed brochure or at www.passports.gov.au
(dd/mm/yyyy)

Daytime phone number

The applicant MUST complete section 12 and sign and date the declaration at section 13 on the next page
 ADULT Passport Application  * 
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14F *777 05226531 W*
12 Proof of identity documents—please see the Notes for full details of documents that you need to provide
X Current Australian driving licence State Birth card (this is not a birth certificate) State

No 3 6 4 5 2 2 8 WA No
6
Version
Exp 2 9 0 8 2 0 1 3 (if any)

13 Your declaration and photographs —the applicant must read and sign the declaration and affix photographs
I declare that: I understand that:
■ I am an Australian citizen ■ my photograph will be used for biometric matching purposes (biometric matching allows the
■ the statements that I have made and the information that passport photograph to be electronically compared with other facial images to confirm identity)
I have given in, or in connection with, this application are ■ the Department of Foreign Affairs and Trade (DFAT) may disclose the information that has
true and correct. been provided in or with this application to any organisation or individual that can verify the
information to establish my identity and eligibility for an Australian travel document
It is a criminal offence under the Australian ■ DFAT may publicise or pass details of any lost or stolen document to federal, state, territory
WARNING Passports Act 2005 to make false or misleading
or foreign governments, including police and other agencies, and international organisations,
statements. (There are penalties of up to 10 years’ such as Interpol, to restrict the illegal use of these documents
imprisonment or a fine of $110 000, or both.)
■ DFAT may confirm or verify the validity of any Australian travel document, or disclose the
minimum necessary information held in relation to my Australian travel document to facilitate
PHOTO FACE UP PHOTO FACE DOWN my international travel, or disclose the information for other specified purposes, on the request
of specified organisations
Guarantor must ■ DFAT may use the information for internal passport training (phone 131 232 if you object)
endorse photo: ■ DFAT may use the information for the provision of consular services.
Max 36mm
Min 32mm

This is a true Signature of applicant Further details about DFAT’s rights, obligations and
policies in relation to obtaining and disclosing
photo of information are available in the Passports Privacy
JOHN CITIZEN brochure or at www.passports.gov.au
O ff i c e u s e o n l y
(full name of applicant)

P Smith Date signed (dd/mm/yyyy)

SIZE (signature of guarantor)

INTERVIEWING OFFICER USE ONLY — Use CROSSES in circles ✗

Proof of Identity—Photo ID and current address MUST be sighted for all applications
Combination 1: 1xA + 1xB Combination 2: 2xB Combination 3: 3xC (including name and
(+ address + incl. photo ID) (+ address + photo ID) current address + photo and signature)
Documents A, B or C
confirm:
Category A Current Australian driving licence Birth card
Photo ID
Category B Medicare card DVA card Centrelink card Credit card or account card sighted
Category C Motor vehicle
registration or
Property
rates
Property
lease
Home
insurance
Utilities
bills
Bank statement
with residential
Current
address
insurance docs notice agreement papers address sighted
travel document ISSUE and delivery interviewer’s declaration
Priority I declare the attached photograph is a true photo of the applicant. I have conducted
fee paid Prev. PPT cancelled an interview and confirmed the information provided in this application for an
Australian travel document against original documentation submitted, and copies
of original documentation are attached where required.
Method of Registered Collect from
delivery Post Passport Office It is a criminal offence under the Australian Passports Act 2005 to
WARNING make false or misleading statements. (There are penalties of up to
(Passport Office use only)
Other travel 10 years’ imprisonment or a fine of $110 000, or both.)
document Official Diplomatic
Signature Work Centre Code
Gratis issue Marriage Replacing limited validity
Online Form PC1_0309

Divorce Other (explain in space provided)

User ID
Lost/stolen fee 1 2 3 or more Date
calculated signed
Interviewer’s full name (please print)
(Passport Office
Sponsoring No. attached pages
use only)
authority (i.e. statements, copies of court
orders, permanent residence
evidence must be attached)
comments

Comments for the attention of the Passport Office