Form 80
Form 80
Important – Please read this information carefully before you Please open this form using Adobe Acrobat Reader.
complete this form. Once you have completed this form we Either type (in English) in the fields provided or print this form
strongly advise that you keep a copy for your records. and complete it (in English) using a pen and BLOCK LETTERS.
This form is to be completed in English by applicants who are Tick where applicable 3
16 years of age or over, as requested by the office processing the
application. If you need more space for any answers, give details at Part T –
Additional information
Integrity of application
The Department of Home Affairs (the Department) is committed
to maintaining the integrity of the visa and citizenship programs.
Please be aware that if you provide us with fraudulent documents Part A – Applicant details
or claims, this may result in processing delays and possibly your
application being refused. 1 Please provide your details as they appear in your official documents.
For example, passport, identity document, travel document, birth
Important information about privacy certificate.
The Privacy Act 1988 contains 13 Australian Privacy Principles Note: If you have one name only, please write it in the ‘Family name’
which regulate the way that the Department collects and handles field.
personal information. Information about how the Department Family name
collects, uses and discloses personal information for its key
functions can be found in form 1442i Privacy notice. More KHANNA
information about the Department’s general information handling
All given names
practices (including form 1442i) can be found in the Department’s
Privacy policy at https://www.homeaffairs.gov.au/access-and- SAKSHI
accountability/our-commitments/privacy
Indeterminate /
Sex Male Female ✔ Intersex / Unspecified
Day Month Year
Day, month and year
Date of birth 30-Dec-1979
MUST be provided
Country INDIA
2 Do you ever use a Chinese Commercial Code Number for your names
shown in the passport/travel document at Question 1?
No
Yes Chinese Commercial Code Number (in full)
5 Have you ever had a different date of birth to the one shown at
Question 1? Yes ✔
No ✔ Day Month Year Day Month Year
7 Do you hold or have you held citizenship from any other country
(including dual citizenships and all previous citizenships)?
No ✔
Yes Country
From to
Note: If you still have the citizenship, write ‘CURRENT’.
If more than one country, give details at Part T – Additional
information
Name on the document (if the same as Question 1, write ‘SAME AS Name on the document (if the same as Question 1, write ‘SAME AS
QUESTION 1’) QUESTION 1’)
Family name Family name
SAME AS QUESTION 1
Given names Given names
Other
Mobile/cell +919779063375,+61451325198
Other
S KHANNA & CO CHARTERED PROPRIETOR, AUDIT, 2 KATRA SHER SINGH, NEAR INDIA
Sep-2004 Dec-2012 ACCOUNTANCY ACCOUNTANCY AND ADVISORY CITY TELEPHONE EXCHANGE,
PROPREITORSHIP WORK AMRITSAR, PUNJAB
26 List the towns/cities you will visit during your further stay in Australia
23 Do you have any proposed or booked travel dates for your journey to MELBOURNE
Australia?
No
Yes Give details of proposed arrival in Australia
Day Month Year 27 Give details of your arrival in Australia
Arrival date Day Month Year
City of arrival
28 Are you applying for a temporary visa?
Give details of countries you will visit on your way to Australia No Go to Part I
(write ‘N/A’ if not applicable)
Yes ✔
29 Do you have any proposed or booked travel for your departure from
Australia?
List the towns/cities you will visit during your time in Australia No
Yes Give details
Day Month Year
Departure date
24 Are you applying for a temporary visa? Flight number or vessel details (if known)
No Go to Part I
Yes Give details of proposed final departure from Australia
Day Month Year City of departure
Departure date Give details of countries you will visit after your departure from Australia
(write ‘N/A’ if not applicable)
Flight number or vessel details (if known)
City of departure
Give details of countries you will visit after your departure from Australia
(write ‘N/A’ if not applicable)
Now go to Part I
Mobile/cell
If you will stay at any other address(es), give details at Part T –
Additional information.
Now go to Part J
Child 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
SON KHANNA AMOGH M 04-Sep-2005 N/A
Child 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Child 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Child 5
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Child 6
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Parent 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
MOTHER KHANNA MADHU MADHU BALA F 08-Dec-1956 N/A
Parent 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
FATHER IN LAW KHANNA SHASHI BHUSHAN M 26-Mar-1935 N/A
Parent 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
MOTHER IN LAW KHANNA KIRAN PARVEEN F 06-Oct-1944 N/A
Sibling 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
SISTER ANAND SANIYA F 12-Feb-1986 N/A
Sibling 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
SISTER IN LAW JALOTA RASHMI F 07-Feb-1970 N/A
Sibling 3
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Sibling 4
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Family member 1
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
Family member 2
Given names Any other names Sex Date of birth Chinese commercial codes
Relationship to you Family name
(include patronymic name) (eg. maiden or tribal name) M/F/X Day Month Year (If not applicable, write ‘N/A’)
If more than 2 other family members, give details at Part T – Additional information
Signature of
applicant
Organisation/Business commercial address (including building number -
and street name) Day Month Year
Date
16-Dec-2022
If you do not have enough space to give all the necessary information, attach a separate statement to this form with further details
© COMMONWEALTH OF AUSTRALIA, 2021 80 (Design date 03/21) - Page 19