Application for An Australian Travel Document for A Child
Form B-9, March 2011 Page 1 of 3 pages
Statement under the Australian Passports Act 2005Form B-9
Application for an Australian travel document
Child without full parental consentor Australian
court order permitting international travel
A priority processing fee will NOT be accepted before this application is approved
About this for m : This statement must be completed and submitted to support an application for a passport for a child (i.e. a person under 18
years who has never married) where a required consent has not been obtained from each person who has parental responsibility for the child
(including persons given rights of residency, custody, access, contact, guardianship, day-to-day or long-term care, welfare or development under a
court order issued in relation to the child) and there is no Australian court order which permits the child to travel internationally.
It is your responsibility to obtain the consent of each person whose consent is required. This form should be completed only when you have
exhausted all efforts to obtain the required consents. A separate form is required for each person with parental responsibility who has not provided
their written consent.
You must answer all questions in full. Please print clearly and use BLACK INK.
1 Child’s details
• Allow at least 3 - 4
weeks in addition to the
normal processing time
of 10 working days
• Do not make firm travel
bookings or pay for
tickets until you know
the application has
been approved.
• Child’s proposed travel
details
Child’s full name and current address:
If applicable, former name(s):
Application form No:
With whom is the child now living?
Departure date ______/________/________
day month year
With whom is the child travelling?
Return date ______/________/________
day month year
Destination and reason for travel:
2 Your details
Your full name and current address:
Nationality: Passport No:
Your relationship to the child:
3 Parents’ marital status
Were you married to the child’s other parent at the time of birth? YES / NO
What is your current relationship with the child’s other parent? (please circle one answer)
Married De facto Separated Divorced No relationship
If divorced, please provide date and copy of decree nisi: ______/________/________
day month year
• This is a referral to an Approved Senior Officer with no guarantee that a passport will be approved.
• The special circumstances under which approval may be given are set out in subsection 11(2) of the Australian Passports
Act 2005 (the Act) and subsection 2.1 of the Australian Passports Determination 2005 (the Determination). The Act and the
Determination are available at www.passports.gov.au
.
• If you have a genuinely urgent need to travel, please call 131 232 before lodging this statement.
• A priority processing fee will NOT be accepted before this application is approved.
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