Application for An Australian Travel Document for A Child
Form B-9, March 2011 Page 3 of 3 pages
8 Further information
Form B-9
The special circumstances under which this application may be approved are defined in subsection 11(2) of
the Australian Passports Act 2005 and subsection 2.1 of the Australian Passports Determination 2005.
Do you wish to provide any further information?
9 Disclosure of
information
The Department of Foreign Affairs and Trade may disclose the information that has been provided in or with
this application to any organisation or individual that can verify the information to establish the child’s
eligibility for an Australian travel document. This may include contacting the person named in Section 4
whose consent has not been provided.
Your contact details will NOT be disclosed to that person.
If you have any objection to the department contacting that person please state your reasons here:
10 Declar ation
Declaration by the person completing this statement
I declare that:
• I am aware of the information in the brochure Children and parental consent*;
• I am aware that processing this application may take an additional 3 to 4 weeks;
• I am aware that 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); and
• the information I have given in this statement is complete and correct.
Signature ______/________/________
day month year
*Copies of the brochure Children and parental consent are available at
passport offices in Australia, Australian diplomatic missions and consulates overseas, online at
www.passports.gov.au
or by calling 131 232 from anywhere in Australia.
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