956 Form Instructions
*** Please read this information carefully before completing any forms ***
Part A – Applicant details |
| Question 1 |
Main applicant |
|
Please complete |
| Question 2 |
Dependant applicants |
|
Please leave blank |
| |
|
|
|
Part B – About your application |
| Question 3 |
You are submitting this form with an application |
|
‘you are about to lodge’ |
| |
|
|
|
Part C – Details of lodged application |
| |
Please leave Questions 4 and 5 blank |
| |
|
|
|
Part D – Appointment details |
| Question 6 |
Are you submitting this form because you want to |
| |
Please check the first box – ‘appoint a migration agent’ |
| Question 7 |
Are you applying for a 2 stage visa? |
|
NO |
| |
|
|
|
Part E – Migration agent or exempt agent or authorised recipient details |
| Question 9 |
Title |
|
Mrs |
| |
Family Name |
|
Caloghiris |
| |
Given Names |
|
Susan |
| |
Address |
|
Bibber International |
| |
|
|
81 Carrington Street
Adelaide SA 5000
Australia |
| Question 10 |
Business name |
|
Bibber International |
| |
MARN |
|
0637954 |
| Question 11 |
Is your migration agent providing service under the IAAS? |
|
NO |
| Question 12 |
|
|
Please leave blank |
| Question 13 |
|
|
Please leave blank |
| |
|
|
|
Part F – Authorisation for migration agent or exempt agent to act on your behalf |
| Question 14 |
My migration agent is authorised to act on my behalf in relation to |
|
Please check the first box – ‘all matters’ |
| Question 15 |
|
|
Please check YES |
| |
|
|
|
Part G – Health and character |
| |
Please leave blank |
Part H and I |
| |
Please leave blank |
| |
|
|
|
Part J – Other contact details |
| Questions 19 and 20 |
|
Please check NO for both |
| |
|
|
|
Part K - Signature |
| Question 21 |
|
|
Please sign and date |
| |
|
|
|
|
