Fillable Printable Application for An Australian Travel Document for A Child
Fillable Printable Application for An Australian Travel Document for A Child
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.
Form B-9, March 2011 Page 2 of 3 pages
4 Other person with
parental responsibility
• Complete a separate form
B-9 for each other person
with parental
responsibility who has
not provi ded written
consent
Form B-9
Full name and current address of other person with parental responsibility:
If applicable, former name(s) of other person with parental responsibility:
Relationship to the child:
Date of birth: ______/________/______ OR approximate age now:
day month year
Is this person an: Australian Citizen Permanent resident Temporary resident Non-resident
(circle one answer) (Foreign national)
Has this person ever visited Australia? YES / NO
If YES, give approximate date(s): ______/________/________ to ______/________/________
day month year day month year
What are the last contact details you have for this person?
(include postal, email or social media addresses, phone numbers, friends, relatives or employer’s addresses)
Have you tried to contact this person using any of these contacts? YES / NO
If YES, what was the result?
If NO, please give reasons:
5 Court orders affecting
rights in relation to the child
If there are court orders affecting your or another person’s rights in relation to the child you must also complete
a Form B-7 and provide the original copies of all court orders.
6 Child support payments
Do you receive or make any Child Support payments in respect of this child? YES / NO
If YES, please provide details:
7 Contact between child
and other person with
parental responsibility
Describe the nature of the relationship between the child and this person (e.g. give details of the nature and
frequency of contact visits, phone calls, e-mails, text messages, etc.):
When was the last contact between the child and this person? ______/________/________
day month year
What was its purpose?
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.
