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The form must be completed and submitted with a passport application when required.
Deliberately making a false or misleading statement on this form is an offence under the Australian Passports Act 2005.
Applicants must provide their full name, residential address (including country for non-Australian addresses), and the name of the applicant if different.
The person completing the form must declare that all information provided is complete and correct.
Penalties for false statements can include imprisonment for up to 10 years or fines of up to 1000 penalty units, or both.
The form requires the signature of the person completing it along with the date signed in DD/MM/YYYY format.