anayform-3

anayform-3

Warning: Under the Statutory Declarations Act 1959, people

who intentionally make a false statement in a statutory

declaration are liable for punishment of 4 years

imprisonment. In addition, the
Migration Act 1958

(the Act) provides penalties for providing false or

misleading statements of 12 months imprisonment or

a fine of AUD12,000.

If you are not an Australian citizen or permanent resident and

you reside outside Australia, your statement cannot be

considered a statutory declaration under Australian law, even if it

is made using this form or the template provided by the

Attorney-General’s Department. However, under policy, your

statement should be witnessed or certified according to the legal

practices of the country in which you make the statement. Failing

that, it should be witnessed by a person whose occupation or

qualification is comparable to those listed above. This person

should sign, date and specify their occupation at the bottom of

the statement.

You should confirm the requirements with the nearest Australian

mission overseas when you lodge your application. Contact

details for Australian missions are available on the Department’s

website
www.homeaffairs.gov.au

Important information about privacy

Your personal information is protected by law, including the

Privacy Act 1988. Important information about the collection,

use and disclosure (to other agencies and third parties, including

overseas entities) of your personal information, including

sensitive information, is contained in form 1442i
Privacy notice.

Form 1442i is available from the Department’s website

www.homeaffairs.gov.au/about/corporate/information/forms

or offices of the Department. You should ensure that you read

and understand form 1442i before completing this form.

Home page www.homeaffairs.gov.au

General

enquiry line

Telephone 131 881 during business hours

in Australia to speak to an operator (recorded

information available outside these hours).

If you are outside Australia, please contact

your nearest Australian mission.

About this form

This form must be completed by a person who:

• knows the visa applicant and their partner or fiancé(e) and the

history of their relationship;

• is at least 18 years of age; and

• is an Australian citizen or Australian permanent resident.

Note: If the visa applicant is outside Australia and is unable to

have an Australian citizen or Australian permanent resident

complete this form, any person who knows the applicant and

their partner or fiancé(e) may also complete this form.

The person completing this form must provide evidence of their

current name, age and, where applicable, Australian citizenship

or Australian permanent residency (for example, a certified copy

of the birth certificate, Australian passport or passport containing

a permanent visa). All copies must be certified.

Note: You may be asked to submit up to 3 separate declarations

during the processing of the visa application.

You may also be contacted for further comment and/or interview

in relation to the information you provide.

Purpose of this form

When assessing a Partner or Prospective Marriage visa

application, the Department of Home Affairs (the Department)

must consider the social aspects of the claimed relationship. The

Department will use the information provided in this form (your

statements), among other things, to assess these aspects.

The Department’s policy is that these statements be provided in

the form of statutory declarations. You may use this form, or

alternatively, you may use the statutory declaration template,

which is available on the Attorney-General’s Department website

at
www.ag.gov.au/pages/default.aspx

In Australia, statutory declarations must be witnessed by a person

prescribed by the
Statutory Declarations Act 1959 and Statutory

Declarations Regulations 2018
. Any attachments to the

Declaration must be certified by a prescribed person. Prescribed

persons include those who are a:

• Justice of the Peace;

• medical practitioner;

• legal practitioner;

• civil marriage celebrant or registered minister of religion;

• dentist;

• nurse;

• optometrist;

• pharmacist;

• physiotherapist;

• teacher employed on a permanent full-time or part-time basis

at a school or tertiary education institution;

• bank officer with 5 or more continuous years of service;

• permanent employee of the Australian Postal Corporation

with 5 or more continuous years of service;

• police officer; or

• public servant engaged on an ongoing basis with 5 or more

years of continuous service.

A full list of prescribed persons can be found on the

Attorney-General’s Department website.

Please keep this information page for your reference

888 (Design date 07/19) – Page 1

© COMMONWEALTH OF AUSTRALIA, 2019


Statutory declaration by a supporting witness in relation to a Partner or Prospective Marriage visa applicationForm888























Department of Home Affairs













This page is intentionally blank

3

State how you know the applicant and the applicant’s partner or

fiancé(e), and indicate how often you have been in contact with them

Please open this form using Adobe Acrobat Reader.

Either type (in English) in the fields provided or print this form

and complete it (in English) using a pen and BLOCK LETTERS.

Tick where applicable
3

Details of person making the statutory declaration

I,

Family name

Given names

of

Your residential address

Postcode

Occupation or qualification

Telephone numbers

Office hours

(Area code )

After hours

(Area code )

make the following declaration under the Statutory Declarations Act 1959:

If insufficient space, please attach additional details

4

State whether you believe the relationship of the applicant and his/her

partner or fiancé(e) to be genuine and continuing, and give your reasons

for your belief

1

Visa applicant’s name

Family name

Given names

How long have you known this person?

2

Name of applicant’s partner or fiancé(e)

Family name

Given names

How long have you known this person?

Office use only

File number

If insufficient space, please attach additional details

888 (Design date 07/19) – Page 3

© COMMONWEALTH OF AUSTRALIA, 2019


Statutory declaration by a supporting witness in relation to a Partner or Prospective Marriage visa applicationForm888























Department of Home Affairs
















































































































































Anay
Anay Jain
111
Shree Vardhan
Complex
452001
Developer
0731
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0731
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Anay Jain
6 years
Anmol
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5

State any other matters you wish to add in support of the visa application

6

Have you attached evidence of your Australian citizenship or Australian

permanent residency status?

Note: All copies must be certified.

No

Yes

7 WARNING: Giving false or misleading information is a serious offence.

I understand that a person who intentionally makes a false statement in

a statutory declaration is guilty of an offence under section 11 of the

Statutory Declarations Act 1959, and I believe that the statements in this

declaration are true in every particular.

Your

signature


Declared at



On

Before me,

Day

Month

Year

Signature of

qualified

person


Day

Month

Year



Date

Details of person before whom the declaration is made in printed letters

Family name

Given names

Preferred title: Mr

Mrs

Miss

Ms

Other

Contact address

Postcode

Occupation or qualification

Telephone number

Office hours

(Area code )

We strongly advise that you keep a copy of this statutory

declaration and all attachments for your records.

If insufficient space, please attach additional details

888 (Design date 07/19) – Page 4

© COMMONWEALTH OF AUSTRALIA, 2019




























































































































































































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10-Apr-1991
01-Jul-2019
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