1454 Request for approval to travel under condition 8570

Declaration
21 
WARNING
: Giving false or misleading information or documents is a 
serious offence.
I declare that:
• the information I have supplied in this application is complete, correct 
and up-to-date in every detail.
• I have read the information contained in form 1442i 
Privacy notice.
• I understand the Department may collect, use and disclose my 
personal information (including biometric information and other 
sensitive information) as outlined in form 1442i 
Privacy notice.
Your signature
-
Date 
Day
Month
Year
We strongly advise that you keep a copy of your request and 
all attachments for your records.