Application for Review -
Migration & Refugee Division -
Form eM1
Online Reference Number: C22Y RW
Submission Date and Time: 27 Nov 2023 11:02:54 PM AEDT (UTC+11:00)
Terms and conditions
Privacy Notice
We collect information from you to process your application and to carry out the review under the Administrative Appeals
Tribunal Act 1975. We give a copy of the application to the department or organisation that made the decision you want
reviewed. We may also give a copy to any other person that is a party to the review.
For more information about what we do with information given to us during the review, including what information is
usually made public and when information is kept confidential, see our fact sheet Privacy and confidentiality at the AAT
and our Privacy Policy.
Terms and Conditions
In using this online form, you acknowledge that:
• the time of lodgement for any online application is the time when the AAT receives the application;
• if you agree, the AAT will send documents relating to your application to you by email, and that there are risks in
transmitting information by email and that, while the AAT strives to protect such information, we cannot guarantee
the security or integrity of information transmitted by email or by any other means;
• you have read and understood the contents of the Privacy Notice above;
• you have read and understood the contents of the Disclaimer;
• the AAT is not responsible for the loss of any unsaved information; and
• the AAT controls the operation of our online lodgement system and that it may not be available at all times or at
any particular time.
I have read and understood the Terms and C onditions shown above, and agree to be bound by those Terms and
C onditions *
Decision
Decision details
Is the decision:
• a refusal or cancellation of a protection visa, or
• a decision that a non-citizen is no longer a person in respect of whom a protection finding would be made (section
197D(2) of the Migration Act)? *
Protection visa means: Protection visa (Class XA - Subclass 866); Temporary protection visa (Class XD -
Subclass 785); and Safe Haven Enterprise visa (Class XE - Subclass 790). For all other decisions, including
sponsorship, nomination or other types of visas, select No.
Yes No
Please note: You will need to pay the full application fee in order to lodge your application online. You will be directed to
a secure payment gateway after completing this form to make your payment. You will not be able to lodge your
application without making payment.
Invalid applications may result in your application being out of time for review.
Select the decision to be reviewed *
Visa cancellation
Visa C lass Visa Subclass
(max 2 char) (max 3 char)
TU 500
Decision date
21 Nov 2023
Details of the letter from the department notifying of the decision
Date of letter
21 Nov 2023
Enter the date that appears on the decision letter provided by the department. The date is at the top of the letter or near
the delegate's signature block.
How did the department send notification of this decision?
Email
Department file number Department client ID
BC C 2023/5607223 29442701046
On the decision letter, find the words 'File Number'. Type in On the decision letter, find the words 'C lient ID'. Type in the
the number shown. number shown.
Immigration detention
Are any of the applicants subject to this decision in immigration detention? *
Yes No
Immigration detention includes any immigration or community detention facility. Answer 'No' if the applicant is in prison
due to a criminal matter.
Applicant
Review applicant details
Is it a person (individual) or an organisation that is applying for review? *
Person Organisation
Individual applying for a review
(Person 1)
Title *
Mr
Family name *
ANAS
If the person applying for a review is known by one name, enter the name as a 'Family name'.
Given names
MUHAMMAD
Is this person an Australian citizen or permanent resident?
Yes No
Has this person been known by any other names?
Yes No
Date of birth
Day Month Year
23 Mar 2001
Gender
Male
Passport Number
DF1711561
Nationality
Pakistan
Will this person need an interpreter when communicating with the AAT?
Yes No
C ontact address
Address line 1 *
350 ILLAWARRA C RESC ENT SOUTH
Address line 2
Suburb / Town / C ity State Postcode
BALLAJURA WA 6066
For an overseas address, select 'Other' for State
C ontact numbers in Australia
Daytime Mobile
0421556252
Evening Fax
Email address *
MRANASJUTT1212@GMAIL.C OM
Applicants must provide a valid email address. A confirmation email will be sent to this address once your application is
received.
Additional persons applying for review
Are any other persons applying for review? *
NOTE: Select ‘Yes’ if more than one person is applying to the AAT – where two or more persons combined their visa
applications in Australia, and a decision was made not to grant those visas, those persons may combine their application
for review.
If another kind of decision is to be reviewed, or additional persons are sponsors, nominators or close relatives applying
for review of a decision in relation to members of the same family, select ‘No’.
Yes No
Capacity to apply for review
This will help the AAT determine whether the person seeking review has the right to a review based on that person's
role in the visa application and whether the AAT has the power to review your case.
C hoose which one of the following describes the person(s) seeking review: *
Former visa holder(s) who had the visa cancelled
Representative details
The person seeking review can deal with the AAT directly or can have someone represent them and act on their
behalf.
NOTE: If you appoint a representative, we will assume you are also authorising that person to be your
authorised recipient of correspondence/ documents from us on your behalf in relation to your
application.
Is a representative being appointed to act on the applicant’s behalf and to be the authorised recipient? *
Yes No
Type of representative
Registered migration agent
Migration agent No. C lient reference No.
1802602
Title *
Mrs
Family name *
WALIA
Given names
NAVNEET KAUR
Name of organisation
ISA MIGRATIONS AND EDUC ATION C ONSULTANTS
Postal address
Address line 1 *
206 ADELAIDE TERRAC E
Address line 2
Suburb / Town / C ity State Postcode
EAST PERTH WA 6004
Daytime telephone Mobile
0451077909
Evening Fax
Email address *
IMMI@ISAMIGRATIONS.C OM
Recipient details
C orrespondence will be sent either to the person seeking review or to the person nominated to receive
correspondence on their behalf. Any document that is sent to a person authorised by the person seeking review to
receive correspondence will be taken to have been given to them.
Where should the AAT send correspondence about this application? *
To the Representative
You have indicated that you appoint a representative to act on the applicant's behalf, which also appoints them as the
authorised recipient of communication from the AAT
Documents
You can now upload documents for consideration by the AAT. You can upload documents with a maximum file size of fifty
megabytes (50MB) per file. The acceptable formats are Word documents (DOC and DOC X), PDF and images (GIF,
JPEG/JPG).
Please make sure if you scan or take a photo of a document you wish to upload that it can be read.
Please now upload the following documents:
• the notification letter from the department
• the decision record received from the department
Depending on the decision to be reviewed, other documents that could be uploaded include:
• a written statement or submission
• proof of enrolment (if applicable)
• a skills assessment (if applicable)
• an English language test result (if applicable)
• other documentary evidence
It is not essential to provide all documents at this point. Further evidence and documents can be provided by post, fax, or
by hand at a later date.
Do you want to provide any additional documents now? *
Yes No
Document 1
File *
File: 2. Decision Record - Visa C ancellation - 21 Nov 23.pdf
Document type *
Notification and decision from department
Description (maximum 50 characters)
Document 2
File *
File: 3. Notification of C ancellation Decision V500 - 21 Nov 23.pdf
Document type *
Notification and decision from department
Description (maximum 50 characters)
Declaration and email confirmation
I declare that
• The information provided in this form, including any attachments, is complete and correct in every detail.
• I consent to the AAT collecting personal/sensitive information about me from the Department of Home Affairs and
other government agencies, entities, persons or publicly available sources, where that information is likely to be
relevant to this review, and using it for the purposes of this review, and
• I consent to the personal/sensitive information that I provide to the AAT, or that the AAT collects from other sources
about me, being collected and used for purposes relating to the Migration Act 1958, and
• I consent to any information/documents that I provide to the AAT, or that the AAT collects from other sources about
me, being given to the Department at the end of the review, including personal/sensitive information, and
• I will inform the AAT of any changes to circumstances (e.g. marital status, changes to my family composition) while
my application is being considered, and
• I understand that if I change my contact details and do not inform the AAT of my new address or other new contact
details, the AAT may proceed to make a decision even if it cannot contact me, and
• if this application includes more than one person, I undertake to inform each other person of the contents of any
communication from the AAT.
I accept responsibility for the information shown in the summary above which to the best of my knowledge is
complete and accurate. *
