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Personal Privacy

Department of Home Affairs Record of

Temporary Work (subclass 482) visa Responses

Terms and Conditions

View Terms and Conditions View Privacy statement
I have read and agree to the terms and conditions
Yes
Application context

Current location
Give details of the applicant's current location.
Current location: BANGLADESH
Legal status: Citizen
Proposed arrival date

Proposed arrival date: 19 Aug 2025

Special category

Is the applicant a citizen of Papua New Guinea, and a resident of the Western Province, who has
been approved for treatment in Queensland by the Queensland government?
No
Is the applicant acting as a representative for a non-Australian government, and holding a diplomatic
or official passport?
No
Purpose of stay

Purpose of stay:
Temporary Work (including organ recipient) or consultation in
Australia
Applicant
Information: Entering names incorrectly may result in denial of permission to board an aircraft to
Australia, or result in delays in border processing on arrival to Australia, even if the applicant has
been granted a visa.
Passport details
Enter the following details as they appear in the applicant's personal passport.

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Family name: RANA

Given names: MD MASUD
Sex: Male
Date of birth: 21 Jan 1980
Passport number: B00674096
Country of passport: BANGLADESH - BGD
Nationality of passport holder: BANGLADESH - BGD
Date of issue: 19 Jul 2022
Date of expiry: 18 Jul 2032
Place of issue / issuing DHAKA
authority:
It is strongly recommended that the passport be valid for at least six months.
Australian visa grant number

Does this applicant have an Australian visa grant number from a previous visa application?
No
National identity card

Does this applicant have a national identity card?

No
Place of birth

Town / City: BOGURA

State / Province: BOGURA
Country of birth: BANGLADESH
Relationship status

Relationship status: Married

Other names / spellings

Is this applicant currently, or have they ever been known by any other names?
No
Citizenship

Is this applicant a citizen of the selected country of passport (BANGLADESH)?

Yes
Is this applicant a citizen of any other country?
No
Other passports or documents for travel

Does this applicant have any other passports or documents for travel?

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No
Other identity documents

Does this applicant have other identity documents?

No
Health examination

Has this applicant undertaken a health examination for an Australian visa in the last 12 months?
No
Critical data confirmation
All information provided is important to the processing of this application.
If the information included on this page is incorrect, it may lead to denial of permission to board an
aircraft to Australia, even if a visa has been granted.
Confirm that the following information is correct and that it is in the correct fields.

Family name: RANA

Given names: MD MASUD
Sex: Male
Date of birth: 21 Jan 1980
Country of birth: BANGLADESH
Passport number: B00674096
Country of passport: BANGLADESH - BGD

Is the above information Yes

correct?
Contact details

Country of residence

Usual country of residence: BANGLADESH

Department office
The applicant may be required to attend an Australian Government Office for an interview. Which is
the closest office to the applicant’s current location?

Office: Australia, Sydney City Office

Residential address
Note that a street address is required. A post office address cannot be accepted as a residential
address.
Country: BANGLADESH

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Address: BOGURA
BOGURA
Suburb / Town: BOGURA
State or Province: BOGURA
Postal code: 5800
Contact telephone numbers
Enter numbers only with no spaces.
Home phone: 8801788152626
Business phone: 8801788152626
Mobile / Cell phone: 8801788152626
Postal address

Is the postal address the same as the residential address?

Yes
Email address

Email address: agentusavisa21@gmail.com

Authorised recipient
Does the applicant authorise another person to receive written correspondence on their behalf?
This authorises the department to send the authorised person all written correspondence that would
otherwise be sent directly to the applicant.
No
This person is referred to as the 'authorised recipient'.
Electronic communication
The Department prefers to communicate electronically as this provides a faster method of
communication.
All correspondence, including notification of the outcome of the application will be sent to:
Email address: agentusavisa21@gmail.com

Note: The holder of this email address may receive a verification email from the Department if the
address has not already been verified. If the address holder receives a verification email, they should
click on the link to verify their address before this application is submitted.

Funding for stay

Show how the applicant's stay in Australia will be funded. Select any that apply.
Self funded
Give details of the funds the applicant will have available to support their stay in Australia:

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YES
Medical details
Enter approximate dates that the applicant will be under medical care while in Australia.
Date from: 19 Aug 2025
Date to: 22 Aug 2025
Provide brief details of the applicant's medical treatment in Australia and its estimated costs:
YES
Medical practitioner outside Australia

Did a medical practitioner outside of Australia refer the applicant for treatment in Australia?
No
Details of medical treatment in Australia
Provide the name of the hospital or facility in Australia that will be providing the applicant with
medical treatment, and if known, the name of the treating medical practitioner.
Hospital or medical facility PHP
name:
Family name: RANA
Given names: MD MASUD
Country: AUSTRALIA
Address: BOGURA
BOGURA
Suburb / Town: BOGURA
State / Territory: Victoria
Postcode: 5800
Note that a street address is required. A post office address cannot be accepted.
Relatives, friends or contacts in Australia
Does the applicant have any relatives, friends or contacts in Australia?
No
Visa history
Has the applicant held or does the applicant currently hold a visa to Australia or any other country?
No
Has the applicant ever been in Australia or any other country and not complied with visa conditions or
departed outside their authorised period of stay?
No
Has the applicant ever had a visa for Australia or any other country refused or cancelled?
No

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Health declarations
In the last five years, has the applicant visited, or lived, outside their country of passport, for more
than 3 consecutive months? Do not include time spent in Australia.
No
Does the applicant intend to enter a hospital or a health care facility (including nursing homes) while
in Australia?
No
Does the applicant intend to work as, or study or train to be, a health care worker or work within a
health care facility while in Australia?
No
Does the applicant intend to work, study or train within aged care or disability care while in Australia?
No
Does the applicant intend to work or be a trainee at a child care centre (including preschools and
creches) while in Australia?
No
Does the applicant intend to be in a classroom situation for more than 3 months (eg. as either a
student, teacher, lecturer or observer)?
No
Has the applicant:
• ever had, or currently have, tuberculosis?
• been in close contact with a family member that has active tuberculosis?
• ever had a chest x-ray which showed an abnormality?
No
During their proposed visit to Australia, does any applicant expect to incur medical costs, or require
treatment or medical follow up for:
• blood disorder
• cancer
• heart disease
• hepatitis B or C and/or liver disease
• HIV infection, including AIDS
• kidney disease, including dialysis
• mental illness
• pregnancy
• respiratory disease that has required hospital admission or oxygen therapy
• other?
No
Does the applicant require ongoing medical care or need special equipment, assistive technology or
assistance from others for daily living?
No
Character declarations

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If the applicant answers ‘Yes’ to any of the character declarations they must give all relevant details.
If the matter relates to a criminal conviction, provide:
• the date and nature of the offence
• full details of the sentence
• dates of any period of imprisonment or other detention
Has the applicant ever been charged with any offence that is currently awaiting legal action?
No
Has the applicant ever been convicted of an offence in any country (including any conviction which is
now removed from official records)?
No
Has the applicant ever been the subject of a domestic violence or family violence order, or any other
order, of a tribunal or court or other similar authority, for the protection of another person?
No
Has the applicant ever been the subject of an arrest warrant or Interpol notice?
No
Has the applicant ever been found guilty of a sexually based offence involving a child (including
where no conviction was recorded)?
No
Has the applicant ever been named on a sex offender register?
No
Has the applicant ever been acquitted of any offence on the grounds of unsoundness of mind or
insanity?
No
Has the applicant ever been found by a court not fit to plead?
No
Has the applicant ever been directly or indirectly involved in, or associated with, activities which
would represent a risk to national security in Australia or any other country?
No
Has the applicant ever been charged with, or indicted for: genocide, war crimes, crimes against
humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?
No
Has the applicant ever been associated with a person, group or organisation that has been or is
involved in criminal conduct?
No
Has the applicant ever been associated with an organisation engaged in violence or engaged in
acts of violence (including war, insurgency, freedom fighting, terrorism, protest) either overseas or in
Australia?
No
Has the applicant ever served in a military force, police force, state sponsored / private militia or
intelligence agency (including secret police)?
No

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Has the applicant ever undergone any military/paramilitary training, been trained in weapons/
explosives or in the manufacture of chemical/biological products?
No
Has the applicant ever been involved in people smuggling or people trafficking offences?
No
Has the applicant ever been removed, deported or excluded from any country (including Australia)?
No
Has the applicant ever overstayed a visa in any country (including Australia)?
No
Has the applicant ever had any outstanding debts to the Australian Government or any public
authority in Australia?
No

Declarations
Warning:
Giving false or misleading information is a serious offence.
The applicants declare that they:
Have read and understood the information provided to them in this application.
Yes
Have provided complete and correct information in every detail on this form, and on any attachments
to it.
Yes
Understand that if any fraudulent documents or false or misleading information has been provided
with this application, or if any of the applicants fail to satisfy the Minister of their identity, the
application may be refused and the applicant(s), and any member of their family unit, may become
unable to be granted a visa for a specified period of time.
Yes
Understand that if documents are found to be fraudulent or information to be incorrect after the grant
of a visa, the visa may subsequently be cancelled.
Yes
Understand that if this application is approved, any person not included in this application will not
have automatic right of entry to Australia.
Yes
Will inform the Department in writing immediately as they become aware of a change in
circumstances (including change of address) or if there is any change relating to information they
have provided in or with this application, while it is being considered.
Yes
Have read the information contained in the Privacy Notice(Form 1442i).
Yes

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Understand that the department may collect, use and disclose the applicant's personal information
(including biometric information and other sensitive information) as outlined in the Privacy
Notice(Form 1442i).
Yes
Have read and understand that they are liable for the cost of any health related services that
they receive while in Australia. This does not include costs otherwise covered, such as by health
insurance, Medicare (if eligible), or treatment for certain health risks such as tuberculosis.
Yes
Understand that if a no further stay 8503 condition is imposed on this visa, it will limit the ability to
remain in Australia beyond the authorised period of stay of the visa.
Yes
Agree not to undertake study or training for more than three months.
Yes
Give consent to the collection of their fingerprints and facial image if required.
Yes
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints
and facial image and biographical information held by the Department may be given to Australian law
enforcement agencies to help identify the applicant and determine eligibility for grant of the visa being
applied for, and for law enforcement purposes.
Yes
Give consent to Australian law enforcement agencies disclosing the applicant's biometric,
biographical and criminal record information to the Department to help identify the applicant, to
determine eligibility for grant of a visa and for law enforcement purposes.
Yes
Give consent to the Department using the applicant's biometric, biographical and criminal record
information obtained for the purposes of the Migration Act 1958 or the Citizenship Act 2007.
Yes
As an applicant:
I understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia
at that time, I will be an unlawful non-citizen under the Migration Act 1958. As such, I will be expected
to depart from Australia, and be subject to removal under the Migration Act 1958.
Yes
Evidence

Give details as to why the applicant will not be providing attachments prior to lodging this application.
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