Application27636616

*72G*
72G

Australian Passport Renewal Application

BEFORE YOU TRAVEL Only use this form if:
■ you are lodging this form before the date printed at the top of page 2 next to the arrow 
Visit the Department’s website ■ you are able to present the passport with the number printed at the top of page 2
■ your current personal details are the same as those printed in section 2.
www.smartraveller.gov.au
If you cannot use this form:
to view the latest travel advice ■ apply for a passport online at www.passports.gov.au, or
■ call the Australian Passport Information Service (APIS) on 131 232, or
PASSPORTS WEBSITE ■ collect an Application for Australian Passport: Adult form from a participating Australia Post retail outlet.
www.passports.gov.au
Fees: The current fee schedule is available on our website, through APIS or if you are lodging your application
FIND A PARTICIPATING overseas, contact an Australian diplomatic mission or consulate for advice.

AUSTRALIA POST Processing times: Please allow for a turnaround time of approximately three weeks. If you have an urgent need
to travel, visit our website or contact APIS for details about our Priority Processing Service.
RETAIL OUTLET
Lodgement: Lodge this form in person at a participating Australia Post retail outlet if you are in Australia.
www.auspost.com.au An appointment may be required. If renewing overseas contact your nearest Australian diplomatic mission
or consulate for advice.
137 678

Protect your identity Height: 45mm–50mmProviding two identical photos of yourself Your photos: You must provide
two identical colour photos that are
Keep your passport Width: 35mm–40mm less than six months old and meet
safe at all times. The chin to crown measurement Australian Passport Office standards.
must be between 32mm and 36mm For full details of our standards visit
Lost or stolen passports (the crown is where the top of the our website, or refer to our ‘General
cause inconvenience and head/skull would be if it was visible). photo guidelines’ brochure, available
may be used by others NOTE: online or through APIS.
to assume your identity Due to security printing requirements, Photos that do not meet our
for illegal activities. images reproduced in passports requirements will be rejected
will not be of photographic quality and this will delay the issue of
Report any loss or and will appear different from the your passport.
theft immediately. photos supplied.

Australian Passport Notice about the collection, use and disclosure of personal information
Information Service
The Australian Passports Act 2005 authorises the Australian Passport Office of the Department of Foreign Affairs
(APIS) and Trade to collect the personal information provided with this application for an Australian passport, including
supporting documents and photos, to determine the applicant’s eligibility. Without this information we are unable
131 232 to process your application.

passports.australia We may also collect personal information from third parties such as law enforcement or security agencies,
@dfat.gov.au where those third parties provide us with information which is relevant to this application for a passport.

If you have any questions We may disclose your personal information for the provision of consular services; and to other entities or
about this form or about individuals who are specified in the Australian Passports Act 2005, such as:
how to get an Australian ■ the immigration department, civil registries and licencing authorities that can verify information and assist
passport, or if you wish
to comment about our to establish your identity and eligibility
service, offer suggestions ■ Interpol and its member countries; other countries with which we have an agreement for purposes such as advising
for improvement, or register
a complaint, please visit about the status of a passport; law enforcement authorities; Australian border authorities to facilitate international
our website, contact APIS travel; and law courts for the operation of family law and related matters.
or write to the following
address: We are authorised by law to disclose your personal information to foreign border authorities:
Executive Director ■ if we suspect there is unlawful activity relating to the passport
Australian Passport Office ■ for law enforcement purposes
Department of Foreign ■ in countries with which Australia participates in the Regional Movement Alert system.
  Affairs and Trade
R.G. Casey Building We may also use your current and past information for testing, training and research purposes (phone APIS if you object).
John McEwen Crescent
Barton ACT 2600 For information on how to access or correct personal information and how to complain about a breach of privacy,
refer to the ‘Protecting your privacy’ brochure, available on our website, through APIS or an Australian diplomatic
Online form PC7_0717 mission or consulate.

Department of Foreign Affairs and Trade *778 53232798 P*
*778 53232798 P*
*71G*Australian Passport Renewal Application
71G

Your Australian M8263480 1 Use BLACK INK and print within
passport number: 18 JUN 2018
Passport expiry date: Lodge
this form the boxes in B L O C K L E T T E R S
before 18 JUN 2021

Please bring the passport with the number printed above when lodging this form. Use CROSSES in boxes ✗
Please complete sections 1,3,4, and 5.
NOTE: Your passport will be sent to the address shown below. If the address shown below is not 1 Contact details and date of travel
Preferred contact number
current, write the address beside the old one. This address must be a residential address, not a
business address or a PO Box. 0041796329439

SARAH RUEDI Email address (must be written clearly in BLOCK LETTERS)
HALDENSTRASSE 57
LUCERNE 6006 S . R U E D I @GMA I L . C
SWITZERLAND OM

Date of travel

(DD/MM/YYYY)

2 Please check your personal details— If your current details differ from those printed below DO NOT use this form. Fields marked * will appear on your passport

Family name* Given names*

RUEDI SARAH JUDITH-ANNE

Town or city of birth* Country of birth Date of birth* (DD/MM/YYYY) Sex*
WARNING
TOOWOOMBA AUSTRALIA 05 JAN 1961 F
Online form PC7_0717
Family name on birth certificate Given names on birth certificate

ALEXANDER SARAH JUDITH-ANNE

Family name on Australian citizenship certificate Given names on Australian citizenship certificate

3 Type of passport required

X Ordinary passport 75+ passport
(a lower fee applies)

Note: A 75+ passport (five years validity) is available to persons aged 75 or over.

4 Emergency contact details—if there is someone we can contact in the event of an emergency, please give their details

Name of contact Relationship to you Address of contact

ANASTASIA FANNING SISTER 3 PENNYCRUICK STREET,

Daytime phone number Evening phone number ROCKHAMPTON QLD 4700

( 00 ) 61429842577 ( 00 ) 61429841577

5 Applicant’s declaration—cannot be more than six months old OFFICE USE ONLY
Applicant must write full name on back of one photo.
I understand that: It is a criminal offence under the Australian
■ my photo and personal information will be used Passports Act 2005 to make false or
misleading statements (there are penalties
for data and biometric matching purposes, even of up to 10 years imprisonment or a fine of
in the event that the application is withdrawn 1000 penalty units or both). Under section 19A
(biometric matching allows the passport photo of the Act, we can also refuse to process an
to be electronically compared with other facial application for an Australian travel document
images to confirm identity). if we have reasonable grounds to suspect
fraud or dishonesty in the application. This
I declare that: Act applies outside Australia to all persons,
■ I am an Australian citizen irrespective of their nationality or citizenship.
■ the statements that I have made and the Applicant’s signature—must be inside the white box

information that I have given in, or in Date signed (DD/MM/YYYY)
connection with, this application are true
and correct

■ I have read and understood the ‘Notice about

the collection, use and disclosure of personal
information’ on page 1.

OFFICE USE ONLY — Use CROSSES in circles ✗

Method of delivery Typed details Emergency passport OAO Interviewer’s signature Work Centre Code
Registered Post altered Date signed (DD/MM/YYYY) PICS
Priority fee paid Interviewers declaration User ID
Passport Office
Prev. PPT I declare that: I have checked the passport number of the applicant’s
cancelled previous passport; the photo appearing therein and the attached
Interviewed photo are of the applicant; I have/have not conducted an applicant
interview; I have/have not cancelled the applicant’s passport;
I understand it is an offence under the Australian Passports Act
2005 to make a false or misleading statement.