Do you have an Australian partner? *

• Yes
• No

Are you married or living together in a de facto relationship? *

• Married
• De Facto
• Neither

How long have you been living together? *

• Over 12 Months
• We do not live together
• Under 12 Months

Do you have any children together? *

• Yes
• No

Name *

Nationality of visa applicant *

City and country you are living in now?

Email *

Mobile Number

Preferred Contact Method

• Phone
• Email

Is there anything else you would like to tell us?

Am I eligible for a Partner Visa?