Part 7

Personal Ties to Home Country, Financial Support and Health Declarations

Please correct the following:

Please specify if you have familial responsibilities in your home country.

Please specify if you have assets (real properties and chattels) in your home country.

Please specify if you have spouse and children who are not travelling with you from your home country.

Please specify if you have any upcoming events that require your return to your home country.

Please describe the lifestyle in your home country.

Please indicate if you have lived or visited abroad for 3 consecutive months.

Please indicate if you intend to visit a hospital or health care facility.

Please indicate if you intend to work, study or train as a healthcare worker.

Please indicate if you intend to work, study or train in aged care.

Have you:

Please indicate if you have ever had tuberculosis.

Please indicate if you have been in close contact with someone who has tuberculosis.

Please indicate if you have had a chest X-ray showing an abnormality.

During your proposed visit to Australia, do you expect to require treatment or medical follow-up for:

Please indicate if you are receiving treatment for a blood disorder.

Please indicate if you are receiving treatment for cancer.

Please indicate if you are receiving treatment for heart disease.

Please indicate if you are receiving treatment for hepatitis or liver disease.

Please indicate if you are receiving treatment for HIV/AIDS.

Please indicate if you are receiving treatment for kidney disease.

Please indicate if you are receiving treatment for mental illness.

Please indicate if you are currently pregnant.

Please indicate if you are receiving treatment for a respiratory disease.

Please indicate if you require ongoing care or special equipment.

Please indicate if you require medical treatment in Australia.

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