72G Australian Renewal Application Who should use this form? Appointments Use this form if you are 18 years of age or over, and have an Australian adult passport that: Only certain applicants ■ was valid for at least two years, and should lodge their ■ is current, or expired less than twelve months ago, and ■ was issued in your current name, date of birth and sex. forms at a Passport Office in Australia. Lodgement, payment and validity You must provide the passport that matches the number printed on the top of page 2 of this form with your application. If you are ■ Appointments are renewing your passport in Australia, you should lodge your renewal application in person at an Australia Post outlet (you may need to essential. phone to make an appointment). If you are renewing your passport overseas, please contact your nearest Australian mission for advice on ■ For criteria, visit lodging your application. www..gov.au Preferred methods of payment in Australia are EFTPOS, Mastercard, Visa or cash (cheques are not accepted). If applying overseas, check with the nearest Australian mission for details of the current fee and acceptable methods and currency of payment. The Passports Office is committed to issuing a within ten working days. This timeframe excludes the time taken for the Passport Office to receive the application and the time taken to deliver the document from the Passport Office to the applicant. If you require a two working day turnaround, ask about the priority processing service. An additional fee applies. Protect your identity An adult passport is normally valid for 10 years. A seniors’ passport (available to those aged 75 or over) is valid for 5 years; a lower fee applies. Lost or stolen passports If your passport has been lost or stolen cause inconvenience and If your current or recently expired passport has been lost or stolen, you will need to complete an Application for : may be used by others to Adult form to replace it. All lost and stolen travel documents should be reported immediately, regardless of whether you wish to assume your identity for replace the travel document or not. Contact the Australian Passport Information Service on 131 232 or your nearest overseas mission if this occurs whilst overseas. illegal activities. Keep your passport safe at all times. Further details about DFAT’s rights, obligations and policies in relation to obtaining and disclosing NOTE information are available in the Passports Privacy brochure or at www.passports.gov.au

Australian Passport Photograph requirements Information Service You must provide two identical colour photographs of yourself. The photos must: be no more than six months old, have appropriate brightness and contrast, and show your skin tones naturally 131 232 be between 35mm and 40mm in width, and between 45mm and 50mm in height, be of good quality colour and on high quality paper, with no ink or marks on the image If you have any questions about this form or about how to get an be in sharp focus and clear Australian passport, or if you wish be of your head and top of your shoulders and show your shoulders square on (not portrait style with you to comment about our service, offer suggestions for improvement, or looking over one shoulder) and show your face square on (both edges of the face should be visible) register a complaint, you may show you looking straight at the camera, and your head not tilted telephone us on 131 232 (from anywhere in Australia), visit our be taken with a neutral expression (not laughing or frowning) with your mouth closed web site at: www.passports.gov.au, be close up, so that the head takes up between 32mm and 36mm of the photo or write to the following address: (see diagram at section 5 over the page) Director, Passport Operations Section Department of Foreign Affairs and Trade have a plain, light-coloured background and be taken with uniform lighting (no shadows across the face) R.G. Casey Building show your eyes open and clearly visible, and no hair in your eyes John McEwen Crescent Barton ACT 0221 show your eyes clearly through glasses—if you wear them—with no flash reflection off the glasses, and no tinted Or contact the nearest Australian mission lenses (if possible, avoid heavy glasses frames—wear lighter framed glasses if you have them) show you without any hat or other head covering (if you wear a head covering for religious reasons, we will Check before travelling accept a photograph of you wearing it, but your facial features from bottom of chin to top of forehead and Visit the Department’s website both edges of your face must be clearly shown). at www.smartraveller.gov.au Note: due to security printing requirements, images reproduced in passports will not be photographic quality to view the latest travel advice. and will appear different from the photographs supplied. 35mm 45mm Online Form PC7_0408 ✔Acceptable ✗ Too far away ✗ Not square on ✗ Too dark ✗ Too light Department of Foreign Affairs and Trade    *  * Australian Passport Renewal Application 71G *778 09195955 P* Our records show that L1379890 1 Use BLACK INK and print within your passport number: Do not expired/expires on: use this the boxes in B L O C K L E T T E R S 12 JAN 2010 form after: 11 JAN 2012 If you wish to replace your passport that is current or expired less than 12 months ago, that had more than 2 years’ Use CROSSES in boxes ✗ validity and have not changed your name or sex, please complete this form (sections 1,3,4 and 5 should be completed by the applicant). If you have changed your name or sex you will need to complete an Application for an Australian passport— DO NOT MARK ‘INTERVIEWING OFFICER USE Adult form. If you have any questions call 131 232 (in Australia) or your nearest Australian mission (if overseas). ONLY’ sections or circles e.g: 1 NOTE: Your passport will be sent to the address shown below. If the address shown below is not current, 1 Contact details and date of travel print the address beside the old one. This address must be a residential address, not a business address or a PO box. Daytime or mobile phone number GREGORY MATHESON 0 9 0 3 9 6 9 0 8 1 8 SHENGLI-LI, 12-LIN Email address (must be written clearly in UPPER case) YANGU 10 D R B E A N @ F R E E S H E L MIAOLI 360 L . O R G TAIWAN Date of travel (dd/mm/yyyy) 2 0 0 8 2 0 0 9 2 Please check your personal details—to appear on the passport. If any details are incorrect, do NOT use this form Family name in current passport Given names in passport MATHESON GREGORY JOHN

Town or of birth (as shown on birth cert.) Country of birth (will not appear in passport) Date of birth Sex SYDNEY AUSTRALIA 29 JAN 1949 M Family name on birth certificate Given names on birth certificate MATHESON GREGORY JOHN Online Form PC7_0408 Family name on Australian citizenship certificate Given names on Australian citizenship certificate

3 Type of passport required X Ordinary passport Frequent traveller passport (64 Seniors’ passport (32 visa Seniors’ frequent traveller (32 visa pages) visa pages) A higher fee applies pages) A lower fee applies passport (64 visa pages) 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 KAWAI, YOKO PARTNER JAPAN, NARA, YUUZAKI 256, EGALITE HAITSU A, 201 Daytime telephone number Evening telephone number ( 09 ) 039690818 ( 07 ) 45433366

5 Applicant’s declaration PHOTO FACE UP PHOTO FACE DOWN I understand that: I declare that: ■ my photograph will be used for biometric matching purposes ■ I am an Australian citizen (biometric matching allows the passport photograph to be ■ the statements that I have made and the electronically compared with other facial images to confirm information that I have given in, or in connection Please write identity) with, this application are true and correct. ■ the Department of Foreign Affairs and Trade (DFAT) applicant’s may disclose the information that has been provided in or with It is a criminal offence under the Australian name on the this application to any organisation or individual that can verify Passports Act 2005 to make false or the information to establish my identity and eligibility for an

misleading statements. (There are penalties Min 32mm Max 36mm back of one Australian travel document of up to 10 years’ imprisonment or a fine of ■ DFAT may publicise or pass details of any lost or stolen document $110 000, or both.) This Act applies outside 45mm photo

to federal, state, territory or foreign governments, including WARNING Australia to all persons, irrespective of their police and other agencies, and international organisations, or citizenship. such as Interpol, to restrict the illegal use of these documents ■ DFAT may confirm or verify the validity of any Australian travel Signature of applicant document, or disclose the minimum necessary information SIZE held in relation to my Australian travel document to facilitate my international travel, or disclose the information for other specified purposes, on the request of specified organisations 35mm 35mm ■ DFAT may use the information for internal passport training Office (phone 131 232 or contact your nearest Australian overseas mission if you object) Date signed (dd/mm/yyyy) use ■ DFAT may use the information for the provision of consular services. only

INTERVIEWING OFFICER USE ONLY — Use CROSSES in circles ✗ Method of delivery Typed details Emergency passport OAO Signature of interviewing officer Work Centre Code altered Registered Post Interviewers declaration Priority fee paid Collect from I declare that I have checked the passport number of the applicant’s User ID Passport Office previous passport and also that the photo appearing therein and Prev. PPT the photo attached are of the applicant. I have/ have not (please Date signed (dd/mm/yyyy) cancelled delete as applicable) cancelled the applicant’s passport. I understand it is a criminal offence under the Australian Interviewed Passports Act 2005 to make a false or misleading statement.