Use this form if you have authorised another person to submit an online application for a visa on your behalf.
You must sign Section A to show you understand and agree to the statements about your application and any
visa you may be granted.
You must sign EITHER Section B or Section C to indicate you have given someone else the authority to submit the
application online for you:
• Use Section B if the person submitting the form is a licensed immigration adviser or a person exempt from licensing
(such as a lawyer) and that person will continue to act on your behalf during the processing of the application
• Use Section C if the person submitting the form is only providing assistance to you by recording your information
on the online form and submitting it for you.