Australian Values Statement for Temporary Visa Applicants

What it is for

This form provides the written Australian Values Statement that certain temporary visa applicants complete to confirm they understand and will uphold the shared values of Australian society and obey Australian law. It supplements a visa application when the applicant has not already made the same declaration on the main application form.

Who completes it

The temporary visa applicant, together with each accompanying person aged 18 or over included in the application who is directed to complete it.

Information it collects (in general terms)

The signatory's name and dated signature, alongside a set of pre-printed declarations and acknowledgements about Australian values that the person is affirming; an office-use section records departmental reference details.

When it is used

Used only when a temporary visa applicant is specifically advised on their visa application form to complete a values statement and has not already signed one on that application.

The downloadable PDF is the Department of Home Affairs' own official file (© Commonwealth of Australia, CC BY 3.0 AU), provided unmodified for convenience — always check the official page for the current version. This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.