PART C
Deo C
Declaration
Izjava
• I declare that the information provided in Parts A and B and Attachment 1 of this form is complete and correct; and
Izjavljujem da su informacije pruzene u delovima A i B, kao i u dodatku 1 ovog obrasca potpune i tacne; takodje
• I understand that any incorrect information may result in refusal of my application or, if a visa has been granted the cancellation of my visa. I understand that if my visa is cancelled after entry to Australia I maybe required to leave; and
Shvatam da bilo koja netacna informacija moze dovesti do odbijanja moje molbe ili ponistenja moje vize, ukoliko je vec izdata. Shvatam da, ukoliko moja viza bude ponistena nakon mog dolaska u Australiju, mogu biti udaljen iz nje; takodje
• I further understand that visa refusal, cancellation and departure from Australia could extend to anyone applying for a visa with me or granted a visa as a result of the grant of a visa to me; and
Shvatam da odbijanje molbe za vizu, njeno ponistenje i udaljenje iz Australije mogu da obuhvate i sve osobe koje su na molbi sa mnom, ili su vizu dobili na osnovu moje vize, i
• I authorise DIAC to release to ICTY or other agency my details in relation to this application. (The information form 933I, Safeguarding your personal information, is available from DIAC offices and gives details of agencies to which your information might be disclosed).
Ovlascujem DIAC da prosledi ICTY ili drugim organizacijama podatke vezane za ovu molbu. (Informator 933I Cuvanje Vasih licnih informacija se moze dobiti u kancelarijama DIAC, i sadrzi spisak ovih organizacija).
Your signature:
Vas potpis __________________
Place:
Mesto ______________________
Date:
Datum ______________________
Please sign the declaration!
Molimo Vas da potpisete izjavu!