Form 956
Form 956
Please open this form using Adobe Acrobat Reader. 7 Do you agree to the Department communicating with you by email
Either type (in English) in the fields provided or print this form or other electronic means?
and complete it (in English) using a pen and BLOCK LETTERS. No
Tick where applicable 3 Yes ✔ Give details
1 Are you notifying the Department that you have been appointed to Email address [email protected]
provide immigration assistance, or that your appointment has ended?
8 In what capacity are you providing assistance?
New appointment ✔ Complete Part A and Part C
You do not need to complete Part B Registered migration agent ✔
Go to Question 9
Legal practitioner
Appointment has ended Complete Part B and Part C
You do not need to complete Part A. Exempt person Go to Question 11
7 DIGITS
9 Migration Agent Registration
Part A – New appointment Number (MARN) 1: 8 0 : 2 :6 :0 :2
Go to Question 12
5 Address for correspondence
(If the same as business or residential address, write ‘AS ABOVE’)
11 Reason you are an exempt person
SAME AS ABOVE Close family member (spouse, child, parent, brother or sister)
Sponsor
POSTCODE
Nominator
Member of a diplomatic mission, consular
6 Telephone numbers
post or international organisation
COUNTRY CODE AREA CODE NUMBER
Member of parliament or their staff
Office hours ( ) ( ) 0451 077 909
Official appointed or engaged under the Public Service Act 1999
Mobile/cell 0451 077 909 or member of state/territory public services giving immigration
assistance as part of their duties
Mobile/cell 0421556252
Department of Home Affairs
Client ID number (if known)
14 Names of other clients you are providing immigration assistance to in 16 Provide at least one of the following numbers (if known)
relation to the same matter (eg. dependant applicants)
Department of Home Affairs
1. Family name Request ID number (RID)
Department of Home Affairs
Given names Transaction Reference Number
(TRN)
2. Family name
Given names
Authorised recipient
17 Have you been authorised to receive written communication on behalf
3. Family name of your client(s) in relation to the matter indicated in Question 15?
No
Given names Go to Part C
Yes
4. Family name
Given names
5. Family name
Given names
Telephone numbers
COUNTRY CODE AREA CODE NUMBER
Mobile/cell
If applicable:
7 DIGITS
Migration Agent Registration
Number (MARN) : : : : :
7 DIGITS
20 Client’s details
Full name (If the client is an organisation, provide the name of the
contact person)
Family name
Given names
DAY MONTH YEAR
Date of birth
POSTCODE
Telephone numbers
COUNTRY CODE AREA CODE NUMBER
Mobile/cell
Email address