This form is a health undertaking consent for visa applicants, requiring them to undergo a health examination and grant permission for the Department and relevant health authorities to exchange necessary health information.
Giving false or misleading information or failing to comply with conditions of this undertaking is a serious offence.
A parent or guardian should sign this form
The Department needs to disclose personal information related to the visa application for the purpose of monitoring this health undertaking. This includes the result of the health examination and any follow-up treatment required.
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