Electronic Travel Authority (ETA)
Additional Information Request Form
In order to assist with your ETA request, please provide the following information, together with a clear copy of your passport bio data page and NRIC/FIN card
Family name
Given names
Date of Birth / Country of Birth
Country of residence / Gender / Male / Female
Passport details
Passport number
Country of passport / Your nationality as stated on passport
Passport date of issue / Passport date of expiry
Passport place of issue / issuing authority
What is your status in Singapore? Please provide a copy of your IC or employment pass.
Main purpose of travel (select one)
Business / Tourism
Intended Travel Date
If you have ever held citizenship of any country other than the country listed in your passport, provide details:
No / Yes (select one)
Details
Have you ever had any criminal convictions, including spent convictions? If yes, provide details of convictions, including dates and length of sentences, and whether served.
No / Yes (select one)
Details
Have you ever had, or do you currently have tuberculosis or any other health issues? If yes, please provide details.
No / Yes (select one)
Details
Are you currently, or have you ever been known by any other names than the name in your passport?
For example, names before marriage, aliases, alternative spellings, full spelling of initials of names in your passport
No / Yes (select one)
If yes, provide details
Family name
Given names
Contact details
Email address / Phone No.
Residential address
(NOT a post office box)
Suburb / town / Post code
Province/State / Country
Please provide this form together with a copy of your passport bio data page and evidence of your visa status in Singapore (e.g., NRIC/FIN card) to the Australian Visa Application Centre. For more information, see: www.vfsglobal.com/australia/singapore