Parents’ or Guardian's consent (father, if Living) in the case of applicants 
under age (21 years). 
(Insert full name, occupation and AAT aseS 
Be i evi 
(father) 
The (mother) of............ 
(guardian) 
who has applied for an assisted passage to Australia through the Migration 
and Settlement Office, Australia House, Strand, London, hereby consent to my 
son proceeding to Australia, and to his being placed out in rural work by the 
[mmigration Authorities in Australia. 
Dated this...... 
Signature..... 
Witness* ..... 
Qualification ....... 
“The Witness must be one of the following, viz., a Member or Official 
of any Banking Firm established in the United Kingdom, any Mayor, 
Magistrate, Justice of the Peace, Minister of Religion, Barrister-at-Law, 
Registered Medical Practitioner, Solicitor or Notary Public, resident in 
the United Kingdom. 
Information for Applicants. 
Applicants are warned against leaving their employment or: disposing ot 
their property until advice is received of the name of the steamer on which 
sheir passages have been booked. 
Should an applicant be requested to call for an interview with anyone 
acting on behalf of this office he should comvly promptly in order to avoid 
lelay in his migration. 
At least two Original Referénces (copies not accepted) from responsible 
persons as to character, farming experience (if any) and suitability for 
agricultural or other work must be submitted in support of this application. 
4 Birth Certificate may be required at a later date. 
A Medical Certificate must also be furnished when asked for on the official 
‘orm which will be sunvlied 
On completion, this form with references, should be forwarded to: — 
THE DEPUTY DIRECTOR OF MIGRATION AND SETTLEMENT, 
AUSTRALIA HOUSE, STRAND, LONDON. W.C.9