Visa Application Form
Department of Home Affairs — Commonwealth of Australia
Applicant Photo
A. Personal Particulars (As in passport)
| Surname | PURKAIT | Given Name(s) | HABIBULLA |
| Previous / Other Name(s) | N/A | Sex | Male |
| Date of Birth | 07 Nov 1977 | Place of Birth (Town/City) | PANCHAGRAM,PO-PANCHAGRAM,DIAMOND HARBOUR,SOUTH 24 PARGANAS,PIN:743368,WEST BENGLE,INDIA |
| Citizenship / National ID | Indian | Visible Identification Marks | N/A |
| Current Nationality | Indian | Previous / Past Nationality | N/A |
B. Passport Details
| Passport Number | V3481151 | Place of Issue | INDIA |
| Date of Issue | 2021-11-05 | Date of Expiry | 2031-11-04 |
| Any Previous Identity Certificate Held? | |||
| N/A | |||
C. Applicant's Contact Details
| Email Address | purkaithabibulla32@gmail.com | Phone Number | +91 89263 98744 |
| Present Address | PANCHAGRAM,PO-PANCHAGRAM,DIAMOND HARBOUR,SOUTH 24 PARGANAS,PIN:743368,WEST BENGLE,INDIA | ||
D. Family Details
| Relation | Name | Nationality | Prev. Nationality | Place / Country of Birth |
|---|---|---|---|---|
| Father's | MOSHARAF HOSSAIN | Indian | N/A | Indian |
| Mother's | N/A | Indian | N/A | Indian |
| Spouse | N/A | N/A | N/A | N/A |
Were your Grandfather/Grandmother (Paternal/Maternal) Bangladesh Nationals or belong to Bangladesh held area: N/A
E. Details of Visa Sought
| Nominated Sponsorship Occupation | Supervisor | Visa Subclass | Subclass 482 |
| Sponsoring Company | Spc Global Limited | Preferred Australian State | VIC |
| Application Reference No. | TN-2026-18853 | Form Number | FRM-7396 |
| Lodgment Date | 26 Aug 2026 | ||
| Current Application Status | Submitted | ||
F. Biometric Verification Status
| Biometric Clearance |
⏳ Biometric Pending
Biometric scanning required at an Australian Border Node.
|
| Security Hash | PENDING_CAPTURE |
G. Attached Documents
| # | Document Name | Date | Source |
|---|---|---|---|
| 1 |
Applicant Photograph
|
2026-08-26 | user |
| 2 |
Passport Biodata Scan
|
2026-08-26 | user |
| 3 |
Payment Verification Hash
|
2026-08-26 | user |