Make sure that you have read and understood the department's Privacy statement *
Privacy Statement must be a valid email.
Privacy Statement is required.
Privacy Statement must be a number.
Privacy Statement must be shorter than 1 characters.
Privacy Statement must be longer than -1 characters.
Privacy Statement must be greater than or equal to .
Privacy Statement must be less than or equal to .
Privacy Statement does not match the pattern
Privacy Statement must be a valid date.
Privacy Statement does not match the mask.
Make sure that you have read and understood the department's Security statement *
Security Statement must be a valid email.
Security Statement is required.
Security Statement must be a number.
Security Statement must be shorter than 1 characters.
Security Statement must be longer than -1 characters.
Security Statement must be greater than or equal to .
Security Statement must be less than or equal to .
Security Statement does not match the pattern
Security Statement must be a valid date.
Security Statement does not match the mask.
Title must be a valid email.
Title is required.
Title must be a number.
Title must be shorter than 1 characters.
Title must be longer than -1 characters.
Title must be greater than or equal to .
Title must be less than or equal to .
Title does not match the pattern
Title must be a valid date.
Title does not match the mask.
First given name must be a valid email.
First given name is required.
First given name must be a number.
First given name must be shorter than 1 characters.
First given name must be longer than -1 characters.
First given name must be greater than or equal to .
First given name must be less than or equal to .
First given name does not match the pattern
First given name must be a valid date.
First given name does not match the mask.
Second given name must be a valid email.
Second given name is required.
Second given name must be a number.
Second given name must be shorter than 1 characters.
Second given name must be longer than -1 characters.
Second given name must be greater than or equal to .
Second given name must be less than or equal to .
Second given name does not match the pattern
Second given name must be a valid date.
Second given name does not match the mask.
Name suffix must be a valid email.
Name suffix is required.
Name suffix must be a number.
Name suffix must be shorter than 1 characters.
Name suffix must be longer than -1 characters.
Name suffix must be greater than or equal to .
Name suffix must be less than or equal to .
Name suffix does not match the pattern
Name suffix must be a valid date.
Name suffix does not match the mask.
Family name must be a valid email.
Family name is required.
Family name must be a number.
Family name must be shorter than 1 characters.
Family name must be longer than -1 characters.
Family name must be greater than or equal to .
Family name must be less than or equal to .
Family name does not match the pattern
Family name must be a valid date.
Family name does not match the mask.
Company must be a valid email.
Company is required.
Company must be a number.
Company must be shorter than 1 characters.
Company must be longer than -1 characters.
Company must be greater than or equal to .
Company must be less than or equal to .
Company does not match the pattern
Company must be a valid date.
Company does not match the mask.
Contact preference must be a valid email.
Contact preference is required.
Contact preference must be a number.
Contact preference must be shorter than 1 characters.
Contact preference must be longer than -1 characters.
Contact preference must be greater than or equal to .
Contact preference must be less than or equal to .
Contact preference does not match the pattern
Contact preference must be a valid date.
Contact preference does not match the mask.
Enter a valid email address
Enter a valid email address must be a valid email.
Enter a valid email address is required.
Enter a valid email address must be a number.
Enter a valid email address must be shorter than 256 characters.
Enter a valid email address must be longer than -1 characters.
Enter a valid email address must be greater than or equal to .
Enter a valid email address must be less than or equal to .
Enter a valid email address does not match the pattern ^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$
Enter a valid email address must be a valid date.
Enter a valid email address does not match the mask.
Telephone must be a valid email.
Telephone is required.
Telephone must be a number.
Telephone must be shorter than 1 characters.
Telephone must be longer than -1 characters.
Telephone must be greater than or equal to .
Telephone must be less than or equal to .
Telephone does not match the pattern
Telephone must be a valid date.
Telephone does not match the mask.
Mobile must be a valid email.
Mobile is required.
Mobile must be a number.
Mobile must be shorter than 1 characters.
Mobile must be longer than -1 characters.
Mobile must be greater than or equal to .
Mobile must be less than or equal to .
Mobile does not match the pattern
Mobile must be a valid date.
Mobile does not match the mask.
Summary of submission must be a valid email.
Summary of submission is required.
Summary of submission must be a number.
Summary of submission must be shorter than 801 characters.
Summary of submission must be longer than -1 characters.
Summary of submission must be greater than or equal to .
Summary of submission must be less than or equal to .
Summary of submission does not match the pattern
Summary of submission must be a valid date.
Summary of submission does not match the mask.
You can submit a maximum of 5 documents to support your enquiry. You can send any other documents via email to telco.security@homeaffairs.gov.au. Put your submission number as the subject line.
You can also send documents via the secure portal. Tell us you have done this via an email to telco.security@homeaffairs.gov.au.
Allowed file types for submission attachments are .PDF, .JPG, .JPEG, .PNG, .DOCX, .XLSX and .ZIP. Max 5 MB size limit. Excel and PDF files can be 10MB.
Supporting documents must be a valid email.
Supporting documents is required.
Supporting documents must be a number.
Supporting documents must be shorter than 1 characters.
Supporting documents must be longer than -1 characters.
Supporting documents must be greater than or equal to .
Supporting documents must be less than or equal to .
Supporting documents does not match the pattern
Supporting documents must be a valid date.
Supporting documents does not match the mask.
Please enter your e-mail address:
Form reference number: