Note: See section 12.
COMMONWEALTH OF AUSTRALIA
Australian Citizenship Act 2007
Australian Citizenship
(full name of citizen)
born on ( date of citizen's birth)
I, the Minister administering the Australian Citizenship Act 2007 , give notice that the abovenamed is an Australian citizen and that citizenship was acquired on ( date of acquisition or birth).
(Signature or printed or stamped signature of the Minister)
(Title of the Minister)
(Signature of presiding officer)
Dated:
Evidence No: