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Australia Working Holiday Visa
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12
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Status
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Contacted
Emailed Pack
Posted Pack
Lost – Price Concern
Lost – Visa Obtained
Lost – Unable to Contact
No Longer Travelling
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Booking Details
Booking Reference Number
SAP Number
Applicant Details
Referred by
Travel Agent / Tour Operator / Other
Surname
*
Given Name(s)
*
Date of Birth
*
Day
Month
Year
Gender
*
Male
Female
Passport Number
*
Country of Passport
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Nationality
*
British Citizen
British Subject
British Virgin Islands
British Overseas Citizen
British National Overseas
British Dependant Territories Citizen
British Protected Person
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comores Islands
Congo, Dem. Rep. Of
Congo, Republic of
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Dutch Caribbean
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Fiji
Finland
France
French Guiana
French Guinea
French Polynesia
French West Indies
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea Bissau
Guinea, Republic of
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea – North
Korea – South
Kosovo
Kuwait
Kyrgystan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Mocronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Not Applicable
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Reunion Island
Romania
Russia
Rwanda
Samoa (American)
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts and Nevis
St Lucia
St Vincent and the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan (Republic of China)
Tajikistan
Tanzania
Thailand
The Vatican (Holy See)
Tibet
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Nations Laissez Passer
United States
Uruguay
US Diplomatic Passport
Uzbekistan
Vanuatu
Venezuela
Vietnam
Western Samoa
Yemen
Zambia
Zimbabwe
Date of Issue
*
Day
Month
Year
Date of Expiry
*
Day
Month
Year
Issuing Authority
*
Proposed Date of Travel
*
Day
Month
Year
Proposed Length of Stay
*
Days
Place of Birth
Town/City
*
Country/State/Province
*
Country
*
Relationship Status
Relationship Status
*
Married
Divorced
Widowed
De Facto
Separated
Engaged
Never Married
Additional Applicant Information
Are you known, or have you ever been known by any other names?
*
Yes
No
Please Specify
*
Are you a citizen of any other country?
*
Yes
No
Please specify
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Do you hold any other passport or travel document?
*
Yes
No
Please give all details of this passport/travel document
*
Have you undertaken a health examination for an Australian visa in the last 12 months?
*
Yes
No
Residential Information
Residential Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone Number
*
Email Address
*
Occupation and Education
Current Occupation
*
In which industry do you intend to work whilst in Australia?
*
Accommodation and Food Services
Administrative and Support Services
Agriculture, Forestry and Fishing
Arts and Recreation
Construction
Education and Training
Electricity, Gas, Water and Waste Services
Financial and Insurance Services
Health Care and Social Assistance
Information Media and Telecommunications
Manufacturing
Mining
Other Services
Professional, Scientific and Technical Services
Public Administration and Safety
Rental, Hiring and Real Estate Services
Retail Trade
Transport, Postal and Warehousing
Wholesale Trade
Level of Education
Doctoral Degree in Science, Business or Technology
Doctoral Degree in another subject
Masters Degree in Science, Business or Technology
Masters Degree in another subject
Honours Degree in Science, Business or Technology
Honours Degree in another subject
Bachelor Degree in Science, Business or Technology
Bachelor Degree in another subject
Graduate Diploma
Advanced Diploma
Associate Degree
Diploma
AQF Certificate IV
AQF Certificate III
Certificate III (non-AQF)
Senior Secondary School
Other
Health Declarations
In the last five years, have you visited or lived outside of your country of passport for more than 3 consecutive months?
*
Yes
No
Give Detail
*
Do you intend to enter a hospital or health care facility whilst in Australia?
*
Yes
No
Give Detail
*
Do you intend to work as, or study to be a doctor, dentist, nurse or paramedic during your stay in Australia?
*
Yes
No
Give Detail
*
Do you intend to work or train at a child care centre whilst in Australia?
*
Yes
No
Give Detail
*
Do you intend to be in a classroom situation for more than 3 months (eg. as either a student, teacher, lecturer or observer) whilst in Australia?
*
Yes
No
Give Detail
*
Do any of the following apply to you:
You have had or currently have tuberculosis.
Been in close contact with a family member or friend that has active tuberculosis.
Ever had a chest x-ray which showed an abnormality.
Yes
No
Give Detail
*
Whilst in Australia, do you expect to incur medical costs, or require treatment or medical follow up for any of the below:
*
Blood disorders
Cancer
Heart disease
Hepatitis B or C and/or liver disease
HIV or AIDS
Kidney disease
Mental illness
Pregnancy
Respiratory disease
Yes
No
Give Detail
*
Do you require assistance with mobility or care due to a medical condition?
*
Yes
No
Give Detail
*
Character Declarations
Have you been charged with any offence that is currently awaiting legal action?
*
Yes
No
Give Detail
*
Have you ever been the subject of an arrest warrant or Interpol notice?
*
Yes
No
Give Detail
*
Have you ever been found guilty of a sexually based offence involving a child?
*
Yes
No
Give Detail
*
Have you ever been named on a sex offence register?
*
Yes
No
Give Detail
*
Have you ever been acquitted of any offence on the grounds of unsoundness of mind or insanity?
*
Yes
No
Give Detail
*
Have you ever been declared by a court not fit to plead?
*
Yes
No
Give Detail
*
Have you ever been directly or indirectly involved in, or associated with, activities which would represent a risk to national security in Australia or any other country?
*
Yes
No
Give Detail
*
Have you ever been charged with, or indicted for: genocide, war crimes, crimes against humanity, torture, slavery, or any other crime that is otherwise of a serious international concern?
*
Yes
No
Give Detail
*
Have you ever been associated with a person, group or organisation that has been or is involved in criminal conduct?
*
Yes
No
Give Detail
*
Have you ever been associated with an organisation engaged in violence or engaged in acts of violence in any country?
*
Yes
No
Give Detail
*
Have you ever served in a military force, police force, state sponsored/private militia or intelligence agency?
*
Yes
No
Give Detail
*
Have you ever undergone any military/paramilitary training, been trained in weapons/explosives or in the manufacture of chemical/biological products?
*
Yes
No
Give Detail
*
Have you ever been involved in people smuggling or people trafficking offences?
*
Yes
No
Give Detail
*
Have you ever been removed, deported or exluded from any country?
*
Yes
No
Give Detail
*
Have you ever overstayed a visa in any county?
*
Yes
No
Third Choice
Give Detail
*
Have you ever had any outstanding debts to the Australian Government or any public authority in Austalia?
*
Yes
No
Give Detail
*
Working Holiday Declaration
The applicant declares that they:
Understand that they must abide by the conditions of the visa.
*
Yes
No
Understand that the visa they are applying for does not permit them to be employed in Australia with one employer for more than six months without prior permisson.
*
Yes
No
Understand that the visa they are applying for does not permit them to undertake studies or training for more than 4 months
*
Yes
No
Have sufficient funds for the initial period of stay in Australia and for the fare to their intended overseas destination on leaving Australia.
*
Yes
No
Declarations
The applicant declares that they:
Have read and understood the information provided in this application.
*
Yes
No
Have provided complete and correct information in every detail on this form.
*
Yes
No
Understand that if any fraudulant documents or false or misleading information has been provided with this application the applicant may be refused a visa and may become unable to be granted a visa for a specified period of time.
*
Yes
No
Understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.
*
Yes
No
Understand that if the application is approved, any person not included in this application will not have automatic right of entry to Australia.
*
Yes
No
Will inform the Department of Immigration in writing immediately as they become aware of a change in circumstances (including change of address) or if there is any change relating to information they have provided in this application.
*
Yes
No
Have read the information contained in the Privacy Notice (form 1442i)
*
1442i form
Yes
No
Understand that the Department may collect, use and disclose the applicant’s personal information as outlined in the Privacy Notice.
*
Yes
No
Give consent to the collection of their fingerprints and facial image if required
*
Yes
No
Understand that, if required to provide their fingerprints and facial image, the applicant's fingerprints and facial image and biographical information held by the Department may be given to Australian law enforcement agencies to help identify the applicant and determine eligibility for grant of visa being applied for, and law enforcement purposes.
*
Yes
No
Give consent to Australian law enforcement agencies disclosing the applicant’s biometric, biographical and criminal record information obtained for the purposes of the Migratoin Act 1958 and the Citizenship Act 2007.
*
Yes
No
Understand that if my visa ceases to be in effect and I do not hold another visa to remain in Australia at that time, I will be an unlawful non-citizen under Migration Act 1958. As such. I will be expected to depart Australia and be subject to removal under Migration Act 1958.
*
Yes
No
I have read and agree to the Australian values statement.
*
Australian Values Statement
Yes
No
Document Upload
Passport Copy
*
You
MUST
upload a copy of your valid passport’s information page. Passport must be valid for 90 days beyond departure from Australia and contain at least two blank pages.
Max. file size: 16 MB.
Proof of Funds
You
MUST
supply your bank statement showing a minimum of AUD5000 and sufficient funds to purchase a return/onward ticket if you have not yet purchased.
Max. file size: 16 MB.
Payment
Price Breakdown.
Visa Type
Embassy Fee
Service Fee
VAT
Total
Working Holiday
£330.00
£79.17
£15.83
£425.00
Product Name
Quantity
Price:
£ 425.00
Quantity
Shipping
*
First Class Post
Second Class Post
Email
Discount Code
Payment Card
*
Please check if you have activated a Stripe feed for your form.
Total
£ 0.00
Billing Address
*
Same as residential address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
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