Application for Approved Person Status (W003)

W003
Woomera Prohibited Area Coordination Office
APPLICATION FOR APPROVED PERSON STATUS
Pursuant to Woomera Prohibited Area Rule 2014 or Defence Force Regulations 1952 as
applicable, use this form to: Apply for Approved Person Status in the Woomera Prohibited Area
INSTRUCTIONS
(1) Form completion
 All questions are to be answered:

If a question is not applicable, enter N/A or if the answer is not known, enter N/K.

Information is to be provided in English.

Dates are to be provided in full using the DD/MM/YYYY format.

Do not use abbreviations or acronyms.

Space is provided at the end of each section to present additional information.

Photographic Identification:
 Applications must include a copy of photographic identification issued by a Commonwealth or State Government
body (for example – Passport or Drivers Licence). An International Passport may be acceptable if no Commonwealth
or State Government issued identification is available. An International Passport in a language other than English must
be accompanied by a certified English translation.
 The copy can be a scanned image or photocopy of both sides of the identification document and should be
attached to this form.

Defence will process the application within 20 Business Days of receipt of a correctly completed application. Defence
may also require additional information or documents in relation to the application. The processing time will be
extended by the time it takes for the additional information or documents to be provided.

An applicant who has previously been granted Approved Person Status under a Permit or Deed of Access and requires
approval under a different Permit or alternative access arrangements is only required to complete Sections 1a and 7 of
the form. If the status has less than six months validity remaining you may be requested to complete all fields.
(2) Form submission

Once completed by the applicant, the form should be given to the Permit/Deed Holder or sponsor.

The Permit/Deed Holder or sponsor should submit the form to the Woomera Prohibited Area Coordination Office
(WPACO):
 Email: [email protected] (preferred method)
 Mail:
WPACO
R1-1-D Zone, PO Box 7901
Canberra BC ACT 2610
(3) Access to the Woomera Prohibited Area

The granting of Approved Person status does not give the right of entry onto the Woomera Prohibited Area.

The Permit/Deed Holder or sponsor must seek approval for the Approved Person to enter the Woomera Prohibited
Area.

The Access Form, W007 is available from the Woomera Prohibited Area Coordination Office website at
http://www.defence.gov.au/woomera/forms.htm. The completed form W007 is to be submitted to the Woomera
Test Range:
 Email: [email protected] (preferred method)
 Mail: Woomera Test Range, PO Box 157, WOOMERA SA 5720
PRIVACY STATEMENT
This information is being collected by the Woomera Prohibited Area Coordination Office (WPACO) on behalf of the
Department of Defence as authorised by the Woomera Prohibited Area Rule 2014.
A copy of the WPACO Privacy Policy is available at www.defence.gov.au/woomera and details how personal information is
collected, used and stored. The WPACO Privacy Policy contains information on how an individual may apply for access to
their personal information and how an individual may apply to have their personal information amended. The Defence
Privacy Policy also contains information for individuals on how to make a privacy complaint to Defence if they consider
Defence may have breached the Australian Privacy Principles.
Woomera Prohibited Area Coordination Office
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W003 Version 2.0
W003 APPLICATION FOR APPROVED PERSON STATUS
Note:
All fields are to be answered. If a question is not applicable, enter N/A.
Does applicant currently have Approved Person Status
under another Permit or Deed of Access?
Yes
(Complete Sections
1a and 7 only )
No
(Complete all
Sections)
Section 1a: APPLICANT DETAILS
Last name
First and Middle Name(s)
All previous/other name(s)
used including
Place
of Birth former married City
names
Section 1b: APPLICANT DETAILS CONTINUED
Home address
Suburb/Town/City
Country
Current citizenship
Other citizenships ever held
Date of arrival in Australia
Place of naturalisation
Additional information:
Date of Birth
Country
State
Australian
Other/s (specify):
Date naturalised
Certificate number
Section 2 CURRENT EMPLOYMENT
Note:
Postcode
Tick this box if currently unemployed
All fields are to be answered. If a question is not applicable, enter N/A.
Employer’s name
Address
Suburb/Town/City
Country
Start Date
Current occupation
Employment/education speciality
(eg. communications, security,
electronics, engineering etc)
Additional information:
State
Postcode
Telephone (include area code)
Qualifications
Section 3 PREVIOUS EMPLOYMENT/SCHOOLING (Previous 2 years)

Provide full details of previous employment or education/schooling for the previous 2 years.
Details are to include all types of employment and education

Employer/educational institution
Employer/Schooling
Address
Suburb/Town/City
Country
Start Date
Previous occupation
Employment/education speciality
(eg. communications, security,
electronics, engineering etc)
Woomera Prohibited Area Coordination Office
State
Postcode
End Date
Qualifications
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W003 Version 2.0

Section 3 PREVIOUS EMPLOYMENT/SCHOOLING (Previous 2 years) - Continued
Employer/educational institution
Address
Suburb/Town/City
Country
Start Date
Previous occupation
Employment/education speciality
(eg. communications, security,
electronics, engineering etc)
Are more fields required?
No
State
Postcode
End Date
Qualifications
Yes
(Please attach separate sheet with additional information)
Additional previous employment/schooling information.
Section 4 INTERNATIONAL TRAVEL (previous 2 years)
Have you travelled overseas in the previous 2 years?
No
(Go to Section 5)
Yes
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Destination
Purpose of travel
Arrival Date
Departure Date
Are more fields required?
No
Yes
(Complete Section 4)
(Please attach separate sheet with additional information)
Additional International Travel information:
Woomera Prohibited Area Coordination Office
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W003 Version 2.0
Section 5: OTHER INFORMATION
1. Do you have regular contact with persons in a country other than Australia?
Yes
No
2. Have you ever had contact with foreign officials or worked for a foreign
government in a civil or military capacity?
Yes
No
3. Do you have personal business ties in a country other than Australia?
Yes
No
4. Do you hold any financial interests in a country other than Australia?
Yes
No
5. Do you maintain a residence in a country other than Australia?
Yes
No
6. Do you have any family members who are permanent residents of a country
Yes
No
other than Australia?
If you indicated ‘yes’ to any of the above questions, please provide detailed information below and attach any
supporting documents. e.g. for military service include, time served, position held, qualifications attained: for
contacts include nationality, position held, relationship.
Section 6: PHOTOGRAPHIC IDENTIFICATION
Attach copy of Photographic Identification (front and back) to form
Section 7: CERTIFICATION
Applicant: I certify to the best of my knowledge and belief that the information given in this form is correct and
complete and that I will notify the Woomera Prohibited Area Coordination Office of any changes in my
circumstances.
Signature of Applicant
Printed Name
Date
Permit/Deed holder (Note: to be signed by authorised Company Representative) or sponsor
Signature of sponsor
Printed Name
Position in Company
Date
Company Name of Permit/Deed
holder(s) or sponsor
CHECKLIST
All questions answered. If a question is not applicable, enter N/A. If the answer is not known, enter N/K.
Photographic Identification attached (front and back).
If applicable, attach additional information sheet.
Woomera Prohibited Area Coordination Office
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W003 Version 2.0