Schedule of additional information: Item 20 Joint Petroleum Development Area 
I declare that I worked in the Joint Petroleum Development Area. 
Name:                                     
Tax file number: ________ ________ _______ 
Choose from the following: 
- I was an Australian resident for the whole year 2018–19.
 
- I was a resident of Timor-Leste for the whole year 2018–19.
 
- I was a resident of a country other than Australia or Timor-Leste for the whole year 2018–19.
 
- I changed my country of residence during 2018–19.
 (Provide the dates that cover the period in each country.) 
 
Dates (day, month, year) Country 
01/ 07/ 2018 to ____/ _____/ 20____ _________________ 
____/ ____/ 20____ to ____/ _____/ 20____ _________________ 
____/ ____/ 20____ to ____/ _____/ 20____ _________________ 
____/ ____/ 20____ to ____/ _____/ 20____ _________________ 
____/ ____/ 20____ to ____/ _____/ 20____ _________________ 
  
  
Signed:                                     
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