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Passport number Date of expiry Certifieddocuments attached Telephone (Mobile) Telephone (Home) Telephone (Mobile) Telephone (Work) Are you an Australian Citizen, if Yes, do you have a Commonwealth Higher Education Student Support Number (CHESSN)? If so please insert this number below. Do you require airport pickup? Yes No Cost$95.00 Indicate your preference: Hostel Homestay Other: Year you left school Full time Part time IsQualification complete? Telephone (Home) Given names Given names

Passport number Date of expiry Certifieddocuments attached Telephone (Mobile) Telephone (Home) Telephone (Mobile) Telephone (Work) Are you an Australian Citizen, if Yes, do yo...

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