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First Name:
Surname:
Date of Birth:
Sex:
Are you taking a Gap Year?
E-mail:
Phone:
Address:
Person to contact in case of an emergency:
Their contact number:
Passport Number:
When do you want to start?
What type of Visa do you want?
How long are you planning on being in Australia?
Are you planning on working in Australia?
Do you want ‘Travellers at Work’ Membership? (+£20)
Do you need Travel Insurance?
Have you booked your flight yet?
Do you want an Australian Vodafone SIM Card?
Do you have any special dietary requirements?
Bank Account Application
Do you want to open an Australian Bank Account?
Do you want to transfer funds into your Australian Bank Account?
Read the Product Disclosure Statement Here
How did you hear about OzIntro?
I have read the Terms & Conditions and understand that OzIntro will be making applications for my Visa, Tax File Number, Medicare Card, and Bank Account based on the information I have given.
I am happy for OzIntro to give my E-mail
address to the other people in my group.
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