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Your personal details

First Name

Last Name

Gender

Nationality

Date Of Birth

Your contact details

Phone

Mobile

Home country permanent address

Street address

City

State / Province / Region

ZIP / Postal Code

Country

Your university details

Home University(i.e. the university you are currently enrolled in)

Which Australian university will you attend?

What campus will you attend?

What areas will you be studying?

Your future apartment details

What is your apartment preference?

Are there any students you know that you would like to live with?Please note that they must also list your name on their Housing Reservation forms

When will you arrive in Australia?

Arrival date in Australia (if not known, estimated date)

Departure date in Australia (if not known, estimated date)

What are your required housing dates?

From

Are there any other questions/concerns or special requests/comments you would like to make?

Next of kin (parent or guardian)

Name

Phone

Address