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Please complete the form below.(*)required field

These details are required to enable A&J STUDENTCARE SERVICES
to meet the needs of your child whilst studying in Australia.

All personal information provided by you remains CONFIDENTIAL
and conform with Privacy laws operating in Australia

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1. STUDENT DETAILS:

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.


2. FATHER DETAILS:


3. MOTHER DETAILS:


4. INSTITUTION/SCHOOL & COURSE DETAILS:


5. OTHER INFORMATION:


6. AGENT DETAILS:


7. DECLARATION:
I declare that the information given in this application is true and correct.
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