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Ferred Name: Do you have an illness or disability that could affect your completion of the course? If yes, please detail on a separate sheet of paper Yes No Email: Next of Kin Contact Details: Next of Kin: CONTACT DETAILS ENGLISH PROFICIENCY Complete Address: IELTS TOEIC TOEFL Score WAIFS English Assessment Other (please provide evidence) Australian Citizen Visa Subclass / Citizenship (if you are not an Australian Citizen) EDUCATION AGENT (if ap.

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