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* 1. Family Name:

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* 2. First Name:

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* 3. Please select one of the option that best describes you:

If Agent, please provide your agency details below:

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* 4. Agency Name:

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* 5. Contact Number:

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* 6. Contact Email:

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* 7. Information session you would like to attend:

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* 8. How did you hear about the information sessions?

* Denotes mandatory fields
Thank you for registering your interest to attend a skills assessment information session. You will receive an email from Skills Assessment International in Perth to confirm your registration.

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