* 1. Family Name:

* 2. First Name:

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

If Agent, please provide your agency details below:

* 4. Agency Name:

* 5. Contact Number:

* 6. Contact Email:

* 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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