| Family name: * |
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| Given name(s) : * |
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| Age |
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| Monash ID: * |
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| Email address: * |
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| Gender: * |
Female Male |
| Campus: * |
Please Note: Monash College and MUELC students must select their institution to ensure they are picked up. |
| Course: * |
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| Telephone no: |
[include country and area code] |
| Fax no: |
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| Arrival date: * |
[date, dd/mm/yy eg 29/02/09] |
| Arrival time: * |
[time, 24 hours format, eg 19:05] |
| Flight no: * |
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| How many family members will accompany you? (if any) |
[Accompanying family members are free of charge. Please indicate if you have excess luggage to allow Monash to organise an appropriately sized vehicle.] |
| Family member's name |
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| Family member's age |
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| Other family member's names |
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| Other family member's ages |
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Please enter the address you would like our representative to take you upon arrival.*
Please note: You MUST provide a street address in order for us to book your pick-up. If you have requested us to book temporary accommodation for you, please write 'temporary accommodation'.
Temporary Accommodation Application Form
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* Compulsory
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