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AVETMISS

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What is your Unique Student Identifier

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Fax Number

Date of Birth

Day Month Year

Employer name

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Postcode

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Emergency contact name

Relationship to you

Emergency phone number

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Are you still at secondary school

Year you completed school

What is your completed school level

Where did you complete school?

Indigenous status

How well do you speak english

Do you have a disability

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Do you have a prior qualification?

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In which country were you born

Town of Birth

What is your work status

What language do you speak at home

What is your citizenship status

Which best describes your main reason for undertaking this course?

I agree to Arthritis & Osteoporosis Tasmania’s terms and conditions

I agree to Arthritis & Osteoporosis Tasmania’s refund policy