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Booking Form - TISCOnline

TERTIARY INSTITUTIONS SERVICE CENTRE LTDL evel 1, 100 Royal StreetEast Perth WA 6004 Tel: (08) 9318 8000 Fax: (08) 9225 Office - (Monday to Friday)April 2018 STATB ooking FormSpecial Tertiary Admissions Test Before completing this application form , read the STAT General Information on the next page. Return the completed form with payment to TISC in person or by mail: Level 1, 100 Royal St, East Perth, 6004, or by fax: (08) 9225 7050, or by email: TITLE (Mr/Mrs/etc) SURNAME/FAMILY NAME FIRST GIVEN NAME SECOND GIVEN NAME BIRTH DATE GENDER FORMER SURNAME Day Month Year (M, F, X) ARE YOU AN AUSTRALIAN CITIZEN/PERMANENT RESIDENT/NEW ZEALAND CITIZEN?

Before completing this application form, read the STAT General Information on the next page. Return . the completed form with payment to TISC in person or by mail: Level 1, 100 Royal St, East Perth, 6004,

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