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Registration Form   

 Personal details  

Title *
First Name *
Surname *
Customer Date of Birth *  
DD/MM/YYYY
Country of Birth *
What country was your passport issued? *
E-mail *
Address *
Please choose the way you would like to apply for your visa:  Phone Application:
This takes approx. 8 minutes**. Simply select this option and tell us what time you would like us to phone you to complete your application.
*Please note that you will need to have your passport and credit card at hand.
** In this case it is recommended that you submit a copy of your passport by fax or email.
What is the most suitable time to call you?
 Paper Application:
As soon as you complete this form you can download the application form from the next page. This can be faxed or posted back to us and will take longer to process.
*Please note you will also receive the application form automatically by email
Home Phone Number *
Mobile Number *
Date of departure *  
DD/MM/YYYY
Would you like us to open an Australian bank account for you?
* This will allow your employer to pay you and will also enable you to transfer money into it before you leave.
NB: Traveltowork can open this bank account for you.
Would you like us to enclose an Australian sim card with your visa? *
This will include instructions on unblocking your current mobile phone allowing you to insert it and provide your family and friends with you Australian mobile number before leaving
NB: Bonus Credit of AU$10 is awarded after first recharge: you will get AU$10 Bonus Credit upon purchase of your first credit in Australia.
Are you leaving employment to go to Australia? *
How did you hear of our service? *
What travel agent do you think you will use to buy your flights?
I would like to receive the monthly Oz and New Zealand newsletter
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