Student Accommodation Application Please complete all required fields! Student details Family Name* Please let us know your family name Given Name* Please let us know your given/first name Student ID Issued By College In Perth, Western Australia* Please tell us your student ID Gender* MaleFemale Please select your gender Nationality* Please tell us your nationality Date of Birth* Invalid Input Email* Please enter a valid email address Home Phone Invalid Input Mobile Phone Invalid Input Any Special Requirements? Invalid Input Agent/Arrival Details Do you have an Agent? Invalid Input Agent* Please let us know your agents name Agent contact name* Please let us know your agents name Agents Email* Please let us know your agents email Agent Telephone* Please tell is your agents telephone number Name Of College Intending To Study In Perth, Western Australia* Please tell us the college you will be attending Address Of College* Please tell us the college's location Course Start Date* Please tell us the start date of your course Do you need Airport Reception? Invalid Input Arrival Date in Perth* Please tell us when you arrive in Perth Arrival Time in Perth* Please tell us what time you arrive in Perth Flight Number* Please tell us your flight number Apply Now
