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Title
*
Mr
Miss
Ms.
Mx.
First Name
*
As per passport/ID
Preferred First Name
Family Name
*
Date of birth
*
DD/MM/YY
Email address
*
Mobile number
*
(include country code)
UWA Student number
*
(e.g. 21234567)
Gender
*
Male
Female
Other
Nationality
Please choose your room category below:
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Studio
Twodio
Campus 4
Cluster 6
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