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APPLICATION FORM AUSTRALIA STUDENT EXCHANGE PROGRAM January - February 2017 Dates to be finalized VANCOUVER COLLEGE Vancouver Canada and ST. PATRICK S COLLEGE Shorncliffe Australia Application Deadline Monday October 24 2016 Please PRINT using Black Ink STUDENT INFORMATION Name Address including Postal Code Date of Birth Religion Telephone Place of Birth Citizenship PARENTS/LEGAL GUARDIANS INFORMATION Father s Name Address Occupation Phone H Cell Guardian s Name MEDICAL HISTORY General Health...
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