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Information on affected Sri Lankans due to COVID-19 Pandemic in Australia (Who are in VIC,TAS and SA Please Register with below link
https://forms.gle/qVTYsAT8jCeJckjk9
)
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* Indicates required question
1. Name :
*
Your answer
2. Passport No:
*
Your answer
3. Age :
*
Your answer
4. Gender
*
Male
Female
5. If accompanied by family , their details (information on dependants if accompanied ) :
Your answer
6.No of persons with dependents (if accompanied)
*
Choose
1
2
3
4
5
6
7. Residence Place (Who are in VIC,TAS and SA Please Register with below link
https://forms.gle/qVTYsAT8jCeJckjk9
)
*
Australian Capital Territory
Western Australia
Queensland
New South Whales
Northern Territory
New Zealand
Vanuatu
Papua New Guinea
Fiji
Samoa
Solomon Island
8. Residential Address in Sri Lanka with contact Numbers :
*
Your answer
9. Residential Address in country of domicile :
*
Your answer
10. Email Address :
*
Your answer
11. Next of Kin (immediately relatives) to be contacted in an emergency (address, phone, email ) :
*
Your answer
12. Category (Tourists , Short term visa holders, ,Students, workers (specify your job i.e. unskilled, skilled, professionals) , , visiting for business purposes,
Tourists , Short term Visa holders
Students Private
Professionals
Skilled Workers
Unskilled workers
Visiting for business purposes
Dual Citizen with Sri Lanka
Temporary Visa holders
Other:
Clear selection
13. Expected Assistance (e..g:Return to Sri Lanka )
*
Return to Sri Lanka
Visa Extention
Other:
Required
Contact No ( with Country Code )
*
Your answer
If you are short Visitor Do you have a return Ticket ?
Yes
No
Name of Airline
Your answer
Transit City
Your answer
Routes / Sector
Your answer
Submit
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