Representative contact details. 2.1 If you have been assisted by a Migration Agent in preparing this request, you must complete this section. Please provide Department of Home Affairs Form 956. Otherwise leave blank. Name of registered migration agent Migration agency name Migration agent registration number (MARN) Address Telephone Email
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Samples: gscdama.warrnambool.vic.gov.au, gscdama.warrnambool.vic.gov.au, gscdama.warrnambool.vic.gov.au
