Residence Question AVETMISS field Client File: 5. What is the address location and postcode of the suburb, ________________ Building/Property Name Building/Property Name locality or town in which you ________________ Flat/Unit Number Flat/Unit Number usually live? ________________ Street Number (e.g. Street or Lot Number Please provide the physical 5 or Lot address (street number and name 12) not post office box) where you _________________ Street Name Street Name usually reside rather than any Suburb, locality or town Suburb, locality or town temporary address at which you reside for training, work or other State/Territory _________________ purposes before returning to your Postcode Postcode home. If you are from a area use the address from your state’s or territory’s property ‘rural addressing’ or system ‘numbering’ as your residential street address. Postal address Question AVETMISS field 6. What is your postal address (if Client Postal Detail File: different from above)? ________________ Building/Property Name Building/Property Name ________________ Flat/Unit Number Flat/Unit Number ________________ Street Number Street Number ________________ Street Name Street Name ________________ PO box or roadside PO box or roadside delivery box delivery box Suburb, locality or town ________________ Suburb, locality or town ________________ ________________ Postcode Postcode ________________ E-mail address E-mail address
Residence Question AVETMISS field 5. What is the address location and postcode of the suburb, locality or town in which you usually live? Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a area use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address. Building/Property Name Flat/Unit Number Street Number (e.g. 5 or Lot 12) Street Name Suburb, locality or town State/Territory Postcode ________________ ________________ ________________ _________________ _________________ Client File: Building/Property Name Flat/Unit Number Street or Lot Number Street Name Suburb, locality or town Postcode Postal address Question AVETMISS field 6. What is your postal address (if different from above)? Building/Property Name Flat/Unit Number Street Number Street Name PO box or roadside delivery box Suburb, locality or town Postcode E-mail address ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ Client Postal Detail File: Building/Property Name Flat/Unit Number Street Number Street Name PO box or roadside delivery box Suburb, locality or town Postcode E-mail address