Application Form | The Depot Nyah

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2921 Murray Valley Highway, Nyah,

Victoria, Australia 3594

Register for Accommodation

Fill the form below accurately indicating your details and approximate arrival and departure dates

First name

Last name

Email

Phone

Address

Booking Date & Duration of Stay

Estimated Arrival

Estimated Departure

Emergency Contact

First name

Last name

Email

Phone

Identification

Please upload a clear scan/photo of valid ID

Passport

Upload File

Upload supported file (Max 15MB)

Drivers Licence

Upload File

Upload supported file (Max 15MB)

The information I have supplied on this form is true and correct

Thank you! We’ll be in touch.

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