Educational WorldTravel (Lic No. 31646 Lic No. 2TA 003733 NSW) Biography ‘SCHOOL/GROUP NAME: Please type or wnte clearly, ‘Attach a clear photograph of yoursel Do not use an extra page. Return Biography to Group Leader by due date. NAME: HOME ADDRESS: POST CODE: MOTHER HOME PHONE: ( BUSINESS/MOBILE: (__) FATHER HOME PHONE: (___) BUSINESS/MOBILE: (__) TRAVELLER'S EMAIL ADDRESS: PARENT'S EMAIL ADDRESS: AGE AT TIME OF TRAVEL: SEX: PARENTS NAMES: / BROTHERS/SISTERS - AGES: HOBBIES YOU ENJOY: MUSIC YOU ENJOY: ARE YOU A SMOKER?: ALLERGIES/SPECIAL DIETARY REQUESTS: Examples: cat or dog hair, insect bites, perfumes or cosmetics, chemicals, household dust, medication, Vegetarian, Lactose Intolerance, Diabetic etc I allergies exist, please indicate level of severity (sight / moderate / severe) Please state if you are diabetic, suffer from asthma or have any other medical canaition that requires attention or supervision: Parent/Guardian to sign acknowledging that the information provided on this Biography Form is true and correct. Signed: Date: ‘Paront Giraan rvetr is undr Tey8 0 Print Name of Person Signing: PLEASE WRITE YOUR LETTER TO THE HOST FAMILY ON THE REVERSE SIDE: ‘Australia Office Melbourne - Head Ortice 274A Canterbury Road Surey Hils, 3127 Tol Free: 1800 337 830 Ph: (08) 9890 4545 Fax: (03) 9836 0015, wonmewtcomay Es.calonl Nos United States Office Tacoma, Washington 4224 Waller Road, Tacoma, WA 98449 Ph: +1253 922 8081 Fax: +1253 922 5807 Py ACI 008 88 China Office ‘Chengdu, China 201-5-3, Shanghal Garden {38 jing South Road ‘Chengdu, Sichuan 610041 Ph: +86 1954 086 4060, mo ABNDear Host Family