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Wa Transportation Mdl Form
Executive Officer (CEO) may conduct enquiries
regarding the legitimacy of the information you have provided.
• It is a serious offence to deliberately provide false or misleading information
and penalties apply.
• If you need help to fill in this form, or need to speak to us in languages other
than English, call 13 11 56 or visit www.transport.wa.gov.au for location
information.
• This form may be presented at a Driver and Vehicle Services (DVS) centre,
regional Department of Transport...
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