DijiRed Laptops for Students
Account name: DijiRed Ltd BSB: 806015 Account: 02024198
Please note to request a device you must reside in Western Australia
Agency Name (*if you are an agent requesting on behalf of a client)
Date of Birth
Male or Female
Do you/they have an Internet connection at home?
Name of Internet Provider(ISP)
Are you/they enrolled to study?
Is this course online?
Name of Course
Name of School
Any concession eligibility
If Yes. Type of concession
Are you/they of Aboriginal or Torres Strait Islander origin?
AboriginalTorres Strait IslanderOther
Reason for needing a device / Additional information (*Required)
Please attach proof of concession or enrollment here
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