Australian Government Department of Immigration and Citizenship Request for Translating and Interpreting Service (TIS National) Client Code
Pharmacy Clients
Name of Pharmacy: ___________________________________________________ Contact name (Manager etc):____________________________________________ PBS approval number:_________________________________________________ Contact phone number: _________________ Fax number: ___________________ Email address:________________________________________________________ Street address:_____________________________________________________________ Suburb: _____________________________ Post code:_____________________
Mailing address: ______________________________________________________ ___________________________________________________________________
If you have any questions about this form, please call the TIS National Client Liaison and Promotions team on 1300 655 820. Please complete this form and fax to the TIS National Client Liaison and Promotions team on 1300 654 151.
Casselden Place 2 Lonsdale Street Melbourne VIC 3000 GPO Box 241 MELBOURNE VIC 3001 • Telephone: 13 18 81 • Fax: 03 9235 3300 • www.immi.gov.au