Appointment for Counselling/ Consultation

Thank you for reaching out to us. To book your appointment, we'll need you to complete and submit your details to us.

Personal details
ID Number*
Student/staff ID
Full Name*
Email*
Please ensure that staff/ student email is entered correctly. A copy of this form will be sent to this email.
Mobile Number*

Phone numberPhone Number
Counsellor*
Evelyn Liew K.B., P.A.

PA00937

Speaks English, Bahasa Malaysia, Mandarin

Email: hyliew@swinburne.edu.my

Phone: 082-260789
Preferred Timeslot (Evelyn Liew)*
Chloe Liong K.B., P.A.

PA01349

Speaks English, Bahasa Malaysia, Mandarin

Email: swliong@swinburne.edu.my

Phone: 082-260932
Preferred Timeslot (Chloe Liong)*
Novenna Amanda Binti Lorensius Amabajo K.B., P.A.

PA09882

Speaks English, Bahasa Malaysia

Email: nlamabajo@swinburne.edu.my

Phone: 082-260873
Preferred Timeslot (Novenna)
Functional Field 1 (Do not remove)
Counsellor selected
Functional Field 2 (Do not remove)
Date selected
Functional Field 3 (Do not remove)
Counsellor - Date
Functional Field 4 (Do not remove)
WFH?
Mode of counselling*
Preferred mode of counselling*
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Swinburne University of Technology Sarawak Campus collects, uses and destroys personal data in accordance with our Privacy Collection Notice at https://www.swinburne.edu.my/privacy/.
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Personal details