Student Change of Details Form V.2
This form is for students who would like to update their details. Please note that changes to details must be reported within 7 days of the change.
Personal Details:
Name
*
First Name
Last Name
Student ID
*
Gender:
*
Male
Female
Indeterminate
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address:
*
Confirmation Email
example@example.com
Course Name:
*
e.g. Certificate III in Carpentry
Which detail would you like to update?
Please choose from the following:
*
Name (You will need to provide proof of change of name)
Home Address
Email Address
Mobile number
Emergency contact details
New details:
Name:
First Name
Last Name
Mobile Number:
Please enter a valid phone number.
Email Address:
example@example.com
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Emergency Contact Details:
Name of emergency contact person:
First Name
Last Name
Relationship to the student:
Mobile Number:
Please enter a valid phone number.
Address of emergency contact person:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Signature:
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: