Swinburne Open Day - Get to Know You Form

First Name*
As per MyKad/Passport
Last Name*
Email Address*
example@example.com
Contact Number*

Country Code (eg: Malaysia +60)Phone Number
MaleFemale
Date of Birth*

DayMonthYear
Date
Country of nationality*
Which city are you currently residing in?*
School/College/University*
Highest Qualification*
Please state the highest qualification attained*
Year of Completion*
Which program are you interested in?*
Others
Agents/Education ExhibitionSchool CounsellorsOutdoor bannerNewspaper AdvertisementsSwinburne Sarawak websitePromotional items (i.e. posters, postcards etc.)Email from Swinburne SarawakSocial media (eg. Facebook/Twitter/Instagram/TikTok/Youtube/LinkedIn)A friend studies/studied at Swinburne SarawakFriends/relatives/work colleagues recommendedWord of mouthOther
- This section is optional and for promotional purposes only -
Parent/Guardian Name
Parent/Guardian Contact Number

Country Code (eg: Malaysia +60)Phone Number
Parent/Guardian Email
The information collected on this form is for the purpose of sending you details about Swinburne Sarawak, including its events and courses. The information is processed in accordance with the Personal Data Protection Act (PDPA) 2010. It is only disclosed to third parties for the abovementioned purpose, or with your consent, or to meet statutory obligations. For more information, please refer to the University's Privacy Collection Notice at swinburne.edu.my/privacy. By submitting this form, I agree to be subject to the Privacy Collection Notice of the University and have consented to the processing and disclosure of my personal data for the abovementioned purpose. If I am below 18 years of age, I am responsible for obtaining concern from my parents or guardians to provide the information on this form to Swinburne Sarawak.
Should be Empty:

- This section is optional and for promotional purposes only -