Contact Details Form
All international students must provide their Australian Contact Details. During your enrolment, you must notify us of any changes to your name, residential address, email address or contact phone number within 7 calendar days of the change occurring.
Your Details
Student Number
*
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Your Address in Australia
*
Street Address
Street Address Line 2
City
State
Post Code
Your Emergency Contact Details
Who should we call if you are sick or injured? This person must be able to make medical decisions on your behalf.
Name of Contact
*
First Name
Last Name
Relationship to you
*
Emergency Phone Number
*
Emergency Email Address
*
Back
Next
Do you suffer from any medical conditions (eg. asthma, diabetes, epilepsy, other)?
*
No
If yes, please list in 'other'
Declaration: Please read and check that you understand the following statements:
*
I declare to the best of my knowledge the information supplied on this page is correct.
I have read and agree to abide by the Conditions of Enrolment outlined in the Student Handbook, which includes the Centre’s Cancellation and Refund Policy and the Student Code of Conduct.
I understand that if any of my details change, I must advise UEC in writing within 7 days of the change.
Submit My Details
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