Student Records Request Form
SCIC collects and holds your personal information for the purpose of providing you with and administration of the products and services it provides. Your information may be held by SCIC after you have ceased to be a student to satisfy legal or regulatory record-keeping obligations or, for example, to enable SCIC to confirm or verify your participation in or completion of a course or program. Under the Data Provision Requirements 2020, SCIC is required to collect personal information about you and to disclose that personal information to a range of government bodies.
This form should only be used to request access to personal information documentation or records held about you by SCIC, for example, you want to confirm your contact details, results from your course to date, attendance records, etc.
You must attach a photo ID identify document to this application.
Student Details
Student ID
Family name (as shown on passport)
*
Given name (as shown on passport)
*
Date of Birth
*
/
Day
/
Month
Year
Date
Mobile
*
-
+61
Phone Number
Email address
*
Confirmation Email
example@example.com
Details of records requested
Type a question
*
Record of Attendances
Record of Results
Records of conversation
Other
From Date
-
Month
-
Day
Year
Date
To Date
-
Month
-
Day
Year
Date
Please give dates and further details:
*
Photo identify documents attached
*
Passport
Driving licence
Other
Upload photo identify document
*
Browse Files
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of
Students signature
*
Date
*
/
Day
/
Month
Year
Date
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