Change of Contact Details Form

CIT Student Number (5 digit number)

UniSQ Student Number

Family Name

Given Name/s

Program Enrolled

Date of Birth

Street Address

Suburb

Postcode

Mobile Phone Number

Email Address

UniSQ Sydney collects personal information to assist the University in providing tertiary education and related ancillary services and to be able to contact you regarding enrolment, assessment and associated UniSQ services. The information may be made available to Commonwealth and State agencies and the Tuition Protection Service Director and Secretary pursuant to obligations under the Education Services for Overseas Student Act 2000 and National Code or other legislative requirements. Personal information will not be disclosed to third parties other than to a UniSQ approved agent, partner or any organisation who provides sponsorship to you for your studies, without your consent unless required by law.

Student Signature

Date

In addition to completing this form you are also required to update your contact details in Uconnect. Log into Uconnect, go to Student Centre, Personal Details Tile, Contact Details menu item.