SECTION 1: PERSONAL DETAILS Course: Student Number Postal Address (must be completed by all students) Number and Street or Title Mr Mrs Ms Miss Dr PO Box Other ____________________________ Surname Suburb/Town Given Names State Postcode Country Preferred Name (if outside Australia) Gender Male Female Home Phone Date of Birth Work Phone (D D M M Y Y Y Y) Former Surname Mobile Phone Are you an International Student? Yes No Email Semester Address Home Address and Emergency Contacts (International Students only) Number and Street or Number and Street or PO Box PO Box Suburb/Town Suburb/Town State Postcode State Postcode Country Fax (if outside Australia) Emergency Phone 1 Emergency Phone 2 Emergency Contact SECTION 2: COURSE DETAILS Course: Course Code Course name •If yes, what was your Research Training Scheme (RTS) TOTAL EFTSU? Have you, as at January 2005, been enrolled under the RTS in any previous No Yes (provided on your Notice of course at the same level as this course at another University? Liability on a semester basis) SECTION 3: UNIT DETAILS Course: Students must enrol for the whole year (unless this is the final semester of study) Semester One Full time Part time Semester Two Full time Part time Mode Internal External Mode Internal External
SECTION 1: PERSONAL DETAILS Course: Student Number Postal Address (must be completed by all students) Title Mr Mrs Ms Miss Dr Number and Street or PO Box Other ____________________________ Surname Suburb/Town Given Names State Postcode Preferred Name Country (if outside Australia) Gender Male Female Home Phone Date of Birth (D D M M Y Y Y Y) Work Phone Former Surname Mobile Phone Are you an International Student? Yes No Email Semester Address (International Students only) Home Address and Emergency Contacts Number and Street or PO Box Number and Street or PO Box Suburb/Town Suburb/Town State Postcode State Postcode Country (if outside Australia) Fax Emergency Phone 1 Emergency Phone 2 Emergency Contact SECTION 2: COURSE DETAILS Course: Course Code Course name Research Training Scheme (RTS) Have you, as at January 2005, been enrolled under the RTS in any previous course at the same level as this course at another University? No Yes •If yes, what was your TOTAL EFTSU? (provided on your Notice of Liability on a semester basis) SECTION 3: UNIT DETAILS Course: Students must enrol for the whole year (unless this is the final semester of study) Semester One Full time Part time Semester Two Full time Part time Mode Internal External Mode Internal External
hdr08-enrolmentform_2017.docx