NOTIFICATION OF CHANGE OF PERSONAL DETAILS

This form is to be used when you need to update your contact details with the Institute. It is your responsibility to inform the Institute of any changes of your contact details within 7 days.

For details on how we protect the privacy of your personal details and who we may be required to share your personal information with, please see our Management of Personal Information Policy and associated Procedure online at www.aih.nsw.edu.au

Please contact Student Services (studentservices@aih.nsw.edu.au) if you have any further queries regarding this form.

PERSONAL DETAILS

Student ID: *

Title: *

Mrs

Other (please specify) Other (please specify)

First name(s): *

Family name: *

Sex: *

Male

Female

Date of birth (dd/mm/yyyy): * +

Phone (home/mobile): *

Email address: *

Course: *

CURRENT ADDRESS

Full Address: *

City: *

State: *

Post code: *

Country: *

NEW ADDRESS

Full Address:

City:

State:

Post code:

Country:

Please tick:

Homestay

Hosted

Independent Rental

EMERGENCY CONTACT DETAILS

First name(s): *

Family name: *

Phone (home/mobile): *

Email address: *

Full Address: *

City: *

State: *

Post code: *

Country: *

NAME / FAMILY NAME CHANGE

Which details you wish to update? :

Name	Family name

New:

Documents/Evidence upload:

NOTE: Please enter both name and family name

STUDENT DECLARATION

I declare that the information provided on this form is true and correct.

Student's signature *

clear

Date: *

Privacy: We recommend that you read the AIH's Management of Personal Infomation Policy and associated Procedure published on our website [www.aih.nsw.edu.au]

Valid from March 2020. Details may change. Published [March 2020]. V [ 1 ].

The Australian Institute of Higher Education is listed as a Higher Education Provider on the Tertiary Education Quality and Standards Agency’s National Register of Higher Education Providers, provider number (PRV12013). ABN 70117349256. CRICOS Provider No. 03147A.

www.aih.nsw.edu.au