Enrol Today! Please complete all sections of this form. Note: you can also download the enrolment form and complete it offline. Course of Interest Question 1: Which Campus course/qualification are you applying for? Course Code (if known) Course Name* Question 2: What is your preferred study mode? OnlineFace-to-Face Question 3: Are you interested in applying for on-site student accommodation (Halls)? YesNo Personal Details Question 4: What is your full name? Your Given Name/s* Your Family Name* Question 5: Have you been known by any names other than the name you entered for question 4? YesNo Previous Name/s* Question 6: What is your birth date? Question 7: What is your gender? malefemaleother Question 8: What are your contact details? Preferred Phone* [phone* your-phone] Your Email* Alternative Email (optional Question 9: What is the address of your usual residence? Building/Property Name (optional) Flat/Unit Details (optional) Street/lot number* Street name* Suburb, locality or town* State/Territory* ACTNSWNTQLDSATASVICWA Post Code* Question 10: What is your postal address (if different from above)? Same address as above Building/Property Name (optional) Flat/Unit Details (optional) Street/lot number Street name Suburb, locality or town State/Territory ACTNSWNTQLDSATASVICWA Post Code Next Page