Student Contact Details Form For all UEC and UEC Business Students * Note: If you are currently living outside Australia, you do not need to complete this form. Complete this form before your orientation. Your detailsYour Student Number* You can check for this number on your Letter of Offer.First Name:* Last Name:* Email address:* Mobile number:* Your Address in AustraliaAddress* Street Address City State / Province / Region ZIP / Postal Code Emergency Contact DetailsWho should we call if you are sick or injured? This person must be able to make medical decisions on your behalf.Name of contact:* Relationship to you:* Emergency mobile number:* Emergency email address:* Do you suffer from any medical conditions (eg. ashtma, diabets, epilepsy, other)?* No If yes please list in 'other' DeclarationPlease read and check that you understand the following statements:* I declare to the best of my knowledge the information supplied on this page is correct. I have read and agree to abide by the Conditions of Enrolment outlined in the Student Handbook, which includes the Centre’s Cancellation and Refund Policy and the Student Code of Conduct. I understand that if any of my details change, I must advise UEC in writing within 7 days of the change.