Orientation Form

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Orientation Form

Orientation Form

Section 1: Student Details

Student ID

First Name

Last Name

Email Address

Mobile Phone

Gender

Date of Birth

USI

If you do not have a USI, do you authorise ACTB to apply for and create a USI on your behalf?

Yes

No

Section 2: Passport and Visa Information

Passport Number

Country of Passport

Visa Type (e.g. Student Visa Subclass 500)

Visa Grant Number

Visa Expiry Date

Section 3: Residential Address in Australia

Current Address

Suburb

State

Postcode

Section 4: Emergency Contact (Australia)

Name

Relationship

Email

Mobile Phone

Section 5: Emergency Contact (Home Country)

Name

Relationship

Email

Mobile Phone

Country

Section 6: Health or Support Needs (Optional)

Do you have any medical condition, disability, or wellbeing issue that the college should be aware of to support you?

No

Yes

If yes, please provide details below

Section 7: Student Support Needs

Please indicate if you require support in any of the following areas:

English language support

Academic support

Counselling support

Disability support

Other

Section 8: Privacy Notice

Under the Data Provision Requirements 2020, Australian College of Technology & Business is required to collect personal information about you and disclose that information to the National Centre for Vocational Education Research (NCVER) for statistical, regulatory and research purposes.

I understand and agree to this.

Yes

No

Section 9: Student Declaration

I confirm that the information provided in this form is accurate. I understand that I must notify the college within 7 days of any change to my contact details, including my residential address, phone number or email.

Student Name

Date

Student Signature