New account

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Username

Password

Email address

Email (again)

First name

Last name

City/town

Country

Enter Unique Student Identifier (USI)

Your Title

Permanent Address

Postcode

State

Country

Phone Number

Mobile Number

Gender

Postal Suburb (If different from residential)

Postal State (if different from Residental)

Postal Postcode (if different from Residental)

Country Of Birth

City of Birth

Country of Citizenship

Aust. Citizenship Status

English your Primary Language

Other (What Language)

Proficiency in Spoken English

Do you need English assistance?

Year you completed school

Still at School

If at School where?

Do you have prior education?

If yes, what level of prior education have you achieved?

Current Employment Status

Do you have any disabilities?

If yes please lit below

Hearing/Deafness

Physical

Intellectual

Learning

Aquired Brain Impairment

Mental Illness

Vision

Medical Condition

Other

Please advise us of any support required:

Are you Aboriginal?

Are you a Torres Strait Islander?

What is your reason for study?

Security question

Required

Unique Student Identifier

Contact Information

Education and Employment

To Assist Us Would You Please Indicate Any of the Following Special Needs:

Other