Update Contact Details

Contact Details Update Form

It is important that you keep us informed of any changes to your address details.

Please take a moment to update your details to enable us to keep in touch. Please complete the relevant sections of the form below and submit it. This information will be automatically sent to the Alumni Office.

Personal Details

Student number (if known)
Date of Birth
Title:	Prof Dr Mr Mrs Ms Miss Other
Family Name:
Given Names
Home Address:
Suburb:
State:
Postcode:
Country:
E-mail:
Telephone (Home)
Mobile:

Business Address:

Company:
Work Address:
Suburb:
State:
Postcode:
Country:
Telephone (Work)
Facsimile:
E-Mail:
Occupation:

Interests

Professional Interests:

Please indicate the
clubs or societies to
which you belonged during your time at
university:

Are you willing to have your e-mail/mailing address made
available to other alumni?

Yes I am willing

No I am not willing

UC Alumni membership card

The card is used as proof of student status to obtain UC Library membership, in addition to all other benefits availiable through the University of Canberra Alumni Benefits Program.

I would like a University of Canberra Alumni membership card
yes
no

For more information about the University of Canberra Alumni contact the Alumni Officer.