Enquiry Form

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About you

Salutation

Given name

Family name

Date of birth (dd/mm/yyyy)

Mobile phone

e.g. 400 000 000

Please describe yourself

School/Educational institution

Please ensure your school name is correct and in full e.g. The Mac.Robertson Girls' High School. If your school has multiple locations, please choose the option which represents the campus you attend. If a matching school name does not appear, type in the whole name (including campus if applicable), and then tab to the next question.

Current or past University of Melbourne student?

Yes

Student ID

Country of residence

Postcode (of your primary residence)

Australian residence status

Country of citizenship

Do you identify as Aboriginal and/or Torres Strait Islander?

Enquiry details

What is the nature of your enquiry

Enquiry description

Attach File

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Collection notice

The University of Melbourne is committed to protecting your privacy by meeting its responsibilities under applicable privacy laws, as detailed in the privacy collection notice

Yes, I have read and agree to the privacy collection notice

Yes, I would like to receive information about studying at the University of Melbourne, including course and study updates, event invitation and market research.

Hidden Fields

Course Category

Course SF ID

CourseSet

Yes

Course Code

PG IMD

UG IMD

IMD (OPP)

traffic_source

gclid

internal_referrer

IMD(OPP)

utm_source

utm_medium

utm_content

utm_campaignname

sfid

support department

accommodation record id