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Update your contact details

Have you moved recently? Married and changed your name? Started a new job or changed your email address?

Please advise us of any changes to your personal or contact details. By updating your details we can keep you informed of the latest benefits available to you, and let you know what's happening at Curtin.

Please note, most invitations to events and activities are distributed via email.

To update your details, you can complete an update your details form [.pdf - 63kb] and mail or fax it to us, or complete all required fields in the form below.

* denotes required field

PERSONAL DETAILS EMPLOYMENT DETAILS
*Title: Please select an item. Company:
*Family Name: A value is required.Minimum number of characters not met. Position:
*Given Names: A value is required.Minimum number of characters not met. Address:
Preferred Name:
Name at time of graduation:
if different
*Date of Birth: Please select an item. Please select an item. Please select an item. City:
*Postal Address: A value is required.Minimum number of characters not met.Exceeded maximum number of characters. State:
Postcode:
Country:
City: SPOUSE/PARTNER INFORMATION
State: First Name:
Postcode: Last Name:
*Country: Please select an item. Former Name:
if applicable
Home phone:
Home fax: Email:
Home email:
Mobile phone:
Student/ Staff Number:
if known

IF YOUR SPOUSE/PARTNER IS A CURTIN GRADUATE
If yes, please list their names, relationship, degrees and Graduation year:

INTERESTS
Please let us know what your interests are, so that we can put together the most appropriate benefits and services package for you.
Alumni Ball Deferred Planned Giving Seminars
Alumni Publications Graduate Directory Sporting Facilities at Curtin
Alumni Social/Networking Functions Include Curtin in my Will Tours / Travel
Borrowing Rights at Curtin Libraries Internet Services Volunteering
Career Advice Making a Donation University Lifetime Email Address
Continuing Education Courses Reunions Surveys

CURTIN ALUMNI MENTORING PROGRAM
Yes, I am interested in having a mentor. Yes, I am interested in mentoring someone.

NOTES/COMMENTS/FEEDBACK
We are continually looking to improve our services. If you have any information or comments that you think would be useful please enter them in the following space.
Curtin University of Technology adheres to the Privacy Act (1988) and the National Privacy Principles (2001) that prescribe mandatory principles for the collection, use and handling of Personal Information.