To help us in answering your queries about the Sydney Campus of Curtin University of Technology
please complete the form below. It will only take a few minutes to complete and we will respond
to your enquiry on the next busines day.
Please note that fields marked with a  are compulsory.
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| Title |  |
| Family Name | |
| Given Name | |
| Date of Birth |
| | | |
| Day | Month | Year |
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| Country of Nationality | |
| Email Address 1 | |
| Email Address 2: | |
| Number & Street (or PO Box) | |
| Suburb | |
| City | |
| State/Province | |
| Post/Zip Code | |
| Country | |
| Telephone | |
| Mobile Number | |
| Study Interest |
| Course | |
| Intended Commencement Date |
| Intended Commencement Date | |
| Semester | |
| University Application |
| Would you like an application form | YesNo |
| Where did you first hear about the University? | |
| If Other please specify | |
| Questions / Comments |
| Please specify your query here | |
If you would prefer to speak directly to us please telephone us on +61 (0) 3 8676 7034
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