Academic Verification Request Form - Current Student

Fields marked with are mandatory

All requests for current students will be released only with the written consent of the student.
If we cannot authenticate your company details or the student's permission we will decline your request.

Download the Privacy Waiver Form

Processing of requests generally takes 5 working days.

Organisation

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Contact Name

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Must be a valid E-mail

Telephone

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Purpose of verification

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If other, please specify:

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Surname:

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First Name:

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Date of Birth:
(dd/mm/yyyy)

Please enter a date (dd/mm/yyyy)

Qualification awarded/course enrolled:

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Other Information:
Please select at least one option.

Industry Based Learning (IBL) (if applicable)
Proof of current study

Please select at least one option.

Please specify

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Additional Comments:

Accepted document formats are: GIF, JPG, DOC, DOCX, PDF. Maximum document size is 2MB.

Attach privacy waiver:

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Note: All request must be accompanied by a signed privacy waiver from the student.

Government agencies and Tertiary Admission Centres may be excluded from the privacy waiver.

Please tick the box if you are submitting this request on behalf of a government agency / Tertiary Admission Centre.

Attach other document:

Swinburne University of Technology collects, uses and destroys your information in accordance with our Privacy Policy.

I agree to the privacy disclaimer stated above

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