This form is to be used to authorise a person or organisation to have access to your student information. You will be required to nominate the name of the other party, the start and end date of the authority and the type of information that can be released. We will only share the information that you nominate on this form with the authorised party. By completing this form you acknowledge that: a) The information you have provided is correct b) The authorised person / organisation must verify their details with UOW staff if accessing your record c) If collecting documents on your behalf, the authorised person must provide photo ID to Student Central at the time of collection to enable verification of their identity (e.g. driver’s license, passport) d) Student Central will not release items or information unless satisfied with the identity of the authorised person/organisation on this form e) UOW accepts no responsibility for items once they have been collected by your authorised person/organisation f) You understand you should only allow someone you trust to collect items on your behalf and g) The information you provide on this from will allow the authorised person/organisation to access the type of information you have nominated on this form your UOW record and/or collect items on your behalf during the period you specify. Further information regarding UOW’s commitment to privacy can be found at https://www.uow.edu.au/privacy/ or by calling 1300 367 869 within Australia. To make any changes to this form after submission, please contact Student Central on +61 2 4221 3927.
I authorise UOW to release my personal information to the below person/organisation:
By signing and submitting this form, you are confirming you are the UOW student specified in this form and have the authority to permit UOW to release the stipulated information in your student record.