Post/email results request form

Please complete this form to request for your results to be sent to you via post and/or email.

Complete all relevant fields and print clearly.

Note: results will not be released where a "Withheld" record exists.

About you
Student number
Title
Name Name First Middle Last
UOW email address
Contact phone number
Course
Delivery of your results
Please post my results to this postal address: Please post my results to this postal address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please email my results to my non-UOW email address:
Sign and date your request
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Data collection statement

The information collected in this form is subject to the Privacy Act 1988 (Cth) and will be treated in accordance with UOW College’s Privacy Policy. A copy of the UOW College Privacy Policy is available at https://www.uowcollege.edu.au/support-resources/policies-procedures Please sign below to indicate that you have read and understood UOW College’s Privacy Policy and that you consent to UOW College collecting, storing, using and disclosing your personal data in accordance with the conditions contained therein.

Post/email results request form

Post/email results request form

About you

Delivery of your results

Sign and date your request

Data collection statement