Education / qualification verification request form

* indicates required field

Your details

Full name *

Company name *

Country

Email address *

Contact phone number

Student's details

Full name (as enrolled) *

Date of birth *
Day Month Year

Student number (if known)

Year of study *

Program / course name *
e.g. Bachelor of Science, Cert I in Agriculture

Written authorisation

In order to process your request, the University requires that written authorisation is given by the former student. The authorisation must contain the student's full name, date of birth, program / course name and signature.

Please attach written authorisation from the student *
File size limit - 5MB