Bachelor of Physiotherapy supplementary application form

Note: This is an ‘essential requirements’ form. Please ensure you have met all other admissions criteria and have submitted an application.

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Application type *

If known

Personal details

Date of birth *

Supporting statement

Privacy statement

The information being sought in this form is collected for the purposes of processing your application.

The information will be held by the University and may be accessed and used by people employed or engaged by the University in the delivery of services to you. The information may be used or disclosed to organisations outside the University where permitted by relevant Privacy Legislation. The provision of the information is voluntary, but if this information is not provided, the University may be unable to process your enrolment. You have a right of access to, and correction of, your personal information in accordance with Privacy Legislation and the University's Information Privacy Policy.

Please direct any enquiries you may have in relation to this matter to the University's Privacy Officer, telephone (03) 5327 9506.

Applicant declaration

You must agree to all statements to complete your application *