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To update your mailing address and/or details on the QUT Alumni Database, please fill in the form below.

Ensure you complete your name details and then all information you would like to update or confirm
(the submit button is at the bottom of the page)

Use [TAB] to move from field to field.

(Privacy Statement - The personal information provided on this form is for QUT use only. It is collected for the purpose of informing you about Alumni and other QUT activities and opportunities. Your details will not be passed to a third party without your prior approval)

This form is best viewed using Internet Explorer V6

Personal Information

Alumni ID
(former student ID)
Title
(Mr, Mrs, Miss, Dr, etc)
Family Name
First Name
Middle Name
Preferred Name
Maiden Name
(family name at time of graduation)
Date of Birth
(dd/mm/yyyy)
   
Preferred Mailing Address
   

Home Address Details

Home Address
(please set out as would appear on an envelope)

Home Phone
Home Fax
Personal Mobile/Hand Phone
Home E-mail *
   

Business Details

Employer/Organisation
Position Held/Title
Organisation Industry
Profession

Business Address
(please set out as would appear on an envelope)

Business Phone
Business Fax
Business
Mobile/Hand Phone
Business E-mail

*

Association with QUT 

Please tick as many boxes as appropriate
>(To make multiple selections, hold down the Ctrl button and using you mouse, click on your selections)

Other (please specify)

QUT Qualifications

1st QUT Degree  
Degree
Year Completed

Campus

Predecessor Institution

2nd QUT Degree  
Degree

Year Completed

Campus
Predecessor Institution

3rd QUT Degree  
Degree

Year Completed

Campus

Predecessor Institution

Other Education Details (including those from other institutions)

Please List: Degree, Year Completed and Institution

   

Former Staff

Position Held
Faculty/Division
Date Commenced
Date Departed
   

Other Information

For additional information in regards to address details, relationship to QUT, etc
   
I wish to receive email updates from QUT
(including monthly Alumni E-Newsletter and relevant event notifications)



   

Thank you for completing this details update.

Click the Submit Form button to submit your details.

Please note, graduates who wish to change their QUT Mailing Addresses for student records purposes (eg. replacement certificates, graduation information), also need to update their records through QUT Virtual or by submitting 'Change to Personal Details (D Form) (PDF file, 218.29KB)