Event Registration Form

To register for a University of Newcastle Alumni Event, please fill in the form below:

Your DetailsRequired field

TitleRequired

First NameRequired

Last NameRequired

Date of BirthRequired (dd/mm/yyyy)

Student NumberRequired number only, "c" not required.

Name as it appears on your degree (if different)

Event Registration DetailsRequired field

Only 1 guest per alumnus is permitted. Please include the following information regarding your guest- Title, Given Name, Family Name and Suffix.

Please include any dietary requirements for yourself and your guest, such as vegetarian or no dairy.

Name of EventRequired

RSVPRequired

I amRequired

MobileRequired

Your Guest Required

Dietary Requirements

Additional Information

Current Job Title

Employer

The information collected on this form will be used to update the University of Newcastle's records. It is collected for the purpose of providing you with information regarding services and activities of the University of Newcastle.

Any contact information you provide in this profile sheet will not be distributed to parties external to the University without your permission.

The University of Newcastle, Australia

Event Registration Form