Change of Information Form

If you would like to change your address information in our database, or just provide us with some extra information, please fill in the form below and click the submit button at the bottom. If you prefer you can print and complete this form and fax it to Physics Alumni Relations at: +61 2 9351 7726 or post it to Physics Alumni Relations, School of Physics (A28) The University of Sydney NSW 2006 Australia.

By updating your details we can ensure you are updated about the School of Physics.

The information you provide may be used by the University of Sydney to maintain contact with you and keep you up to date with information about the University, its services, and the functions and events it holds that may be of interest to you, and to let you know about ways that you can support its work and achievements.

Should you wish to update or unsubscribe then please send your request to , or contact the School of Physics via telephone: +61 2 9351 2537. The University abides by the NSW Privacy and Personal Information Protection Act.

Personal Information

Your relationship to the School of Physics Physics Alumnus/Alumna
International Science School Alumnus/Alumna
"Friend of Physics"

Title
Given Names
Family Name
Preferred Name
Maiden Name (if applicable)

Spouse/Partner

Title
Given Names
Family Name
Preferred Name
Maiden Name (if applicable)


Address Information

Business Details

Position
Company Name
Department/Division



Home Address

Business Address

Street

Street

Town/Suburb
Town/Suburb
State/County/Province
State/County/Province
Post Code
Post Code
Country
Country
Phone
Phone
FAX
FAX
email
email


Academic Information


Degree Awarded Awarding InstitutionYear Conferred
1.
2.
3.
4.


Comments?

Is there any extra information you would like to add or comments to make? Perhaps you would like to contribute 3 or 4 lines about yourself which we can use in the "Where are you now?" section on the back page of the Alumni News.


Click here if you would like your revised address information (only) to be passed along to the University Alumni Office, who post out the University Gazette.


As a security measure and to help prevent errors, please also supply your current/old street address, your Sydney degree (or another we have on record) and the year it was conferred:

Street

Town/Suburb

Degree from University of Sydney

Year awarded