Student Enquiry Student Number Family Name Program: _________________ ENROLMENTS Given Names Contact Phone No: ___________________________ Late Enrolment Reinstatement FEES Appeal EXAMINATIONS Timetable GRADUATIONS Eligibility to Graduate Program/Course Tuition Fee Enquiry Special/Supp Academic Transcripts SSC Enquiry Off-campus Exams Collection of Testamur HECS/FEE_HELP Replacement Testamur OTHER Details of Enquiry: ________________________________________ Signature ______________________ Date Privacy Statement The information on this form is collected for the purpose of responding to your enquiry. The information you provide will remain confidential and will not be disclosed to a third party without your consent unless disclosure is authorized or required by law. For further information please consult the UQ Privacy Management Policy at: http://www.uq.edu.au/hupp/index.html?page=24999. November 2011