First Name

Surname

Full Name (non-English)

Email Address

Office Phone (No spaces, include country and area code)

Mobile

Official full name of your organisation

Official full name of your organisation (non-English)

Profession / job title / position in your organisation

Name of Branch / Division / Unit / Team

Name of institution enrolled in NSW

Subject / major of your study in NSW

Year of Graduation / completion

How did you find out about this database?

Please read the privacy collection notice for more information about how we handle your information.

I confirm that the information I have provided is directly relevant to the completion of the form, and if I provided the personal information of another person, I have obtained the person’s consent to do so and to submit this form.

Check out the Department of Enterprise, Investment and Trade Privacy Policy for more information.

Consent to be contacted about other activities

From time to time the Department may contact email subscribers about its programs and activities (for example, we may invite subscribers to participate in surveys). Check the box below if you agree to the Department using your personal information to communicate with you about its other activities.

I agree to be contacted by the Department about other programs and activities