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View your Course Enrolment Guide and current ACU Handbook prior to submission of this form.

Student ID: (required)
First Name: (required)
Middle Name:
Surname: (required)
Date of Birth: (required)
Campus: (required)	Ballarat Brisbane Canberra Melbourne North Sydney Strathfield Online National
Course Name: (required)
Contact Telephone Number: (required)
ACU Student Email Address: (required)

Major 1: (required)
Major 2:

Major 1: (required)
Major 2:

Additional Comments:

I confirm that I understand the particular requirements relating to my Course as indicated in the Course Enrolment Guide and the current ACU Handbook.

NOTE: The outcome of this application will be advised via your ACU student email address. It is your responsibility to regularly check this account.

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