Form

First Name(s)*

Please use your official name (names) exactly as it appears on your passport to avoid delays.

Last Name(s)*

Please use your official last name (or last names) exactly as it appears on your passport to avoid delays.

Date of Birth*

Day/Month/Year

Nationality*

Gender*

Mobile Number*

Student Email*

Please use the same email address for all communications with Campus Perth staff members.

Looking to move ASAP ?

Check In Date*

Day/Month/Year

Check Out Date*

*Maximum length of stay is 1 year

Day/Month/Year

Place of Study

Study Start Date*

Day/Month/Year

Study End Date*

Day/Month/Year

Student Type*

Please let us know if you are an international or domestic student, as different identification documents are required for the two student types.

How did you hear about Campus Perth?*

Special Requests

Please advise of any special requests that we should be aware of to ensure your stay is comfortable and enjoyable (mobility, allergies, health concerns, personal, etc.)

Comments (optional)