Development and
Alumni Office

270 Joondalup Drive
JOONDALUP WA 6027
Ph: (61 8) 6304 2761
Fx: (61 8) 6304 2338
Email: alumni@ecu.edu.au

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Use this form to update your details so we can keep you informed with the latest developments at ECU.

Personal information Title:
First name:
Middle name:
Last name:
Maiden name:
if applicable Date of birth:
dd/mm/yyyy Nationality:
Email:
Home Phone:
Mobile:
Facsimile:
Home address:

Degree(s)/major information Student Number:
if known Degree/Major:
Year graduated:

Degree/Major:
Year graduated:

Degree/Major:
Year graduated:

Work details Position:
Organisation:
Work phone :
Work address:

Family members who graduated from ECU Name:
Relationship to you:
Year of graduation/s:

Name:
Relationship to you:
Year of graduation/s:

Name:
Relationship to you:
Year of graduation/s:

Other information Career Details:
Do you wish to be placed on the register of Alumni to participate in the election of an Alumnus to the Council of ECU? Yes No

Development and Alumni Office

Update Your Details

Development and
Alumni Office