Curtin Sarawak Library
Patron Registration Form
I consent to the collection, use, processing, disclosure and retention by Curtin University and Curtin Sarawak of my personal data (and any sensitive personal data as defined by the Personal Data Protection Act 2010, where applicable) under the terms of Curtin University’s Privacy Policy and the Personal Data Protection Act 2010 in Malaysia.
The Library & Learning Commons
Student ID No
e.g 700055851
Your answer
Full Name
e.g. John Doe
Your answer
Gender
IC / Passport No
Your answer
Telephone No
e.g +6 013 456789 (HP) / 085-443939 (House No)
Your answer
Address
e.g. Lot 123, Taman Setia, Kuala Lumpur
Your answer
Pre-University/Undergraduate/Posgraduate
e.g. Degree
Course Taken
e.g. IEP / Foundation in Business / Degree in Mechanical Engineering
Your answer
Personal Email
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms