Personal Details, Privacy and Publicity

> Personal Details, Privacy and Publicity

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Current students updating details: place an ‘x’ into the fields where no change is required.
Domestic students: place an ‘x’ in Address (home country) fields

Personal Details

Title:*

Full Name (as per passport):*

First

Last

Date of Birth:*

day

month

year

Contact Details (Within Australia)

Address (within Australia):*

Street Address City Postal / Zip Code

States/ Territories

Country

Email address:*

Confirm email address:*

Phone (Australian Number):*

Unique Student Identifier (USI):*

Home Country Contact Details

Address (home country):*

Street Address City State / Province / Region Postal / Zip Code Country

Contact in Case of Emergency (next of kin, eg. mother / father in home country)

Name (emergency contact):*

First

Last

Phone*

Relationship:*

Privacy Notice

In the course of providing education and training services to you, Sarina Russo Institute (“SRI”) collects personal information andsensitive information provided by You (“Your Information”).

In collecting and disclosing Your Information, SRI is committed to complying with the Privacy Act 1988 and the Privacy Amendment(Enhancing Privacy Protection) Act 2012 and the Australian Privacy Principles (“the Act”). Your Information will only be disclosed inaccordance with this Act.

Storage and Data Management

In compliance with SRI Policies and Procedures a Student file will be opened at enrolment so your studies and results will be recordedon a regular basis until the completion of your course. The file will be archived in accordance with the National VET regulator Standards. Your Information may be housed in an off-shore data management system.

Consent to Sharing

Your Information may be shared with:

1. Relevant State Government, Federal Departments, employers, and other training providers whereby the disclosure is relevant tothe process of providing educational services to you. For international students, this includes the Department of Home Affairs.

2. Employment service providers (if you have been referred or supported by a job services provider). This includes attendance andenrolment details.

3. Our contractors and suppliers – e.g. our I.T. contractors and database designers.

4. Any person, entity or authority with a lawful entitlement to obtain the information.

Publicity Consent

We may contact you to ask your permission to participate in photos, videos, testimonials or other promotional material SRI may use.Please advise us if you do not wish for this to occur.

Further Information

Further details regarding Your Information and your ability to correct or raise concerns regarding the handling of Your Information arelocated in our Privacy Policy. Students must notify SRI in writing in relation to changes in personal details.

I hereby confirm and accept the above and further confirm I confirm that I have read the terms of SRI’s Privacy Policy.

Signature of Agreement*

I agree to the consent notice

Full name:*

First

Last

Date*

Publicity Consent Notice

I permit Sarina Russo Institute to take still photographs, record an electronic image of me or usesuch footage, sound recordings, pictures and my testimonials (together, the “Collected Media”)for marketing purposes.

I acknowledge and accept that the Institute may publish the Collected Media for marketingpurposes in all forms of media, including but not limited to social media platforms, and may usethe Collected Media in any other professional manner that the Institute believes is appropriate.

I understand that the Collected Media belong exclusively to the Institute, and I will not receivepayment or any other compensation in connection with the holding of use of the CollectedMedia.

I hereby release Sarina Russo Institute from any and all liability which may arise from therecording and distribution of the Collected Media.

Do you consent to the publicity consent form?*

Yes, consent granted

No, consent refused

Name of student:*

First

Last

Date:*