The Department of Education is committed to providing Northern Territory students with quality education services.
The department needs to ask for personal information from students, parents, guardians so it can plan, provide and report on its services, and to monitor compliance under the Education Act. Personal information will only be disclosed for these purposes as permitted by the Information Act. The attached information sheet Respecting Your Privacy provides more detail about how we will use and disclose the information you provide
If you need help completing this form please contact the Northern Territory School of Distance Education Coordinators.
Please provide the school with a certified copy
Section 1 - Student Details