Event Booking Request

Thank you for your interest in attending an event with the University of Wollongong in Dubai. Please provide your personal details, together with other relevant information below. All information will be treated as confidential.

A confirmation of your booking will be forwarded to you within the next few days.

Mandatory fields are indicated by bold titles.

Contact Details

Please provide prospective student details only.


	Title:
	First Name:
	Family Name:

	Home Phone
	Mobile Phone

	Email

	Nationality:

	Date of Birth:	(day) (month) (year)

	City:
	Country:

Event Booking

Additional information fields will be visible once you have selected your event of interest. Please provide this information prior to submitting this form. Enter N/A if question is not applicable.


	Event of interest:
	Current level of study:








	How did you hear about event?
	Do you have any further questions or special needs?

The University of Wollongong in Dubai (UOWD) is committed to ensure that your privacy is protected and will take all reasonable steps to ensure that its collection, use, disclosure and handling of your personal information is done prudently. Please feel free to view the Privacy Policy for UOWD for more information.