Visitor Form

Your Details

Your name *

Your email address *

Your preferred contact number when in Perth *

Home Institution/Company *

Home Institution/Company Address

Apt, suite, etc.

Country

City

State

Zip code

Visit Details

Which ICRAR node will you be visiting? *

Date of Arrival *

Date of Departure *

Who invited you to ICRAR? *

Inviter's email address *

Purpose of visit *

Letter of invitation

Do you require a letter of invitation to support your Australian visa application?

ICRAR encourages visitors to present their work at one or both ICRAR nodes while in Perth; would you be willing to do so? *

Visit Requirements

Who is paying for your travel? *

Who is paying for your accommodation? *

Who is paying for your living allowance while in Perth? *

Do you require a desk? *

Which WiFi will you be using? *

I have my own account, I will use Eduroam

Please set up a UWA guest account for me

Please set up a Curtin guest account for me

Access to eduroam is available at both campuses. If you do not have access to eduroam through your institution, please let us know so we can set up a guest account.

Any additional information you wish to provide?

Code of Conduct

Curtin University Code of Conduct | UWA Code of Conduct & Code of Ethics

I have read the relevant Code of Conduct policies *

Yes

Personal Information *

I consent to the above personal information being collected.

ICRAR is collecting the information in this form for the purposes of your visit only. Your information will not be shared with third parties without your permission. You can read more about how we deal with personal information in our Privacy Policy. You can unsubscribe at any time by contacting us.

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