I declare that the information provided is, to the best of my understanding and knowledge, complete and correct. I understand that Charles Darwin University may perform random checks on the information I have provided and I may be asked to provide evidence to verify the information in this form. I am aware that there are severe penalties for providing false or misleading information.
I understand and acknowledge that there may be a need for the University to share my information with a third party, such as scholarship donors or other government bodies where the University reasonably considers it is neccessary. I give my permission for the University to supply any relevant official records in accordance with scholarship and Privacy Legislation.