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DSAR03 Changes of address/examination centre and contact numbers This form is also available on myUnisa Initials surname Student number Registered quali cation Old postal address New postal address Postal code Country Old physical address New physical address Old courier address Street address only no P0 Box/Private bag New courier address Examination centre Code Name The my Registration Unisa brochure contains a list of examination centres and codes Contact numbers For office use only Home Cell Operator s code Work File Fax Completed by signature I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules regulations and decisions of the university and any amendments thereto and I have taken note of advice which may be applicable to students in general* I as a student registered with Unisa or an applicant intending to study with Unisa hereby consent that Unisa may use distribute process and communicate my personal data and information for all required academic processes pertaining to my application/registration to study with Unisa which may include although not limited to internal administrative processing educational research and funding submissions processing by the Matriculation Board and Admissions Committees Higher Education South Africa the Council of Higher Education the South African Quali cation Authority and Public Providers of Education and Quali cation Veri cation Agencies. I con rm that I have read the notice and understand the contents thereof* Date Y M M D D Signature This form can be faxed to 012 429 4150 or posted to the university at PO Box 392 Unisa 0003 Please note Unisa does not accept any forms submitted via e-mail*. I undertake to comply with all the rules regulations and decisions of the university and any amendments thereto and I have taken note of advice which may be applicable to students in general* I as a student registered with Unisa or an applicant intending to study with Unisa hereby consent that Unisa may use distribute process and communicate my personal data and information for all required academic processes pertaining to my application/registration to study with Unisa which may include although not limited to internal administrative processing educational research and funding submissions processing by the Matriculation Board and Admissions Committees Higher Education South Africa the Council of Higher Education the South African Quali cation Authority and Public Providers of Education and Quali cation Veri cation Agencies. I con rm that I have read the notice and understand the contents thereof* Date Y M M D D Signature This form can be faxed to 012 429 4150 or posted to the university at PO Box 392 Unisa 0003 Please note Unisa does not accept any forms submitted via e-mail*.

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