Division of Student Administration

Application for CSU Student Identification Card

1. Information & Instructions All students are issued with a CSU Card - a Smart card, with an image of your colour photo embedded. It will also serve as a library card, examination identification card and gain you entry to computer labs and buildings (including residences). CSU Cards are valid for the duration of your course.

 More information about your CSU Card. Do NOT use this form if you need a Replacement card. If your card needs replacing because it is damaged, lost or stolen go to the CSU Card page for information on how to apply for a replacement card.

 The quality of your photograph is important. Please ensure that only a high quality passport colour photo is provided for your CSU Card.

 You need to: 1. Obtain a passport colour photograph 2. WRITE your name and student number on the back of your photo (in case the form and photo are separated; please print clearly) 3. Print a copy of this form 4. Glue your photo in the space provided below 5. Return this form to the campus address shown below

 Inquiries: Student Central (http://www.csu.edu.au/student/central) tel: 1800 275 278 2. Your Details Please print clearly. Family Name:

Given Name/s:

Date of Birth: Student Number:

Course Code: Course Name:

Mode of Study: (Tick appropriate box)  On Campus  Distance Education

I certify that the attached photograph is a genuine image of me. Glue I agree that while I have an affiliation or am enrolled as a student to be bound by Passport the statutes, by-laws, regulations, policies, procedures and other requirements of University as amended from time to time. Photo Here Signature: ......

Date: ......

Please return your form to Student Central at your ‘home’ campus (printed on page 1 of your letter of offer).  Distance Education students - your CSU Card will be posted back to you.  On Campus students - your CSU Card can be collected at any time from Student Central on your campus.

Bathurst, , Orange, campuses campus All other campuses campuses

Student Central Student Central Student Central Student Central Charles Sturt University Charles Sturt University Charles Sturt University Charles Sturt University Panorama Ave PO Box 883 Locked Bag 588 PO Box 1268 Bathurst NSW 2795 Orange NSW 2800 Wagga Wagga NSW 2678 NSW 2640

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