Request for access to personal learner record and information HiddenWhich form? This form may be completed by a learner, by an individual with confirmed authority from the learner to do so or by the parent/guardian of an underage learner. All individuals who complete this form will be required to supply evidence of their identity. AIE will try to provide you with your record/information within 30 days of receiving your request There is no charge for requesting access to your record/information. However in some cases there may be a charge to cover the time we spend locating, compiling and forwarding your request. AIE will advise you of this charge up front and confirm you wish to proceed. Section 1 - Learner DetailsName* First Last The course/s this enquiry relates to AIE Student ID Number* USI Number Date of Birth* MM slash DD slash YYYY Campus*SydneyMelbourneCanberraAdelaideOnlineEmail Best contact number*Please advise what records, documents or information you would like to access* Learner record Academic record Personal information AIE is holding Please advise what what you would like to do* View your record/information in person Request copies of your record/information by post (to address on record) Request copies of your record/information by email (to email address on record) Are completing this form on behalf of the learner?* Yes, I am requesting information on the Learner on their behalf No, I am the Learner Please upload a photo or scan of a photo identification document you have to attach to this form.*Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.This could be a driver's license or passport.Section 2 – Request for release of information on behalf of the learnerPlease confirm your delegated authority to do so* I have attached evidence of consent/delegated authority The Learner must complete Section 4 - Declaration below Upload evidence of consent/delegated authority Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB. Person requesting information (if not the Learner) First Last Relationship to Learner Email of Requester Phone of RequestorSection 3 – Request for release of information on behalf of an underage learnerIf you are completing this form on behalf of an underage learner you are required to confirm your authority as a parent or guardian to do so I certify that I have parental responsibility for this child and that there are no circumstances, causes or Court orders which affect my parental responsibility for this child.Section 4 – DeclarationConfirmation I declare that all the information I have provided is true and correct.Name of person completing this form First Last To prove your ID as the Learner, please upload a photo or scan of a photo identification document to attach to this form.*Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.This could be a driver's license or passport.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.