Student’s Emergency Contact Details – Next of Kin

 

Student's Name:
Email Address:
Unilife Building:
Studio Number:

 

Next of Kin 1:
Relationship to Student:
Contact number (home):
Contact number (work):
Contact number (mobile):
Address:

 

Next of Kin 2:
Relationship to Student:
Contact number (home):
Contact number (work):
Contact number (mobile):
Address: