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1. Student Information: Collection of student's personal details including full name, student ID, date of birth, contact information, and current/previous enrollment details
2. Records Request Details: Specification of which records are being requested for release (e.g., academic transcripts, attendance records, financial records, etc.)
3. Recipient Information: Details of the person or organization to whom the records will be released, including name, relationship to student, organization name if applicable, and contact information
4. Purpose of Release: Clear statement of the purpose for which the records are being released
5. Duration of Authorization: Specification of how long the authorization for release remains valid
6. Privacy Notice: Statement explaining how the information will be handled, in compliance with the Privacy Act 1988 and relevant legislation
7. Student Authorization: Declaration and signature section for the student to authorize the release of records
1. Parent/Guardian Authorization: Required only if the student is under 18 or lacks capacity to provide consent
2. Witness Section: Optional section for witness signature, may be required by some institutions for additional verification
3. Special Instructions: Optional section for any specific instructions regarding how the records should be transmitted or handled
4. Emergency Contact: Optional section for emergency contact details, particularly relevant for medical record releases
1. Schedule A - Types of Records: Detailed checklist of all types of records that can be released, allowing for specific selection
2. Schedule B - Fee Schedule: If applicable, list of fees associated with different types of record requests
3. Appendix 1 - Privacy Policy Summary: Summary of relevant privacy policies and student rights regarding their records
4. Appendix 2 - Authorized Third Parties: If applicable, list of pre-authorized third parties who may receive the records
Authorized Representative
Confidential Information
Consent
Educational Institution
Educational Records
Electronic Records
Enrolled Student
Former Student
Guardian
Institution Representative
Official Records
Parent
Personal Information
Privacy Laws
Recipient
Records
Release Authorization
Requesting Party
Sensitive Information
Student
Student Identifier
Student Records
Third Party
Transcript
USI (Unique Student Identifier)
Privacy
Consent
Confidentiality
Data Protection
Record Access
Release Scope
Duration
Third Party Rights
Verification
Revocation Rights
Limitations of Use
Information Accuracy
Record Delivery
Fees and Charges
Indemnification
Governing Law
Electronic Consent
Student Rights
Institutional Obligations
Higher Education
Vocational Education and Training
Secondary Education
Primary Education
International Education
Professional Education
Special Education
Adult Education
Distance Learning
Student Services
Registry
Admissions
Academic Administration
International Office
Compliance
Records Management
Data Protection
Student Support
Administrative Services
Registrar
Student Services Officer
Compliance Manager
Privacy Officer
Records Manager
Admissions Officer
Academic Administrator
Student Relations Coordinator
International Student Advisor
Education Agent
Data Protection Officer
Administrative Assistant
Enrollment Manager
Student Support Coordinator
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