Please enable JavaScript in your browser to complete this form.
Complaint Form
Please enable JavaScript in your browser to complete this form.
Name
Gender
Enter your Curtin Email address

Complaint Details

Category concerned

Summary of your complaint

Please tell us

  • What happened
  • When it happened
  • Where it happened
  • Who was involved including their name(s), title(s), location and the nature of their relationship with you (student/advisor/external stakeholders)
  • Whether there were witnesses and who they were
  • Why you think it happened to you
  • Any other important details

At the end of this form, you can attach documents that you think might help us to assess your complaint.

It is also helpful for us to know

  • How you have been affected by the situation
  • What you have done to try to resolve the matter ( E.g. Contact the person personally)
Click or drag a file to this area to upload.

Confirmation

  • I acknowledge that making a knowingly false or malicious notification is contrary to the Curtin Dubai Student Code of Conduct.
  • I certify that the details provided on this form are complete and accurate to the best of my knowledge
  • By submitting this complaint, I agree to the disclosure of the information provided to the appropriate decision maker. I understand that if my complaint is about someone‚Äôs behaviour, details of my complaint are likely to be provided to the person I have identified and to potential witnesses.
Declaration

Privacy Notice:
All the information provided in this form is private and confidential and only will be shared with the person (s) / parties that are related to the complaint for investigation purposes.

By submitting this form, I give my consent to Curtin University Dubai and its affiliates to utilise my data in accordance with its Privacy and Data Protection Policy.