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Staff Registration Form

If you do not have a Library number, or have forgotten it, please fill in and submit this form.
Fields marked * are required.

This is a: * please select one field

* Status:	Current Staff Affiliate
* Name (in full):
* Date of Birth: (dd/mm/yy)
* Faculty/School/Division:
* Campus/Work Address:
* Home Address:
* Email Address: ( Uni. email account preferred)
* Telephone:	* Campus/Work: * Home: Mobile:
* Employment Details:
* Contract Expiry Date: (dd/mm/yy)	NOTE: Ongoing staff - please use expiry date: 31/03/next year. eg. 31/03/08
* Head of School/Division:
* Authorised to use departmental photocopy card
* I have read and agree to abide by the rules and regulations of the Library
* Date:
Confirmation of registration will be sent via email within 24 hours (Monday to Friday)