Title (Mr,Mrs,Ms,Dr.,etc.)
Family Name *
Given Name and other initials *
Date of Birth *
As required by the Broadcasting Services Act
ICTE Student Number *
Class *
Home Address in AUSTRALIA
Street *      
Suburb *      
Postcode *      
Home Address overseas *
Email Address *

Phone No. Home in AUSTRALIA*
Mobile number
I agree to abide by the Library code of practice.

Your application will be processed within 2 working days. Your UQ Library Borrowing Card will then be available for collection from ICTE-UQ Reception, Level 5.
 
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