Application for New Graduate Membership
ABN 63 942 912 684
Fill in all sections and submit the form.
Fields marked * are compulsory.

Title (Mr,Mrs,Ms,Dr.,etc.)
Last Name *
First Name and other initials *
Date of birth *
As required by the Broadcasting Services Act
Postal Address *

Email Address *

Previous UQ Student Number

UQ Awards (eg. BSc, DipEd, MA) and year(s)

Phone No. *  
Home and/or
Work and/or
Mobile


I agree to abide by the Library conditions of use as stated on the Library's website.
I have read the membership guide for UQ graduates, including the list of available databases and I am aware of my entitlements.

A library card will be mailed to you when the application is processed.