Partner College Staff Library Membership Application Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Home Phone Number
*
-
Area Code
Phone Number
Mobile Phone Number
-
Code
Phone Number
Email
*
example@uos.ac.uk
Upload a passport style photograph
*
Upload a scan of your University of Suffolk ID badge
*
I agree to treat all library property with due care and respect
*
I understand that in the event of loss or damage to items borrowed from the Library, I will be responsible for meeting any repair or replacement costs incurred
*
I agree to abide by the rules and regulations of the library
*
Signature
*
Clear
Submit
Should be Empty: