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Membership Application New

Your Name
Phone Number
Please specify at least one
Date of Birth
Postal Address
eg. Master of Philosophy (MPhil) at Australian National University
Present Appointment
Curriculum Vitae/Welcome Letter
Please attach an up to date copy of your Curriculum Vitae or Univeristy House Welcome Letter
Are you an ANU employee?
Membership status you are applying for
Partner Card Required
Please note, this will incur an additional $27.50
Partner Name