Registration Form

Joondalup Health Campus Library  fax to (08) 9400 9055
 
Registration is a 3 step process.
†   Fill in this Registration Form and submit it online
†   Print out and SIGN the Registration Form (this is vital)
†   Give this signed copy to your Librarian or, send it by the most efficient method
So that we can contact you when necessary; ALL fields should be completed.
You will be allocated a personal identification number (PID), which will substitute as your signature on any electronic Library forms.
Logon details and other relevant information will be forwarded as appropriate within a few days.
Please read it carefully. All details are confidential.
First Name      Hospital   
Last Name      Position      
Department
      
Identify your area of interest?
      

Employment details:  Please select an option from each table
Employed as..  Status 
Please add any details here ....
  
Finish date
if not permanent  

Contact details:
Email

Home address
Work ph.
Pager      
Fax          
Home ph.
Mobile    

Signature 
 
updated
May 2008