Borrower Registration Form

• To register as a borrower please complete the following form and submit.
• Your card will be processed when you visit Lending Services in the Library. Charges may apply. Please note that photo ID and written proof of current enrolment (where applicable) must be presented at time of collection.
• JCU students and staff are not required to complete this form.

Title:	Prof    Dr    Mr    Mrs    Miss   Ms
Surname: Other Names:

Address: Postcode: Telephone:
Email Address:

Institution / Organisation Name: (if applicable) Undergraduate Postgraduate Academic General Staff

Campus: Townsville Cairns

It is a condition of registration that the following be abided: Loan conditions Conditions of use of University Library Facilities Community Use of the Library

                 (Clear data and start over.)

 

Information Privacy Notice
James Cook University is collecting the information on this form to carry out its functions under the James Cook University Act 1997 . The University may disclose some, or all of this information, to appropriate agencies if required including to the Commonwealth Department of Education, Science and Training, the Australian Taxation Office, etc.  For more information, the University's Privacy Plan is available at http://www.jcu.edu.au/staff/legal/privacyplan.rtf

OFFICE USE ONLY		Date:
Btype/Bstat:	Fee:	R/N	Barcode No:

 

If this information is inadequate, incorrect, or can be improved in any way, please let us know