ID Barcode Number (Check back of Student / Staff ID) Cross-check to ensure accuracy. *
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Date of Expiry of Student's ID *
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Student / Staff email address *
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Personal postal address *
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City / Town *
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Mobile Phone Number *
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Alternative Phone Number
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Do you have any physical limitations that may require special facilities or assistance in-order to use the library? E.g. visual or physical impairment *
If "Yes" to the above question, kindly provide details.
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