University of Melbourne Engineers Australia Student Society  - 2021 Membership Form
Thank you for your interest in signing up for EA-UMC 2021!
Email *
What is your First/Preferred Name? *
What is your Last Name/Family Name? *
What is your University of Melbourne (UoM) Student Number? If you are not a UoM student type NA. *
What UoM Course/Degree are you enrolled in? If you are not a UoM student type NA. *
Are you an International student? *
Are you enrolled in a Graduate course? *
Are you 18 or over? *
Where are you located? *
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