The Mirror Project Membership Form
We extend our warmest welcome to you for supporting the Mirror Project! By filling in this membership registration form, you will become an official member of our community, granting you priority in any guidance sessions, workshops or events we will hold.

All the information collected is for administrative use only. It will be strictly confidential and will not be sold, rented, loaned, or otherwise disclosed.
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Full Name in English *
Preferred name *
Preferred gender pronoun *
Email address *
UID *
Date of Birth (DD/MM/YYYY) *
Telephone number
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