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MNSS Membership Form.
Form to state intention to join MNSS as a member.
* Indicates required question
Name
*
Your answer
Surname
*
Your answer
University email
*
Your answer
Name of course (Must be in the Faculty of Medicine and Surgery)
*
Your answer
Year of Study
*
Your answer
ID Card
*
Your answer
Do you consent to being added to a mailing list and private facebook group for updates regarding the organisation's events and opportunities
*
Yes
No
If you replied "yes" to the above, kindly link your facebook profile.
Your answer
I understand that any personal details and attachments submitted with this form are confidential and intended solely for the use of the entity to whom they are addressed.
*
I agree
Required
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