Student member application

Personal information

My name and titleTitle *First name * Last name * Date of birth (dd/mm/yyyy)

September 2023
	S	M	T	W	T	F	S
35	27	28	29	30	31	1	2
36	3	4	5	6	7	8	9
37	10	11	12	13	14	15	16
38	17	18	19	20	21	22	23
39	24	25	26	27	28	29	30
40	1	2	3	4	5	6	7

My addressNon-UK residents must select their country from the dropdown menu to enter an address.

Home address country *

I want to enter my address manually.

Correspondence address line 1 *

Correspondence address line 2

Correspondence address line 3

Correspondence address city *

Correspondence address postcode

My contact informationTelephoneEmail* - We recommend a personal email address. Gender

My login preferencesYour username will be sent to your email once the registration process has been completed.

Your password must be at least seven (7) characters. To create a strong password, we recommend using a combination of letters, numbers and special characters.

Password * Confirm password *

	S	M	T	W	T	F	S
35	27	28	29	30	31	1	2
36	3	4	5	6	7	8	9
37	10	11	12	13	14	15	16
38	17	18	19	20	21	22	23
39	24	25	26	27	28	29	30
40	1	2	3	4	5	6	7

Confirm delete
Are you sure you want to delete this record?

	S	M	T	W	T	F	S
35	27	28	29	30	31	1	2
36	3	4	5	6	7	8	9
37	10	11	12	13	14	15	16
38	17	18	19	20	21	22	23
39	24	25	26	27	28	29	30
40	1	2	3	4	5	6	7

	S	M	T	W	T	F	S
35	27	28	29	30	31	1	2
36	3	4	5	6	7	8	9
37	10	11	12	13	14	15	16
38	17	18	19	20	21	22	23
39	24	25	26	27	28	29	30
40	1	2	3	4	5	6	7