Membership Renewal

Complete and submit the following form to renew an existing or recently expired membership of the Healthcare Library. Fields marked with an * must be completed.

Forename(s): *

Surname: *

Position held:

Expiry date if temporary contract:

Work Address(include Dept/Ward): *

Work Email:

Work Tel:

Home Address: *

Home Email:

Home Tel:

Library Number:

I agree to abide by the Queen's Computer Resources - Acceptable Use Policy in any use I make of Queen's computer resources.

I agree to abide by the Library Regulations as provided on the Queen's Library Policies and Regulations page.

I understand that Queen's University as the data controller for the Healthcare Library of Northern Ireland will only use information contained in this form for the purposes listed in the following privacy notice and will be processed in line with the University's obligations under the Data Protection Act 2018. I confirm that the information provided in this form is complete and accurate. Further information on Library and University compliance with data protection requirements can be found in the Library Data Protection Policy

Your information

Read our Privacy Statement