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Registration

HSC EMPLOYEES REGISTRATION FORM

HSC membership is only open to HSC staff. Membership is pending until eligibility checks are complete.

Surname:*
Forename(s):*
Title:*
Position Held:*
Job Category:*
HSC Trust:*
Expiry Date (if temporary contract):

Work Address:
Dept/Ward:*
Line 1:*
Line 2:
Line 3:
Line 4:
Postcode:
Work Email:*
Telephone:
Extension:

Home Address :
Line 1:*
Line 2:
Line 3:
Line 4:
Line 5:
Postcode:
Home Email:*
Telephone:*
Extension:

Library cards (library smartcards) are only issued on request. Please tick the box below if you would like to receive a library smartcard. Library smartcards are required to gain access to the QUB Libraries in Belfast (the McClay, Biomedical and Medical Libraries), and for printing/copying purposes on these sites.
Yes, I would like to receive a library smartcard

If you do not require a library smartcard, you will still receive your login details by email.

The library smartcard is subject to a £5 replacement fee if lost. Cheques for replacement cards should be made payable to 'Queen's University Belfast'.
I have read and accept the terms and conditions of use.