Please provide contact details of Next of Kin or other nominated person (to be used only in case of emergency):

Please remember to update these details with the Membership Secretary if they should change

Which Club activities are you interested in? Please tick: -

Please upload a passport style image below:

Your Education & Qualifications:

Declaration:

Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.

I wish to become a member of the University Women’s Club in the following membership category:

I HEREBY AGREE, IF ELECTED, TO BE BOUND BY THE CLUB’S RULES AND BY-LAWS. I consent to the UWC holding, using and/or processing any data contained herein for any legal, personnel, administrative and management purposes and in particular to the processing of any personal data and sensitive personal data (both as defined in the Data Protection Act 1998) relating to me.