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Please note:

  • Filling out this form does not commit you to membership
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First Name Last Name Gender
Street Address
Suburb Postcode State Country
Email
Mobile Home Phone
Course Year started uni
Campus International Student
Clayton
Berwick
Caulfield
Gippsland
Peninsula
Parkville
Non Monash Student
 True False
Residential Student Postgrad or Staff Member
True False True False

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