Library membership application Library membership application First name Middle name Surname Date of birth Gender - None -MaleFemaleNot specified Phone Email Re-enter email address Residential Address (must be within NT) Address Suburb/town State State Northern Territory Postcode Postal Address - Select -Same as residential addressDifferent postal address Postal address Address Suburb/town State Northern Territory Postcode Would you like to join your dependent children under 18 years old while you are here? - Select -YesNo Dependants Re-order Dependant Date of Birth Gender Weight Operations Dependant Date of Birth Gender - None -MaleFemaleNot specified Item weight Add more items more items type Type of Library Membership Online access membership (I only intend to access the online resources) Full membership (you will need to upload proof of your current address and photo ID) card_coll Nearest branch - Select -CasuarinaDarwin CityKaramaNightcliff Photo ID A current NT Driver’s Licence OR Defence Force ID, Student Card, Interstate Driver’s Licence, Royal Darwin Hospital ID Card, Passport, 18+ Card.One file only.3 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc. Proof of permanent NT residential address (if not listed on your photo ID) Health Care Card, Pension Card, Enrolment to Vote Card, Lease Agreement, Phone/Power and Water/Credit Card Bill, Bank Statement, Any official /business letter showing name and permanent NT address.One file only.3 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Conditions of membership Conditions of membership Please ensure you have read and understood the City of Darwin Privacy Statement, City of Darwin Libraries Membership Guidelines City of Darwin Libraries Code of Conduct Digital Services Privacy Policy | Library & Archives NT before submitting your request. ackn Acknowledgement I acknowledge that I have read and understood the City of Darwin Privacy Statement, City of Darwin Libraries Code of Conduct, City of Darwin Libraries Membership Guidelines and the Library & Archives NT Digital Services Privacy Policy. agree_fieldset Agreement I agree to Agree Return items on or before the due date or check whether the item can be renewed. Reimburse City of Darwin for any loss or damage to Library items in my possession. Accept responsibility for my child’s choice of items and use of the internet. Report lost or stolen cards to City of Darwin Libraries immediately. Notify City of Darwin Libraries of any changes to contact details provided. Accept City of Darwin’s Privacy Statement. Accept the Library & Archives NT Digital Services Privacy Policy. Comply with the City of Darwin Libraries ICT facilities conditions of use. Comply with the City of Darwin Libraries Code of Conduct. Comply with the City of Darwin By-Laws 2023. Comply with the Copyright Act 1968 (CTH). CAPTCHA
Library membership application Library membership application First name Middle name Surname Date of birth Gender - None -MaleFemaleNot specified Phone Email Re-enter email address Residential Address (must be within NT) Address Suburb/town State State Northern Territory Postcode Postal Address - Select -Same as residential addressDifferent postal address Postal address Address Suburb/town State Northern Territory Postcode Would you like to join your dependent children under 18 years old while you are here? - Select -YesNo Dependants Re-order Dependant Date of Birth Gender Weight Operations Dependant Date of Birth Gender - None -MaleFemaleNot specified Item weight Add more items more items type Type of Library Membership Online access membership (I only intend to access the online resources) Full membership (you will need to upload proof of your current address and photo ID) card_coll Nearest branch - Select -CasuarinaDarwin CityKaramaNightcliff Photo ID A current NT Driver’s Licence OR Defence Force ID, Student Card, Interstate Driver’s Licence, Royal Darwin Hospital ID Card, Passport, 18+ Card.One file only.3 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc. Proof of permanent NT residential address (if not listed on your photo ID) Health Care Card, Pension Card, Enrolment to Vote Card, Lease Agreement, Phone/Power and Water/Credit Card Bill, Bank Statement, Any official /business letter showing name and permanent NT address.One file only.3 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Conditions of membership Conditions of membership Please ensure you have read and understood the City of Darwin Privacy Statement, City of Darwin Libraries Membership Guidelines City of Darwin Libraries Code of Conduct Digital Services Privacy Policy | Library & Archives NT before submitting your request. ackn Acknowledgement I acknowledge that I have read and understood the City of Darwin Privacy Statement, City of Darwin Libraries Code of Conduct, City of Darwin Libraries Membership Guidelines and the Library & Archives NT Digital Services Privacy Policy. agree_fieldset Agreement I agree to Agree Return items on or before the due date or check whether the item can be renewed. Reimburse City of Darwin for any loss or damage to Library items in my possession. Accept responsibility for my child’s choice of items and use of the internet. Report lost or stolen cards to City of Darwin Libraries immediately. Notify City of Darwin Libraries of any changes to contact details provided. Accept City of Darwin’s Privacy Statement. Accept the Library & Archives NT Digital Services Privacy Policy. Comply with the City of Darwin Libraries ICT facilities conditions of use. Comply with the City of Darwin Libraries Code of Conduct. Comply with the City of Darwin By-Laws 2023. Comply with the Copyright Act 1968 (CTH). CAPTCHA