University House
The University of Melbourne

Honorary Membership Application Form

Membership for visitors, honorary, or short term, with a maximum of 28 days. For other members click here.

Membership Type*

Your Name*

Date of Birth

Residential Address*

Phone Number*

Please Specify at least one

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Email Address*

How did you hear about the Club?

Have you visited University House before?

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Please use your automatic response email as your approval access.