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* 1. Have you joined an NHS Library in Airedale or Bradford before?

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* 2. Who is your employer?

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* 3. Reader Number (If registered at the library)

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* 4. First name(s)

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* 5. Surname

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* 6. Title

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* 7. Job Title

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* 8. Department

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* 9. Work address (e.g details of the room number, ward number,building name)

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* 10. Email address

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* 11. Extension/Bleep

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* 12. Home address

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* 13. Post code

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* 14. Home / mobile number

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* 15. Home email address

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* 16. Leaving date (For temp staff / students on placement

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* 17. Data Protection

Airedale NHS Trust, Bradford District Care Trust, and Bradford Teaching Hospitals NHS Foundation Trust are committed to handling your personal data in accordance with the Data Protection Act 1998. The personal information you have previously provided will be used for the purposes of administering your library account only. Your personal information will not be used for any other purpose without your consent, except where required by law.

Terms and Conditions of Membership

Library Regulations

1) Library members must respect other users of the Library and conduct themselves in an appropriate manner.
2) Fines on overdue books will be paid in accordance with the local charging policy.
3) Library members must ensure that the library is informed of any changes in personal details.
4) Library members must not mark, deface or damage library stock.
5) Charges on lost or damaged items will be paid. Note: The full cost of lost or damaged items obtained from the British Library and other libraries will be passed on to the Library member.
6) Photocopying must comply with current copyright legislation and the terms of the NHS Copyright Licensing Agency (CLA) Licence.
7) Photocopying and printing must be paid for in accordance with the local charging policy.
8) The Library member will be held responsible for any books issued on their library card. Therefore the Library member must never lend items on borrowed on their card to others, and lost library cards must be reported to Library staff immediately.

Please read and tick the box below:

I agree to abide by the Library regulations. I understand that I am financially responsible for making good the loss of or damage to, any items on loan to me. I also undertake to keep the Library informed of my current address. I accept that these details will be held on the library management system, that this information will only be available to me and Health Libraries staff. I consent to this information being held and used in accordance with current Data Protection legislation and local Trust policies.

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