2023 3rd-6th Year AUMSA/NZMSA Sign-up Form
AUMSA (Auckland University Medical Students' Association) - http://www.aumsa.org.nz/
NZMSA (New Zealand Medical Students' Association) - http://www.nzmsa.org.nz/
Email *
Title *
First Name *
Last Name *
Gender *
AUID No. (e.g. 1234567) *
Phone number *
Date of Birth *
Semester Address including suburb, city and postcode (ideally one you will be able to collect mail from later this year) *
Home Address including suburb, city and postcode (please only include if different from Semester Address)
I wish to join AUMSA and NZMSA for the remaining duration of the medical programme. Cost of membership is as follows: 
year 3 = $148
year 4 = $111
year 5 = $74
year 6 = $37
Year of graduation *
I have paid the appropriate amount as per the above question to the AUMSA bank account at 12-3024-0640401-00 *
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This form was created inside of Auckland University Medical Students Association.