Member Account

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Your first name.

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E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password *

Confirm password *

Provide a password for the new account in both fields.

Membership details

Company Details and Declaration

First Company Representative

Profile

Please provide brief professional biography details to appear in your member profile. This is not mandatory, and can also be completed at a later time.

Declaration

By ticking this box I apply for Individual membership of the Urban Development Institute of Australia (NT). I hereby declare that the information contained within this application to be true and correct to the best of my knowledge and further, agree to be bound by the current provisions of the Memorandum & Articles of Association of the Institute and its Code of Ethics.

By completing this membership application form, I agree to the collection, use and disclosure of personal information. I Understand that the information I provide will be used by UDIA (NT) to send information, arrange the renewal of my membership and may be printed as part of the Members’ Directory and other UDIA (NT) publications to be distributed to members and sponsors of the UDIA (NT). If you do not wish for your personal information to be included in any UDIA (NT) publications, please contact us. Personal information will not be sold or traded to any other person under any other circumstances. If you have any concerns about how we will use the information that is provided to us, please contact us at: UDIA (NT), GPO Box 1789, Darwin NT 0801. Phone: 0457 882 795 email: ceo@udiant.com.au

Payment Details

Nomination

Nominator Declaration

Seconder Declaration

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