Melbourne Bioinnovation Student Initiative

Membership

Welcome to MBSI! We are a newly founded group based in Melbourne and we share a passion for technology and computing in medicine and the biosciences.

Fill out this form to officially become a member! Whooooo!

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Name: Email: Comment:

First Name * *

Last Name * *

Email Address * *

Phone Number

Are you 18 or over? (Yes/No)

What is your current occupation and company?

Only answer if you are not a student

Are you a Unimelb Student? (Yes/No)

Student Number

What is your course?

Please include your major if applicable

Are you a domestic student? (Yes/No)