Join the Library ID Badge numberPlease enter the 6 digit number below the bar code on your CHS ID badge to enable self issueName* Dr.Mr.Mrs.MissMs. Title Forename(s) Surname Job Title*Dept / Work Address* Street Address Address Line 2 City ZIP / Postal Code Work Tel:Work Email* Home Address* Street Address Address Line 2 City ZIP / Postal Code Tel*MobileEmail Manager / Consultant Prefix First Last Suffix Leaving Date (If Temporary) Date Format: DD slash MM slash YYYY Midwifery or Nursing Student Select this box if you are a Midwifery or Nursing Student IDCohortTutor Privacy Notice and Membership Declaration Using your personal information We are committed to safeguarding your information. The information you supply will be used to contact you about services or resources you have requested from the Library and Knowledge Service (LKS). Sharing your personal information We will share your information with the organisations that supply and manage our library management systems. We may share your information with another LKS team if you move organisations (you will receive an email notification if this happens). Accessing your personal information Go to www.knowledgeshare.nhs.uk(using your NHS OpenAthens account) to see the data we hold about you. You may log in to our library portal at https://croydonhealth.soutron.net/Portal/ (using your LKS PIN) to see your LKS catalogue search history. You can request changes, or request to see the data we hold about you on our library management system by emailing chs.libraryenquires@nhs.net Deleting your personal information We will delete the data we hold on you after a maximum 5-year period of inactivity (in case you return to use NHS library and knowledge services again within this time). Further information For further information on how your information is used, how we maintain its security, and your rights to access it, read the full KnowledgeShare privacy policy online at www.knowledgeshare.nhs.uk/index.php?PageID=help_privacy Your declaration I apply for membership of the Library and Knowledge Service and agree to abide by the LKS terms and conditions. I agree to my data being held as described above. Where did you hear about the service? via the intranet at induction via direct enquiry other Declaration Today's dateNameThis field is for validation purposes and should be left unchanged.