Request an Alumni Card

Please note:   The copy & paste feature is not available in this form
Reminder: Have you activated your myAlumniHub account? You will need to do this before completing this form.
If you have lost your card and need to purchase a replacement please do not use this form. Instead please visit the online store
Enter Student Number    (“usually begins M00……”, leave blank if you graduated before 1991)
Date of Birth *
First Name, Surname *
Course   (e.g. BA Fine Arts) *
Year of Study * ( E.g: Year 1, 2, 3, 4 )
Year graduated    (or year due to graduate if current student) *
Email address *
Mobile Number
Would you like to collect your card, or for it to be posted? *
Preferred Address    (If you have changed your address, please provide it below so we can update our records)
Please note this photograph will be printed on your Alumni Card. The photo must be clear in focus, show a close-up of your head and upper shoulders,
you must be looking straight at the camera and there must not be other objects or people in the photograph.

Please upload a digital passport style photograph.
* (The following file formats are accepted: JPG, TIFF, GIF, BMP, PNG)
In line with our Privacy Policy, the Alumni Association would like to send you communications about exclusive networking events and career development opportunities, please select below to indicate how we may contact you. Any changes to our Privacy Policy will be communicated to you in line with your communication preferences and you can opt out at any time.
Email *
Telephone *
Shared with a third party *
By confirming your details below you agree to the Terms and Conditions set out by the Middlesex University Security and Alumni Association Teams, regarding use of your alumni card.
Terms & Conditions
I understand and agree that the Access Control Card issued upon approval of this request remains the property of Middlesex University and:
  • That should the card become lost or stolen I will inform the security department as soon as practicably possible to: Security Department, Middlesex University, The Burroughs, Hendon, London, NW4 4BT (0208 411 6200);
  • That the Access Control Card is issued for my exclusive use and may not be duplicated, loaned or used to allow any unauthorised and or unknown person access into a controlled area;
  • That an administrative cost of £10 may be charged for the replacement of lost or damaged cards (stolen cards will not be charged so long as a crime reference number from the Police can be provided);
  • That abuse of the Access Control Card permissions and/or non-compliance with this agreement may result in the withdrawal of the Access Control Card and disciplinary and or criminal proceedings in line with the University s regulations;
  • That I will abide by all the Terms & Conditions above and all Library and IT policies, including the Computer Use Policy for Students and Alumni.
  • That failure to comply with all of the above will lead to your membership of the Alumni Association and any associated benefits being revoked.
I further acknowledge that I am aware that the University may process personal data relating to its alumni in connection with the production of Access Control (Alumni Association membership) Cards, and the maintenance of the records relating to these cards also that the University may contract with an external organisation for the production of these cards. The University undertakes to maintain this personal data in secure conditions and to process and disclose this data only within the terms of the General Data Protection Regulation and the University’s Data Protection policy. Any third party involved in the production of the cards will also be required to maintain personal data securely, and process and disclose the data only within the terms of GDPR.

MDX Privacy Statement : Unihelp take your privacy seriously and will only use your personal information to administer your account on our help system and to provide the services you have requested from us. For more information please see the university privacy policy here

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