Membership application form
Your contact details
Title *
Forename *
Middle Name
Surname *
Gender *
Date of Birth / / *(Age: )
National Insurance Number *
Home Address House number/name or *
Flat number


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Name of your university or college: *
ZakBak Membership
I hereby apply to join ZakBak Student Network.

ZakBak Student Network is part of Community Benefits Group C.I.C (CBG)

I agree to the DotComUnity Membership 'terms and conditions'

I understand that as a ZakBak Member I qualify for access to all "DotComUnity Benefits and Rewards including all financial, social and wellbeing offers, volunteering and 'CV Booster schemes".

Would you like to join DotComUnity at this time