b'AUSTRALIAN SOCIETY OF EXPLORATION GEOPHYSICISTS A.B.N. 71 000 876 040 PO BOX 576, CROWS NEST NSW 1585 AUSTRALIA Phone: +61 2 9431 8691Fax: +61 2 9431 8677 Email: secretary@aseg.org.auWebsite: www.aseg.org.au Application for Student Membership 2024 INSTRUCTIONS FOR APPLICANTS 1. Student Membership is available to anyone who is a full-time Student Membership must be renewed annually. student in good standing at a recognised university working The duration of a Student Membership is limited to five years. towards a degree in geophysics or a related field.Eligibility for Student Membership shall terminate at the close 2.Fill out the application form, ensuring that you provide contactof the calendar year in which the Student Member ceases details for your supervisor or coordinator.their graduate or undergraduate studies. 3. Submit your application to the Secretariat at the address shownon the top of this page, retaining a copy for your own records.Section 1.Personal Details SurnameDate of Birth Given NamesTitle Address CountryStatePost Code E-mailE-mail (non-University alternative)MobilePhone (W)Phone (H) Section 2.Student Declaration Institution Department Major SubjectExpected Year for completion of studies Supervisor/LecturerSupervisor Email Section 3Membership Grades and Rates q Student (Australia & Group IV Countries) FREE q Student (Group III Countries) FREE q Student (Group I & II Countries) FREE Section 4Preview & Exploration Geophysics The ASEG produces a magazine called Preview and a peer-reviewed journal called Exploration Geophysics. Please read and agree to the following in order to receive ASEG publications: 1) I understand and agree that online access to Exploration Geophysics is for my private use and the articles shall not be made available to any otherperson, either as a loan or by sale, nor shall it be used to substitute for an existing or potential library or other subscription.2) I understand and agree that Exploration Geophysics articles shall not be networked to any other site, nor posted to a library or public website, nor inany way used to substitute for an existing or potential library or other subscription.3) I understand and agree that any member who is discovered by the publisher to be in breach of these conditions shall have their subscription accessimmediately terminated, and the publisher shall have the right to pursue recompense at its discretion from that member.q YesqNo Section 5Declaration I,(name), agree for the Australian Society of Exploration Geophysicists to make all necessary enquiries concerning my application and suitability to become a Member. By lodging this Application and upon being accepted in my membership, I agree to be bound by the Constitution of the Australian Society of Exploration Geophysicists, including its ethical and professional standards. Signature: Date: APRIL 2024PREVIEW 63'