Are you an intern in 2021?
Simply by completing the Form and confirming your updated contact details, you'll go in the running to win 1 of 2 latest iPhones or 1 of 6 Apple AirPod Pros!
Please note, you must be an MIGA student member to complete this Form and receive free intern insurance. If you are not a student member but would like to join MIGA, simply complete our
online Application Form
.
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Ts & Cs
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Residents of the ACT can update their details using this Form but are ineligible to enter the competition.
Client Number
Title
*
(required)
First Name
*
(required)
Middle Name
Last Name
*
(required)
Postal Address Line 1
*
(required)
Postal Address Line 2
Postal Address Line 3
Suburb
*
(required)
State
*
(required)
Select...
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
*
(required)
Private Email Address
*
(required)
Please ensure you provide an alternative to your university email address as you may cease using this when you graduate.
Mobile Phone
*
(required)
University
*
(required)
Select...
Bond University
Curtin University
Deakin University
Flinders University
Griffith University
James Cook University
Macquarie University
Monash University
The Australian National University
The University of Adelaide
The University of Melbourne
The University of New England
The University of New South Wales
The University of Newcastle
The University of Notre Dame (Western Australia)
The University of Notre Dame - (New South Wales)
The University of Queensland
The University of Sydney
The University of Tasmania
The University of Western Australia
The University of Western Sydney
The University of Wollongong
At which hospital will you undertake your intern year?
*
(required)
Please confirm the State or Territory in which you intern hospital is based
*
(required)
Select...
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
I confirm I am graduating in 2020
*
(required)
Yes
Ignore