London membership

First Name

Middle Name

Last Name

Date of Birth

Gender

Profile Photo JPEG or PNG only (max 10MB). Must be a recent, real photo of you - no AI or heavily edited images.

Proof of Identity Please upload a proof of identity (passport, driver’s license, etc.).

Email Address

Mobile Number

Address

City

Postcode

Country

Instagram

Twitter/ 'X'

You must be proposed by two current Members of The Groucho Club before your application is considered by the Membership committee.

Proposer Name

Proposer Email

Secondary Proposer Name

Secondary Proposer Email