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Library Membership Form

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Manish Das
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139 views1 page

Library Membership Form

Uploaded by

Manish Das
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRAL LIBRARY & INFORMATION NETWORK SERVICES

West Bengal University of Animal & Fishery Sciences


37, Kshudiram Bose Sarani, Kolkata – 700037
LIBRARY MEMBERSHIP APPLICATION FORM

Name (in Capital letters):___________________________________________________________________________________________________

Father’s/ Husband Name: __________________________________________________________________________________________________

Designation (Only of Faculty Member): __________________________________________________________________________________

Department: _________________________________________________________________________________________________________________

Faculty: ______________________________________________________________________________________________________________________

Course (Only for Student): _______________________________________ Session: (only for Student): _________________________

Category (Teacher/ Student): _______________________________________ Date of Birth: _____________________________________

Permanent Address: ________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

__________________________________________________________________________________________ Sex: ________________________________

Telephone No.: ___________________________________________ E-mail: _________________________________________________________

Identification Mark: ________________________________________________________________________________________________________

Registration No.(Only for student): _______________________ Staff ID No. (Only for teacher):____________________________

I hereby undertake that I shall abide by the Rules and Regulations of the Central Library, WBUAFS.

Date: ____________________________________________ Signature of the Applicant

Recommendation by the Dean of the Faculty

I certify that the applicant is a member of the Faculty/ Student of the University and recommend
him/her for Library membership

Signature with Stamp:_________________________________________________________ Date: _________________________________

(To be filled in by the Library Staff only)

Library Membership No.: ____________________________________________________________ Photo ID: __________________________

Date: _____________________________________ Signature of the Library Staff: ____________________________________

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