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Student Membership Form

Personal Information

(Use Capital letters only)

Contact Information

Declaration and Undersigned:

The undersigned would like to Applied for library membership. I am aware of undertake abide by the copyright act 1986 and amendments. I will update to library of any change in my contact details. I agree to observe the library rules

The photograph and details furnished by student is verified and found correct as per official records of Departments/Institute.He/she deposited the course fees for current Session

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Seal of Dept
(Signature Of HOD)

For Central Office Use only