V.P.O. Bathu, Tehsil Haroli, Distt. Una, Himachal
Pradesh-174301, India.Tel:9318797101/2/3
E-Mail:Info@iiuedu.inWebsite: www.iiuedu.in.
LIBRARY MEMBERSHIP FORM
SESSION-2024-2025
Name ………………………….
Fathers Name …………………….
Department …………………….
Class …………………………
Reg. No/ERP No... ………………….
Address …..……………………………………………………………………………………………………………………………………………………
Contact No. ………………………………………….
Signature……………
Date ……………
Note:
1. Attach
Two Photographs with form.
2. If
card been lost, new card will be issued with the fine of Rs 100.
3. For
students books will be issued for 15 days only. After that fine of Rs5 per day
will be charged.
FOR LIBRARY USE ONLY
Checked and verified
credentials of the Staff for library membership.
Library membership No.
…………………….
Librarian
Sign. …………..
Received By ……………………Sign. …………………..
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