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Page No________________

College name
swat college of science
other reading materials. I will
of the library in case of loss or

I hereby apply for membership to


&technology to borrow books and
abide by all rules and Regulation
damage of any book.

Photo

Registration No
Name
Father Name
Id Card No
Reading Interest
Name of the Department
Present Address

Permanent Address

Contact Details

Res:

Mobile:

Signature of
the application
GUARANTOR
I certify that Mr.___________________________ is known to me, I will be responsible for
loss of
books/reading Materials or any violation of the library Rules by the above stated
member.
Name:

_______________________

Designation: _______________________
Department: _______________________
Mobile#

_______________________

Address:

_______________________
_______________________

Signature:

______________________

Stamp:

______________________

For official use only


Membership

Expiry Date

Category

Membership No.

LIBRARIAN