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CENTRAL LIBRARY RAJIV GANDHI UNIVERSITY LIBRARY MEMBERSHIP FORM

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CENTRAL LIBRARY RAJIV GANDHI UNIVERSITY LIBRARY MEMBERSHIP FORM

To, Faculty/Staff/Student/Scholar/Others

The Librarian,

Rajiv Gandhi University ID/ Roll No……….

Sir,

I wish to enroll as a member of your esteemed Library and I will abide by all the rules and regulations.

Name (in block letters) : Ms/Mr/Dr./Prof………..

Designation/ Course/ :………Semester:-……….

Department :………

Name/Dept/Guide :………...

(In case of Research Scholar)

Permanent Address : (*Attach address Proof) Present Address :

E-mail id : Contact Number :

Signature of the Candidate

Recommended by Dean/H.o.D/In-Charge:………..

[Office Use Only]

User Account No:………..Created On………..

Remark:………

Circulation In-Charge Librarian

*(Attach Pass Port Photograph, Admission Receipt, Permanent Address Proof i.e. Voter ID card/ DL/ ST/SC/OBC Certificate/ PRC etc.)

*Paste a Recent Photograph Here

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