APPLICATION FOR MEMBERSHIP OF PUBLIC (GRADUATES) Membership No:
1.Name [In Capitals]
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2.Date of birth
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3.Educational qualifications
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4.Course/Occupation (if any)
:
5.Institutional address
:
Male/Female
Affix photo attested by Gazetted Officer
6.Address for Communication : 7.Telephone No
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8. Email
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9.Permanent address
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10.Name of Parent / guardian : 11.Blood group
: DECLARATION
I wish to become a member of the University Library and if admitted, I agree to abide by the library rules in force from time to time and the decision of the University Librarian regarding the same. I shall intimate the library the change of my address (if any) from time to time. I am a graduate of the University of______________________________________________________. Place: Date:
Signature ( …………. 2)
-2 RECOMMENDATION Sri/Smt. ….................................................................... is known to me and I recommend him/her for the membership in Mahatma Gandhi University Library. I shall be personally responsible for any loss sustained by the library due to his/her membership. My date of retirement is ___________________.
Place
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Signature
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Date
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Name
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Designation
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(Office seal)
Office Address :
Permanent Address
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Phone Number : For Office Use Receipt No : Admitted by: Name: Remarks: University Librarian
1.The caution deposit of the membership is Rs.1000/- and the annual subscription is Rs.250/-. 2.The applicant should attach a recent passport size photograph and an attested copy of the degree certificate along with the application.
3.The recommending officer should have minimum 3 or more years of service for retirement. 4.Degree certificate or Provisional certificate in original to be produced for verification.
(Office seal) Office Address : Permanent Address : Phone Number : For Office Use. Receipt No : Admitted by: Name: Remarks: University Librarian. 1.The caution deposit of the membership is Rs.1000/- and the annual subscription is Rs.250/-. 2.The applicant should attach a recent passport size photograph and an attested ...
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17 Aug 2015 - Note: After paying the application fee, you will not be allowed to modify your application form ... educational expenses at KAIST. .... 6.5 or higher. TRANSFER PROGRAM. Q. I am currently enrolled in other graduate school. Do you admit t
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members who are (1) eligible for Lions membership, (2). currently in or joining the same club, and (3) living in the. same household and related by birth, marriage or other. legal relationship. Common household family members. include parents, childr
MEMBERSHIP APPLICATION. PERSONAL INFORMATION. Name: Institutional affiliation and position (if any):. Address: Eâmail address: We will never pass personal information (incl. contact details) on to third parties. MEMBERSHIP PACKAGE. Please tick appr
Please see other side! $20.00 Yearly Membership Fee ______. Transportation Form Returned________. Please Circle Program: WESB: Fun 'N' Friends/Senior ...
Consult your tax professsional. Mail your completed application. along with payment to: Clinton Chamber of Commerce. 50 East Main Street. Clinton CT 06413. For more information call: 860-669-3889. or email. [email protected]. www.clintonct.com. q
farmers to continue to produce food with dignity. âIndeed the wages of the laborers who mowed your fields which you kept back by fraud, cry out; and the cries. of the reapers have reached the ears of the Lord of Sabaoth.â James 5:4. Page 1 of 1.
Page 2 of 5. Membership Privileges. Networking Platform. KISMEC is a platform for networking with. Multi National Companies and local industries. especially in ...
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A service charge of. $15.00 will be assessed for all returned checks. Comments to Staff: Yes! I want TLCA to automatically renew my membership every year.