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  • State Central Library, Membership Form

    Hochgeladen von

    Jerrin Thomas Panachakel
    153 Ansichten2 Seiten
    The application form requests information such as the applicant's name, address, designation, annual income, PAN number, and contact details. It also includes a declaration by the applicant to abide by library rules and a nomination of someone to receive membership refunds upon the applicant's death. Recommendations from gazetted officers are also required. Upon approval, the membership is valid for one year with a refundable deposit of Rs. 1,500 and allows borrowing of up to 3 books and 2 periodicals at a time.

    Originalbeschreibung:

    Membership form of state central library, Trivadnrum, Kerala

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    The application form requests information such as the applicant's name, address, designation, annual income, PAN number, and contact details. It also includes a declaration by the applicant to abide by library rules and a nomination of someone to receive membership refunds upon the applicant's death. Recommendations from gazetted officers are also required. Upon approval, the membership is valid for one year with a refundable deposit of Rs. 1,500 and allows borrowing of up to 3 books and 2 periodicals at a time.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    153 Ansichten2 Seiten

    State Central Library, Membership Form

    Hochgeladen von

    Jerrin Thomas Panachakel
    The application form requests information such as the applicant's name, address, designation, annual income, PAN number, and contact details. It also includes a declaration by the applicant to abide by library rules and a nomination of someone to receive membership refunds upon the applicant's death. Recommendations from gazetted officers are also required. Upon approval, the membership is valid for one year with a refundable deposit of Rs. 1,500 and allows borrowing of up to 3 books and 2 periodicals at a time.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 2

    SIAIE CENTRAL LIBMRY, KERALA

    APPLICATION FOR E CLASS MEMBERSHIP [A.spcr G O. (R.t.) No. 931/2009/HJdn. drted 30-6-20091 MemberNo. l. 2. 3. Name in full (in block letters) Name Farher'sllt{other's If manied pleasestate husband's/wife'sname
    Admitted on:

    4.

    Present Addresswith Pin Code (in full) (indicate Village, Taluk, Dishict State also)

    5.

    Address with Pin Code Permanent l (in tull) (indicetc Village, Taluk, District, Sate also)

    6. Designation and Offtce Address (in tull) with PIN Code Office Identitv Card No. No. Telephone 9. E-mail Address 10. ArmualIncome 11. PAN (If lncomeTax Payee)

    DECLARANON I desire to becomea memberin the Library. If aamitte4 I undertaketo abide by the rules of the iibrary in force, from time to time and the State Librarian's.decision regarding them. I shall bc personallyresponsiblefor any loss sustainedby the Library due to ily mbnbership and shall make good any such loss. I hcrcby nominate my father/ Shri/Srnt mother/son/daughter/husband/wife, to receive my

    the nominec. I am remitting Rs. 1500bctng -y membershipddposit. refundabledepositin the event of my predeceasing of any previous membershipin the State Central Library' I do hereby declare that I am not in possession Thiruvananthapurarn

    Date:

    Signature.

    (frT. 42t n7 0a00915.000/DTP.

    a /-

    Decleretion of Person Recommendingthe Applicrnt Shri/Smt. in the Library. I am a GazettedOfFrcerin the Service of Central Governmentand I shall be pcrsonally responsiblefor any loss sustained by the Library due to his/hermembership.
    Sigrrature: Nam: Designation and Offrcial address: (Office seal)

    Permanent Postal (House): Address .............-.... -.. (Indicate Village, Taluk, Distict also)

    N.^8.-1. Applic,btionsmust be accompanied by attestedcopy of applicants identity (Office Identity Cad). 2. Two stampsize photosshouldbe enclosed: One pastedaboveand the other one clipped loose. 3. The period of validity of E Classmembership is one year only. 4. MembershipDeposit is Rs.l500 (Refundable). 5. The loan at any one tinre: 3 books ani 2 periodicals. 6. In caseof loss of Identity Card a duplicateIdentity Card will be issuedon paymentof a fine of Rs. 50 only. An amount of Rs. 5 rvill be chargedas fine for issuing duplicate borrower's ticket. ' For office use only Recommended by: Admitted on:

    MembershipNo.:

    l,ibrarian-in-clarge of shift I/lI Book Room. Lending time nnd Admission time Morning: 8 a.m. to 2 p.m. Afternoon: 3 p.m. to 8 p.m. Sunday: 8 a.m. to 2 p.m.

    State Librarian:

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