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Government of Karnataka

Department of Collegiate Education


Government First Grade College, Bukkapattna
Sira Taluk, Tumkur Dist-572115
LIBRARY AND INFORMATION CENTER

LIBRARY MEMBERSHIP FORM (For Faculty)

1. Name (in Block letters): ________________________________________


Affix your
2. Department/Subject: ___________________________________________ Recent
3. Date of Joining: _______________________________________________ Passport size
Photograph
4. Employers ID Number: _________________________________________ Here
5. Permanent Address : __________________________________________
__________________________________________
__________________________________________
PIN: ________________________________________
Phone No: ___________________________________
6. Present Address: ____________________________________________
____________________________________________
____________________________________________
7. Email: ______________________________________________________
I, the undersigned would like to apply for Library Membership as Faculty. The information
given above is true to the best my knowledge. I hereby undertake the responsibility to abide
by rules of the library notified time to time. In case of late return/loss or damage of any
information resource borrowed by me, I am willing to pay the required amount.
Date:
Place: Signature of the Faculty

Signature of the Principal with stamp


Library use --------------- Library use --------------------- Library use ----------------- Library use ----------Library use

Membership No.: _________ No. of Cards: ______ Card Nos: ___________

Membership Accepted Membership Rejected

Head

Library & Information Center


Government of Karnataka
Department of Collegiate Education
Government First Grade College, Bukkapattna
Sira Taluk, Tumkur Dist-572115
LIBRARY AND INFORMATION CENTER

LIBRARY RULES

General Rules

Working Hours: The Library shall remain open on all working days of the
College as under
Monday to Friday : 10:00 AM to 5:00 PM
Saturday : 10:00 AM to 3:00 PM

Admission to the Library

1. No personal belongings shall be allowed except purses and notebooks. These shall be
deposited at the property counter. Do not keep valuable things in your bags. If
anything lost Library staff is not responsible for the lost.

2. The readers shall maintain silence within the library premises

3. No reader is allowed to sleep in the library premises.

4. Eating/loud conversation/chewing and similar objectionable acts are not allowed and
are strictly prohibited in the library.

5. Readers will be held responsible for any damage or mutilation of the document
noticed at the time of returning. Hence it is in the interest of the borrower to verify at
the time of borrowing, whether the document is in good condition or not, and report
damage/mutilation if any, to the Library staff.

6. The Library staff are authorized to check any user for documents brought into or
taken out of The Library.

7. No dues certificate will be given only after returning all books, library tickets, and
dues to the library.

I have read the forgoing rules and undertaken to abide by them.

Date: (Signature)
Government of Karnataka
Department of Collegiate Education
Government First Grade College, Bukkapattna
Sira Taluk, Tumkur Dist-572115
LIBRARY AND INFORMATION CENTER

LIBRARY RULES

General Rules

Working Hours: The Library shall remain open on all working days of the
College as under
Monday to Friday : 10:00 AM to 5:00 PM
Saturday : 10:00 AM to 3:00 PM

Admission to the Library

1. No personal belongings shall be allowed except purses and notebooks. These shall be
deposited at the property counter. Do not keep valuable things in your bags. If
anything lost Library staff is not responsible for the lost.

2. The readers shall maintain silence within the library premises

3. No reader is allowed to sleep in the library premises.

4. Eating/loud conversation/chewing and similar objectionable acts are not allowed and
are strictly prohibited in the library.

5. Readers will be held responsible for any damage or mutilation of the document
noticed at the time of returning. Hence it is in the interest of the borrower to verify at
the time of borrowing, whether the document is in good condition or not, and report
damage/mutilation if any, to the Library staff.

6. The Library staff are authorized to check any user for documents brought into or
taken out of The Library.

7. No dues certificate will be given only after returning all books, library tickets, and
dues to the library.

I have read the forgoing rules and undertaken to abide by them.

Date: (Signature)
Government of Karnataka
Department of Collegiate Education
Government First Grade College, Bukkapattna
Sira Taluk, Tumkur Dist-572115
LIBRARY AND INFORMATION CENTER

LIBRARY MEMBERSHIP FORM (For Faculty)

1. Name (in Block letters): ________________________________________


Affix your
2. Department/Subject: ___________________________________________ Recent
3. Date of Joining: _______________________________________________ Passport size
Photograph
4. Employers ID Number: _________________________________________ Here
5. Permanent Address : __________________________________________
__________________________________________
__________________________________________
PIN: ________________________________________
Phone No: ___________________________________
6. Present Address: ____________________________________________
____________________________________________
____________________________________________
7. Email: ______________________________________________________
I, the undersigned would like to apply for Library Membership as Faculty. The information
given above is true to the best my knowledge. I hereby undertake the responsibility to abide
by rules of the library notified time to time. In case of late return/loss or damage of any
information resource borrowed by me, I am willing to pay the required amount.
Date:
Place: Signature of the Faculty

Signature of the Principal with stamp


Library use --------------- Library use --------------------- Library use ----------------- Library use ----------Library use

Membership No.: _________ No. of Cards: ______ Card Nos: ___________

Membership Accepted Membership Rejected

Head

Library & Information Center

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