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Library Membership Form
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Email
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Your email
Last Name
*
Your answer
First Name
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Your answer
Gender
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Male
Female
Other
Date of Birth
*
MM
/
DD
/
YYYY
Roll No./Emp. Code
*
Your answer
Personal Email Id
*
Your answer
Contact Number
*
Your answer
Office Contact Number (if employee)
VOIP Number
Your answer
Present Address
If you live inside the campus, please mention that address
Street Number
*
Hostel Residents kindly write your room no.
Your answer
Address (Street name, Locality etc.)
*
Your answer
City
*
Your answer
State
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Your answer
Country
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Your answer
PIN
*
Your answer
Permanent Address
Street Number
*
Your answer
Address (Street name, Locality etc.)
*
Your answer
City
*
Your answer
State
*
Your answer
Country
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Your answer
PIN
*
Your answer
Type of User
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Student
Faculty
Staff (Regular, Project, Contractual, JRF)
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