Online User Registration For Library Membership
This online registration form is only for new students/staff of Tezpur University.
Email address *
Library ID/Card Number (Please Collect from Library):
User Type: *
TU Roll No./ID: *
Department (e.g.- Department of Education): *
Course (e.g. B.Tech, B.Ed., M.Sc., MA, etc.): *
Salutation: *
Surname: *
First name: *
Date of birth (Format: MM/DD/YYYY): *
MM
/
DD
/
YYYY
Gender: *
Qrs. No./House No./Village: *
Post Office: *
Police Station: *
City:
District: *
State: *
ZIP/Postal code: *
Country: *
Home Phone No./Mobile No.: *
Email ID (tezu email ID, or if any): *
Personal Mobile No.: *
Upload Passport-size Photo (Please rename file name as your Roll No./ID): *
Required
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