Scanning Print Material Request Form
Please fill-up this form for your request concerning scanning of print library resources (books, monograph, etc.. This should be filled when the material is available in the library and you need the digital copy.Always specify the page/chapter for scanning. Please note that as per copyright law, only 10% of the content of the material is allowed for scanning.
Privacy Notice:
By voluntarily signing this form, clients consent to the collection of the following information: Name, Position, College, contact number, and email address. The collected personal information will be used solely in this request. It will be used within the University Library and will not be shared with any other outside institutions. You have the right to ask for a copy of any personal information we hold about you, as well as to ask for it to be corrected if you think it is wrong. (This google form will automatically send a copy of your responses to the email you have provided.)

To do so, contact Ms. Amelia C. Cendana at

***Note: only the data collector (University Library) can see the data/information collected unless stated otherwise.
Personal info
Name (Last name, First name, Middle initial) *
ID Number *
Email address *
Contact Number *
College *
User Group *
Title of Material / Book (You can put up to 10 titles) *
Call Number (You can check at *
Specific chapter/page of the book to be scanned *
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