Aga Khan Library London Application Form - External Users
This form is for external researchers applying to access the library on a reference basis.
To avoid any delays, please ensure the form is complete. You will be sent an email when the process is complete.
Title:
Family/Last name: *
Your answer
Personal/First name(s): *
Your answer
Address: *
Your answer
Postcode:
Your answer
Telephone no.:
Your answer
E-mail: *
Please ensure this is correct and you check this email frequently, as you will receive important updates regarding your library account.
Your answer
Where did you learn about our library?
Nationality:
Your answer
If affiliated with an academic institution, please state its name:
Your answer
Please specify area of research:
Please indicate how this library will meet your research needs.
Your answer
Please indicate items you wish to access at the library:
Your answer
Please indicate level of research: *
Other (please specify)
Your answer
If affiliated with an institute, please specify position:
Other (please specify)
Your answer
Date access required: *
MM
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DD
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YYYY
Length of Access required:
Please indicate, in days/weeks/months, how long you will require acces to the collections.
Your answer
Agreement: *
I hereby agree to abide by the Aga Khan Library London regulations (to view click: http://bit.ly/2sxhGZK) and confirm that the data provided above is complete and correct. I agree to inform the library of any changes to the personal details provided above.
Required
Data Protection: *
I agree to Aga Khan Library London entering the information provided on this application form into their database(s) and to the processing of the data for any purpose connected with my library account, my health and safety or for any other legitimate purpose.
Required
Date: *
MM
/
DD
/
YYYY
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