Membership Form - Library & Information Centre, USM-KLE International Medical Programme, Belgaum
Please fill this online form to get library membership.
Name *
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Surname *
Your answer
Father's Name *
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Gender *
Date of Birth *
DD/MM/YYYY
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Local Address *
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Pemanent Address *
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Landline No
Write STD code
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Mobile No *
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Email Id *
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Matric No or College ID No
Students Should write your Matric No and Staff Should write your College ID No
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