APPLICATION FOR LIBRARY MEMBERSHIP FOR STUDENTS

Affix
I wish to enroll as a member of the Library. I have read the rules and regulations passport
of the Library and will abide by the same. size photo

1. Name :
(in block Letters)

2. Course :

3. College Name : ..

4. Father s Name : ..

5. Permanent Address: . .
. .
. .
6. Residential Address :
.
State Pin Code: . .
Ph. No. Off. Ph. No. .
Mobile:
E-mail: ...

7. Payment Process:

The filled in Membership Application form along with a DD drawn in favour of Director, School
of Planning & Architecture payable at Hyderabad should be submitted to the address given
below (Provide Xerox copy of Identity Card):

Dr. P. Venkata Ramana

Associate Professor & Head
Library & Information Centre
School of Planning & Architecture
Jawaharlal Nehru Architecture & Fine Arts University,
Mahveer Marg, Masab Tank, Hyderabad 500 028.
Tel: 040 - 32516941
Fax: 040 - 23315743
E-mail: spalib@gmail.com
Signature
Date:

(For Office use only)

Membership No. .. .. Date ..

Membership Period: Start Date Date of Expiry

Amount: .DD/Cash . Date ..

Name of the Bank: . Branch: .

Authorised Signature . Date . .

Received the Identity Card

Associate Professor & Head Signature of Member

Library & Information Centre Date