READING NOOK LIBRARY

Add.: In front of Shani Dev & Old Shiv Mandir, Balutia Compound,
Do Nahariya, Bhotia Parraow Haldwani Distt. Nainital
Phone: 8449255031, 8449105166
E-mail: readingnook2024@gmail.com

READING ROOM FOR STUDENTS PHOTO

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APPLICATION FORM

Seat No……… Member No..........

Dear Sir, I wish to become a member of your reading room. I have read the rules and regulations
of the same and shall abide by them. Hereunder I furnish the details about myself:

Name (in Block Letters): …………………………………………………………………………

Date of Birth: …………………………………………………………………………………….

PRESENT ADDRESS: …………………………………………………………………………..

PERMANENT ADDRESS: ……………………………………………………………………..

MOBILE No.: …………………………………………………………………………………....

E-mail ID: …………………………………………………………………………………………

Name of the present course: ………………………………………………………………………

Name of the Educational Institution:. Address: …………………………………………………..

Date:

(Signature of the Applicant)