membershipForm-Outsiders.pdf
Click here to load reader
-
Upload
monica-mckinney -
Category
Documents
-
view
216 -
download
0
Transcript of membershipForm-Outsiders.pdf
![Page 1: membershipForm-Outsiders.pdf](https://reader038.fdocuments.net/reader038/viewer/2022100508/563dbbb9550346aa9aafba91/html5/thumbnails/1.jpg)
STATE BANK LIBRARY MEMBERSHIP FORM (For Non-Employees / Outsiders Only)
Name: _______________________________________________________________________________
Father’s Name: ______________________________________________________________________
C.N.I.C. No: __________________________________________________________________________
Name of Institution: ________________________________________________________________
Address: _____________________________________________________________________________
Designation/ Educational Program: ______________________________________________
Present Address: ____________________________________________________________________
________________________________________________________________________________________
Permanent Address: ________________________________________________________________
Phone (Office): _________________________ (Res): __________________________ (Mobile): ______________________________
E-mail Address: ___________________________________________________________ Date: __________________ Applicant’s Signature
To be verified by In Service SBP/SBP -BSC Employee
I agree to provide surety for Mr/Miss/Mrs ____________________________________________________________________
S/D/W/O____________________________________________________________________ and undertake to pay the Bank the
replacement cost of book(s) on borrower’s failure to return the book(s) or to pay for the lost book(s).
Name: ________________________________________________________ Designation: ________________________________________
Department/ Posting Office: _______________________________________________________________________________________
PIN: ______________________ Index No: _______________________ Date of Retirement: __________________________________
Phone (Office): _________________________ (Res): __________________________ (Mobile): ______________________________
E-mail Address: ___________________________________________________________
Date: __________________ Office Seal & Signature
FOR OFFICE USE ONLY
Please check and issue the Borrower’s Card to the applicant.
Chief Librarian Unit Head
Card No. _________________________________________________________ Issue Date: ____________________________________
Borrowing Limit: _______________________________________________ Valid Upto: ____________________________________
Library Assistant
Two passport-size
color photographs
along with attested
copy of CNIC
Form CD-46B