BU Library

LIBRARY MEMBERSHIP FORM

Academic Details

Admission Year*

Member Type*

Designation*

Department*

Roll/Employee/ID No.*

Personnel Details

Full Name*

Father's Name*

Mother's Name*

Gender*

Blood Group*

Whatsapp No.*

Contact No.(Parents)*

Email*

Date of Birth*

Present Address

Address 1*

P.O.*

District.*

State*

Pin*

Country*

Permanent Address

Same as present address.

Address 1*

P.O.*

District.*

State*

Pin*

Countrry*

Present Address

Passport Photograph (Maximum 100kb and .jpg file.)*

Signature (Maximum 30kb and .jpg file.)*

Patron Proof (Maximum 200kb and .jpg file (Current admission reciept, appointment letter for staff, ID card for Guest Member)*

Guest Referee Details

Referee Name*

Referee Designation*

Referee Department*

Referee Contact*

Referee Email*

I agree to the rules and regulations of PMBCL and I have given above information as correct. Any misinformation may cause myself in any circumstances.