DVK CENTRAL LIBRARY Application for Guest Readership/Guest Membership

Form for Personal Data Collection

Kindly fill this form properly and take a printout of this document on the prescribed paper and submit it at the library for further procedures.

1. KYC Application Form *This question is required.

Name with Details *This question is required.

Space Cell	Official Name (First Name, Last Name / Initial)	Also Known As (Prefix, E.g.: Dr./Mr./Mrs./Ms./Fr./Sr./Bro./etc., First Name, Last Name/ Congregation if Applicable E.g.: CMI/CMC/SJ/FCC. Etc.)
Full Name	Full Name: Official Name (First Name, Last Name / Initial)	Full Name: Also Known As (Prefix, E.g.: Dr./Mr./Mrs./Ms./Fr./Sr./Bro./etc., First Name, Last Name/ Congregation if Applicable E.g.: CMI/CMC/SJ/FCC. Etc.)

Other details

Space Cell	Email	Phone	Age	Sex
Please fill the details	Please fill the details: Email	Please fill the details: Phone	Please fill the details: Age	Please fill the details: Sex

Name, Designation and Address of Superior/ Bishop / Guardian

Present Address: Institution of Occupation (With Details: Landmark, Post, Pin Code, State, Country)

Permanent Address (With Details: Landmark, Post, Pin Code, State, Country)

Library Use Starting Date *This question is required.

Space Cell	Library Use Starting Date	Library Use Ending Date
DD/MM/YYYY	DD/MM/YYYY: Library Use Starting Date	DD/MM/YYYY: Library Use Ending Date

The information given above are true and reliable.
For the details of recommendation and other requirements please contact library office.
We appreciate your interest in using DVK Central Library!
Kindly take a printout of this document on the prescribed paper and submit it to the library for further procedures.