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DVK CENTRAL LIBRARY Application for Readership/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
Other details 
Space Cell EmailPhoneAgeSex
Please fill the details
Library Use Starting Date *This question is required.
Space Cell Library Use Starting DateLibrary Use Ending Date
DD/MM/YYYY
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.