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LIBRARY RESERVATION FORM

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Library Card Number :
First Name :
Last Name :
Id Number :
Address :

Status :

Mobile Number :

Telephone Number :
Fax :
Email address :

Item Details

Author:
Title :
Publisher :

Type of resource

Book Journal Magazine DVD
CD Talking Books Video Cassette

Year Of Publication

2001-2005
1996-2000
1991-1995
Below1990

Date of Borrow :

Date of Return :

Additional Information


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