PUNE UNIVERSITY: JAYAKAR LIBRARY

Membership Form
Smart Card No

Photograph of
authorized
Person

The Librarian,
Jayakar Library,
University ofPune,
Pune-411007.

Sir,
Please enroll our institute / College's name as a Institutional member of the Jayakar library. We
have read the rules of the library and we will abide by these rules . Please issue us Smart Card. Two
copies of authorize person's photograph of the Identity card size are attached herewith. The followings
are the:
1.

Name of Institute / College:

2.

Nameofauthorizedperson:
(Block Letters)

_
_
Surname

3.

Designation:

4.

Address of Institute / College:

5.

Address of authorized person:

6.

Phone(R):-

Name

Father's/Husband's name
_

Office:-

Mobile:-

Received the Smart Card.

Yours Faithfully,

Signature of the authorized person

Signature
(with seal oflnstitution)

Challan No.

Date:

Rules

1.

Books will be issued strictly against Smart Card. ( in absence

authorized person's authority letter)

be submitted

of

2.

In case the Smart Card is lost, the member will have to communicate
written immediately to avoid misuse.

3.

If the smart Card is lost, and in case the book is taken by anybody
member will be held responsible for transaction on smart Card.

4.

Member will have to pay Rs.300/- for getting duplicate Smart Card.

5.

At the time of retirement/leaving

of job Authorized Person should have to return the
smart Card to obtain no dues Certificate.

6.

In case any misuse of the smart Card is noticed the membership

cancelled immediately.

the librarian in

else, then the

of the person shall be

We have read the rules of the library and we will abide by these rules.

(Signature of the Authorized Person)

Seal of Institution IColJege