INTER LIBRARY LOAN REQUEST FORM THROUGH DELNET

1. TITLE of Book :________________________________________

2. AUTHOR :________________________________________

3. DATE OF PUBLICATION :________________________________________

4. PLACE AND PUBLISHER :________________________________________

5. CLASS NUMBER :________________________________________

6. LOCATION :________________________________________

DETAILS OF INDENTOR

1. NAME & DESIGNATION :________________________________________

2. SCHOOL/DEPARTMENT :________________________________________

3. EMAIL ADDRESS :________________________________________

4. TELEPHONE NO./EXTENSION :________________________________________

I undertake that I shall be responsible for any loss or damage of borrowed material occurring after it is received by me till it is returned to UIRC and would replace the damaged material Or deposit its cost. I shall also bear the postage charges, if any and late fine, if the document is returned by me after the due date.

DATE : ____________

SIGNATURE

SIGNATURE OF THE DEAN / HEAD OF THE DEPARTMENT

FOR OFFICIAL USE

1. DATE OF DELIVERY : ______________________________________________________

2.. DUE DATE : ______________________________________________________

3.. AMOUNT PAID :______________________________________________________

4. RECIEPT NO. :______________________________________________________

DATE : ____________

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FOR OFFICIAL USE

SIGNATURE OF THE LIBRARY STAFF