Sign In

Text size :

A A A

APPLICATION FORM (LIBRARY'S MEMBERSHIP)

REF.IPA/15

Date :25-04-2024

I (applicant) will take responsibility for borrowing and returning the books that I have lent from the IPA's library. I will also be responsible for any damages to the books and the loss of books once I have lent them.

Full Name
Gender
Identification Card (IC) No Color
Telephone Numbers
Office Phone Home Phone Mobile Phone
Occupation
Department
Ministry
Home Address
Email *
Please provide emergency contacts:
Full Name
Relationship
Telephone Numbers
Office Phone Home Phone Mobile Phone
Full Name
Relationship
Telephone Numbers
Office Phone Home Phone Mobile Phone
Attachment
IC Photo