CENTRAL LIBRARY, IIT MADRAS Request for Photocopy Service

Name Designation/course Name of Journal/Document

ID Number Department Details of publication Year Vol.

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Cost (Rs.)

Total charges Rate: Rs.0.50 per exposure in A4 sheet for IITM members and Rs.1.00 for IA & others I declare that the above document photocopied is required for my research/private study only. Date Name of the operator Signature Signature No of pages photocopied Amount collected

CENTRAL LIBRARY, IIT MADRAS RECEIPT FOR PHOTOCOPY SERVICES Name of the operator Signature No of pages photocopied Amount collected