UPLB- College of Human Ecology

Agreement Regarding Terms and Conditions on the Use of Apple Ipad2 and Android Tablet, Acer/
Apple laptop
Student Number
Full Name (Surname, First name,
M.I.)
College/Course
Complete Home Address
Contact Numbers (cellphone or
landline)
Email Address
Serial No. Of Item/s borrowed
CHE Library control number
I CERTIFY UNDERSTOOD AND AGREED TO THE TERMS AND CONDITIONS as stated on the use of
iPad2 and Android Tablet. *
____________________________________________
Signature over Printed Name of Student/Faculty/Staf
Time

___________________
Date and

__________________________________________________
Signature over Printed Name of Staf who provided the Service
Time

___________________
Date and

*Agreement Regarding Terms and Conditions on the Use of Apple Ipad2 and Android
Tablet as posted in CHE Library

UPLB- College of Human Ecology

Agreement Regarding Terms and Conditions on the Use of Apple Ipad2 and Android Tablet, Acer/
Apple laptop
Student Number
Full Name (Surname, First name,
M.I.)
College/Course
Complete Home Address
Contact Numbers (cellphone or
landline)
Email Address
Serial No. Of Item/s borrowed
CHE Library control number
I CERTIFY UNDERSTOOD AND AGREED TO THE TERMS AND CONDITIONS as stated on the use of
iPad2 and Android Tablet. *
____________________________________________
Signature over Printed Name of Student/Faculty/Staf
Time

___________________
Date and

__________________________________________________

___________________

Signature over Printed Name of Staf who provided the Service

Time

Date and

*Agreement Regarding Terms and Conditions on the Use of Apple Ipad2 and Android
Tablet as posted in CHE Library