INDIAN INSTITUTE OF TECHNOLOGY PATNA / भारतीय प्रौद्योगिकी संस्थान पटना

CENTRAL LIBRARY / केंद्रीय पु स्तकालय

REQUISITION FORM FOR TEXT/ GENERAL/ REFERENCE BOOKS
Department: __________________________________ Ref. No: ___________________________ Date: ____________
For Justification Copyright
Title No. of Price
Libra Author/Editor for Books viz. Year Source
ISBN (with EDITION, VOLUME, SERIES Publisher Copies (PER
ry (in CAPITAL) Course No. / (reprinted (if Known)
NO.) Required COPY)
Use Course Name year)

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Signature
Name in Block
Letter
Library Staff (for Duplicate Librarian / Faculty-in-
Emp. ID / Roll No. Department Representative
Checking) Charge