Membership Form

Photograph
E-Library Passport-size
(Toba Tek Singh)

Personal Information [please check √ relevant]

 Student  Teacher  Researcher

 Senior Citizen  Children  House wife

 Business person  Govt. Employee  Private Employee

 Farmer  Shopkeeper  Industrialist

 Craftsmen  Sportsmen  Men of letters

 Artist  Social worker  Public representative

 Professional (such as Lawyer, Doctor……………….)  Special person

Age Groups [please check √ relevant]

 Less than ten years  10-15 years  16- 25 years

 26-35 years  36-45 years  45-60 years

 61 years and above

Name (Mr/Mrs/Miss/Ms)

Father / Spouse Name: CNIC

Email: Cell/Landline No.

Mailing Address:

I have read and pledge to abide by e-Library Punjab rules and regulations in fair use of library materials,
resources, equipment, Internet and website. I am liable to pay any damages.

Applicants Signature Dated:

Librarians’/In-charge Signature…. Membership No. Date of Grant