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LIBRARY MEMBERSHIP FORM 35mm x 45mm

1. PERSONAL DETAILS

FULL NAME*
ID/PP NUMBER*
GENDER* MALE FEMALE DATE OF BIRTH* (dd/mm/yyyy)

PERMANENT
ADDRESS*

CURRENT
ADDRESS*
(if applicable)

CONTACT NUMBER 1* CONTACT NUMBER 2

EMAIL*

2. MEMBER DECLARATION (if applicant is 18 years or above)

I declare that the information given on this form is complete and accurate. I acknowledge the submission of inaccurate or incomplete
information can result in delays in processing the form and may result in the cancellation of the membership. I have read and accept the
terms and conditions of the library membership.

SIGNATURE* DATE* (dd/mm/yyyy)

3. PARENT’S OR GUARDIAN’S DETAILS

(applicant is under 18 years)

FULL NAME*
ID/PP NUMBER*
RELATIONSHIP WITH THE APPLICANT*

ADDRESS*
(if different from
applicant’s)

CONTACT NUMBER*
EMAIL

4. PARENT’S OR GUARDIAN’S CONSENT & DECLARATION

I declare that the information given on this form is complete and accurate. I, the parent or guardian of the applicant agrees to take full
responsibility on behalf of the applicant in ensuring that the applicant abides by the rules and regulations of the library. I have read and
accept the terms and conditions of the library membership.

SIGNATURE* DATE* (dd/mm/yyyy)

Note: All applicable fields marked with asterisks (*) must be completed

v.2017-01
Things to submit with this form:

Ÿ 01 x Passport size photo (not older than three months)

with white background.

Maldivians
Ÿ Photocopy of valid National ID.

Foreigners
Ÿ Photocopy of valid Passport.
Ÿ Photocopy of valid work visa.

Applicants under 18 must also submit:

Maldivians
Ÿ Photocopy of parent’s/guardian’s valid National ID.

Foreigners
Ÿ Photocopy of parent’s/guardian’s valid passport.
Ÿ Photocopy of parent’s/guardian’s valid work visa.

OFFICE USE ONLY

RECEIVED BY MEMBERSHIP NO.
STAFF RC. NO. RECEIPT NUMBER

DATE DD MM YYYY TIME SIGNATURE

NATIONAL LIBRARY OF MALDIVES | MUSEUM BUILDING A | MEDHUZIYAARAIY MAGU | 20158 MALÉ | MALDIVES
+(960) 300 7200 | +(960) 331 3712 | info@nlm.gov.mv | nlm.gov.mv