Borang Permohonan Pinjaman Bahan Mikrobentuk/Microform Loan Application Form

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Borang Permohonan Pinjaman Bahan Mikrobentuk/Microform Loan Application Form

Sila isi borang permohonan ini sekurang-kurangnya 1 hari sebelum pelanggan datang ke Perpustakaan / Please fill in this application form at least 1 day before customer comes to the Library.

For more information, please refer to http://www.lib.usm.my.

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* Indicates required question

Maklumat Pemohon/Applicant Information

* Maklumat yang tidak lengkap tidak akan diproses/Incomplete form will not be processed

Nama/Name: *

Your answer

Nombor Kad Matrik/Matric Card No: *

Your answer

Pusat Pengajian/School: *

Your answer

E-mel/Email: *

Your answer

Nombor Telefon Bimbit/Handphone No: *

Your answer

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