USIM LIBRARY BOOK LOAN FORM

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Want to borrow books from USIM Library? Please fill the form and we will get back to you as soon as we can.
Any inquiries please contact us via sirkulasi@usim.edu.my

OR 067986248/ 6226/ 6249
Mdm. Wan Azura Radzuan

1. PERSONAL INFORMATION

1.1 Date: *

YYYY

1.2 Name: *

1.3 Staff/ Student Number : *

1.4 Category: *

1.5 Department/ Faculty: *

1.6 Email address : *

1.7 Mailing Address : *

1.8 Phone No.: *

2. INFORMATION OF THE BOOKS

Please login to your account to get the item description at http://kohalib.usim.edu.my/

Title & Barcode No. (Please login to your account to get the item description at http://kohalib.usim.edu.my/ )

2.1 Book Title : *

Please list title of the books (ONLY 2 BOOKS MAXIMUM ALLOWED FOR POSTAGE)

2.2 Barcode No: *

Please list each bar code of the books (ONLY 2 BOOKS MAXIMUM ALLOWED FOR POSTAGE)

2.3 Method of Book Collection *

*Drive-Thru during working days from 9.30AM-3.30PM ONLY at USIM Library lobby.

USERS AGREEMENT *

(ONLY 2 BOOKS MAXIMUM ALLOWED FOR POSTAGE) By clicking YES and SUBMIT, you are agreed for USIM Library Books Loan Eligibility, Library Rules and Fine Policy. No signature is needed. USIM Library will be using this information as an evidence to charge the requirement amount for the price of materials and service charge by following the USIM Library Fine Policy.

YES

NO (I did not agree)

Submit

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