Library Card Application UWL Stu

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					UNIVERSITY OF WALES LAMPETER Library Services________________ Library Card Application: UWL Students, Postgraduates and Staff
Card Applications, PLEASE The Library, ATTACH A University Of Wales Lampeter, PASSPORTCeredigion, Wales, SA48 7ED. SIZED Tel: 01570 424798 PHOTOGRAPH E-mail: library@lamp.ac.uk WE WILL NEED TO SEE A COPY OF YOUR REGISTRATION CERTIFICATE OR STAFF LETTER OF APPOINTMENT BEFORE YOUR LIBRARY CARD CAN BE ISSUED Title _____________________________ Surname/ Family Name

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First Names _____________________________ Permanent Address _____________________________________ _____________________________________ _____________________________________ _____________________________________ Postcode _____________________________

Student Number_____________________________ Messages from the library will be sent to your University of Wales Lampeter e-mail account only. Please give your UWL e-mail address here: ____________________________________@lamp.ac.uk

READER CATEGORY (mark as appropriate): Undergraduate Foundation Short Course Staff Postgraduate: M. Phil, Ph.D. or D.Min Postgraduate: other

Do you wish to register for an Athens account for offcampus access to electronic resources? Y/N For staff, postgraduate and distance students resident in the United Kingdom only:
Do you wish to receive an application form for a SCONUL Access card to use other university libraries? Y/N

END-DATE OF COURSE OR STAFF CONTRACT: Unless your registration certificate or contract states otherwise, the card will expire at the end of the current academic session ____/_______/20____

ACADEMIC DEPARTMENT: _____________________________________

DECLARATION I certify that to the best of my knowledge the information provided on this form is correct and that I will abide by the relevant rules and regulations of the University of Wales Lampeter. I understand that the information provided on this form will be processed in accordance with the Data Protection Act 1998. Signature Date

STAFF USE ONLY: Registration certificate no:________________________ Replacement card? Y/N Replacement charge paid? Y/N New card number____________ Expiry date__________ Issued by _____________________ Date ______________ Athens account issued_____________________________ SCONUL Access form sent__________________________

UWL LIBRARY SERVICES FORM 1. VER 1.2, 29/1/08


				
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