Expiry of course__________________
Category
Borrower No.
_____________________
Lancaster University Library – staff use
Registration Form - Associate Student
PLEASE USE BLOCK
CAPITALS
FAMILY NAME:
_______________________________________________________________________
FORENAMES:
________________________
STYLE (Mr, Ms etc): ____________________________
LOCAL ADDRESS: _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
HOME ADDRESS:
(if different from above) _____________________________________________________________________________
TEL NO:
_______________________________________________________________________
EMAIL:
_______________________________________________________________________
I agree to abide by the Rules of the Library (please see the library website for details.)
DATE:
_______________________
SIGNATURE: ___________________________________________
THIS SECTION TO BE COMPLETED AND SIGNED BY THE LIBRARIAN OF YOUR INSTITUTION:
The person named overleaf has registered for a degree course/PGCE course
starting on:____________________ and finishing on:______________________
Signed:
Letter
Librarian of:
Fee
Date Paid
Expiry
Date:
Letter
Fee
Date Paid
Expiry
Acceptance of this application by the University Library permits the applicant to have 6 books on loan at any time. It
does not offer remote access to e-resources; many of these can be accessed in the library.
This registration is valid for the duration of the course only.
Please take the completed form to Lancaster University Library’s information point during staffed service hours
(details on the library website). If you have any queries, please contact library@lancaster.ac.uk or 01524 592516.