Library and Learning Services
Sconul Form – Application to borrow
from The University of Northampton
Please complete ALL fields
Please note that you are required to
submit a passport sized photograph
with your application form.
Name: ..........................................................................................................................................
Address: ……………………………………………………………..........................................……..
……………………………………………………………..............................................……………….
.................................................................................................... Postcode: …………....………..
Telephone: …………………...................….
Email: …………………........................................................................................................………
Details of Home Institution
Name of Institution
Student Number
Expiry Date of Student Card
I agree to abide by the Library Code of Conduct, as published on the Library web pages, at
http://library.northampton.ac.uk/about/conduct/.
Signed: ……………………………………………… Date: …………………………………
Staff Use Only
Processed by.........................................
University ID seen............................. Sconul card / email checked.......................
Additional comments.................................................................................................
Barcode: ……………………..
Start Date: ……………………. End Date: …………………...
SCONUL BAND OF APPLICANT.....................................................................................