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MAHATMA GANDHI MEMORIAL RESEARCH CENTRE & LIBRARY
(HINDUSTANI PRACHAR SABHA)


M.G.M. BUILDING, 7 NETAJI SUBHASH ROAD, MUMBAI – 400 002
Phone : 2281 0126/ 2281 2871

photoboxThe Librarian,
M.G.M. Research Centre & Library
Mumbai – 400 002

Sir/Madam,
I wish to apply for a reader’s ticket. I agree to comply with the rules and regulations of the library
and make good any loss and damage to the books and property incurred through any act or
negligence on my part. I also agree to pay fine as fixed by the library for delayed return of books. I
undertake to observe strict discipline and understand that the library facility granted to me is liable
to be revoked in the event of my committing any breach.
Date

Yours Faithfully,

Membership No. ……………………..
Full name (Block Letters) : …………………………………………………….
(Surname) (Name) (Father’s/Husband’s Name)
Qualification : …………………………………………………….
Age : …………………………………………………….
College & University : …………………………………………………….
Designation : …………………………………………………….
Area of Specialization : …………………………………………………….
Language Known : …………………………………………………….
(to be able to read literature)
Reason for Joining : …………………………………………………….
Present address : …………………………………………………….
: …………………………………………………….
: …………… Phone no.: ………………. Mobile : ……………
Permanent Address : …………………………………………………….
: …………………………………………………….
: …………… Phone no.: ……………… Mobile : ……………

The application is accepted/rejected.

HPS Librarians Signature

SEAL

Forwarded by the Librarian to the Accounts Department, HPS