External Reader Application Form - University College Dublin

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Please return completed forms to: Client Services, James Joyce Library, UCD, Belfield, ... the Service Desk in the Libra
External Reader Application Form Please consult the External Reader Guide before completing this form PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS Surname

Forename

Title

Postal Address

Telephone Number

Email Address

Are you: (tick as appropriate) A UCD graduate

General public

A graduate of another university

Foreign researcher

A deferred or repeat UCD student Are you attending a course at another institution?

Yes

Please state the institution & course

Please state below why you wish to access the Library and specify the subject area you wish to consult

Duration of Access: Cards are valid for 3 months from the date of issue If my application is accepted, I undertake to obey the Library Regulations and to notify the Library of any changes of address

Signed:

Date:

Please return completed forms to: Client Services, James Joyce Library, UCD, Belfield, Dublin 4 OR

the Service Desk in the Library where you are making your application

External Reader Application

Office Use Only:

Alumni

Paid

Issued