Library Forms Institute for Education Vill- Bijoy, Sareikella, kharsawa Leave this field blank 1. Personal Information:- • Full Name:- • Date of Birth:- • Gender:- Male Female Others • Father's Name:- • Mother's Name:- • Address:- • Phone No:- • Email:- 2. Membership Details:- • Type of Membership:- Student Adult Senior Institutional • Preferred Communication:- Email SMS Phone Call • Batch:- • Session:- 3. ID Proof (attach copy):- Type:- ID Number: - 4. Agreement:- Signature:- Start drawing Clear Done Start over Date:- Submit