Library loan pick-up authorisationTo authorise a representative to collect your loan items or requests on your behalf, please print and sign this form.

Student name: ___________________________________________________________

Student number: ____________________

I authorise (name of representative) _______________________________________

to collect my loans or requests on (date) __________________________

Student signature: ___________________________________________________________

Date: ____________________

Your representative must bring photo ID with them to the Library information desk to collect your loans along with a printed and signed copy of this form.

Your privacy is important to us. This form will be securely disposed of in accordance with the ACU Retention and Disposal Schedule.

Last updated: May 2019Approved by: Marianne Gration, ACU Library

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