alliance française d’islamabad library membership … · alliance française d’islamabad...
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Alliance Franaise dIslamabad LIBRARY MEMBERSHIP FORM (Fill the form in BLOCK letters)
__________________________________________________________________________________ H#9, Street#49, F-6/4 Islamabad. Ph: +92-51-2825218-9 Fax: +92-51-9213730 Web: www.afislamabad.org E-mail: [email protected]
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Title Mr. Miss Mrs.
Full Name
Address
Phone Cell#
E-mail
Profession Student Teacher/Professor Doctor Govt. Servant Diplomat Business Man
NGO Employee IT Professional Lawyer Journalist Engineer House Wife
Other
LanguagesSpoken
Urdu English Pashto Punjabi Sindhi Farsi Other Language
Arabic Spanish German Dutch Russian Dari
Nationality Pakistani Non Pakistani
(If non Pakistani please write Nationality)
CNIC/PPT#
Interests Poetry Philosophy Art Novel Drama French Language Teaching Material Short Stories Natural Sciences History
Other
(Please check all that apply)
How would you like to receive NEWS about new arrivals? By Regular Mail By e-mail Other
.. (Signature of the applicant)
FOR OFFICE USE ONLY
Types of Member
Membership Fee (Annual ) + Security (Refundable)
Pakistani Citizen Rs. 1500 + Rs. 1500 Foreigners Rs. 3000 + Rs. 1500 AFI Students Rs. 0 + Rs.1500 External Students Rs. 750 + Rs.1500
Others Accounts Detail
Date of Membership Membership Fee Security Fee Fee Receipt No. Security (Fee Receipt No)
Alliance Franaise dIslamabad
LIBRARY MEMBERSHIP FORM
(Fill the form in BLOCK letters)
Title
( Mr. ( Miss ( Mrs.
Full Name
Address
Phone
Cell#
E-mail
Profession
( Student
( Teacher/Professor
( Doctor
( Govt. Servant
( Diplomat
( Business Man
( NGO Employee
( IT Professional
( Lawyer
( Journalist
( Engineer
( House Wife
( Other
Languages
Spoken
( Urdu
( English
( Pashto
( Punjabi
( Sindhi
( Farsi
( Other Language
( Arabic
( Spanish
( German
( Dutch
( Russian
( Dari
Nationality
Pakistani
Non Pakistani
(If non Pakistani please write Nationality)
CNIC/PPT#
Interests
( Poetry
( Philosophy
( Art
( Novel
( Drama
( French Language
( Teaching Material
( Short Stories
( Natural Sciences
( History
( Other
(Please check all that apply)
How would you like to receive NEWS about new arrivals?
( By Regular Mail
( By e-mail
( Other
..
(Signature of the applicant)
FOR OFFICE USE ONLY
Types of Member
Membership Fee (Annual ) + Security (Refundable)
( Pakistani Citizen
Rs. 1500 + Rs. 1500
( Foreigners
Rs. 3000 + Rs. 1500
( AFI Students
Rs. 0 + Rs.1500
( External Students
Rs. 750 + Rs.1500
( Others
Accounts Detail
Date of Membership
Membership Fee
Security Fee
Fee Receipt No.
Security (Fee Receipt No)
__________________________________________________________________________________
H#9, Street#49, F-6/4 Islamabad. Ph: +92-51-2825218-9 Fax: +92-51-9213730
Web: www.afislamabad.org E-mail: [email protected]
Omer AhmedAlliance Library.doc