UNIVERSITY “POLITEHNICA” OF BUCHAREST

CENTRAL LIBRRAY

Branch………………………………..

No……………………Date……………..

(is completed by the librarian)

 

 

LIBRARY REGISTRATION FORM

(Please fill in the Registration Form below using capital letters and send it to biblioteca@upb.ro)

 

 

 

SURNAME: ……………………………………………….

FIRST NAME: …………………………………………….

DATE AND PLACE OF BIRTH: DATE ………………………………………...

COUNTRY:   …………………………………PLACE………………………….

PERSONAL ID NUMBER: ………………………………………

FACULTY …………………………………….GROUP NO…………………….

SPECIALITY …………………………………

LEVEL OF STUDIES:

 

LICENCE                               MASTER                                   DOCTORAL STUDIES

                                             

 

 

PERMANENT RESIDENCE: COUNTRY…………………………………………

                                                     PLACE ……………………………………………..

 

TEMPORARY RESIDENCE: ……………………………………………………….

…………………………………………………………………………………………..

MOBILE PHONE: ……………………………………………………………………

E-MAIL: ………………………………………………………………………………

PASSPORT NO.: …………………………..DATE OF ISSUE……………………..

TEMPORRAY RESIDENCE PERMIT: ……………………………………………

DATE OF ISSUE: ……………………..DATE OF EXPIRE ……………………….

 

I oblige myself to respect the Rules and regulations for the users of the Central Library of the University “Politehnica” of Bucharest and to support the legal consequences in case of its violation.

 

 

                                                                     NAME………………………………….

                                                                    

 

Please send the Library Registration Form to biblioteca@upb.ro