国立高雄应用科大图书馆准研究生借书申请表暨负责归还承诺

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1、國立高雄應用科大圖書館準研究生借書申請表暨負責歸還承諾書編號：-(館方覆核時填寫)姓名出生日期民國年月日系所班別□碩士班□博士班身份證聯絡電話字號學號E-mail行動電話address請注意：開學後一律以計網中心之帳號發送通知單通訊地址□我已閱讀並同意「國立高雄應用科技大學圖書館個人資料蒐集告知暨同意書」簽名：1.本表所有欄位均必須完整填寫，經保證人(所長或該系所專任教師)核章，持身分證正本親至圖書館流通台申辦。若資料齊備，當場審核通過，申辦當日即可借書。注意事項2.未領到學生證前，憑身分證得刷卡入館、借書及享本校研究

2、生各項圖書館權利。3.借書冊數、借期等權限同本校研究生(寒暑假亦享優惠期限至開學)。4.本館得於開學後凍結準研究生期間借書逾期及積欠罰款未結清者之借書權限。本所準研究生(簽名)申請於開學前向圖書館借閱圖書，已了解並願遵守圖書館相關規定。此段期間如有欠書罰款等問題，圖書館經由正常程序無法聯絡到該生時，由保證人(所長或該系所專任教師)負追索及連帶賠償責任。保證人責任於該生還清此段期間之欠書罰款為止。保證人簽章：(所長或該系所專任教師)申請日期：民國年月日(以下由館方填寫)審核：門禁檔建檔日期：覆核：讀者檔建檔日期：※本表單

3、保存六個月後銷毀LibraryLoanApplicationFormandLetterofPromisetoReturnLibraryMaterialsforGraduateSchoolApplicantsReferenceNumber:-(staffwillprovideduringreview)DateofNameYear.......Month........DayBirthCollege......DepartmentClass□Master’s□DoctoralIdentificationTelephoneN

4、umberStudentIDNumberE-mailMobilePhoneaddressAttention:Afterthesemesterbegins,theComputerandNetworkingCenterwillsendoutnotification.MailingAddress1.Allsectionsofthisapplicationformmustbecompleted.Theguarantor(graduatechairorcollegefull-timeinstructor)mustprovideh

5、isorherseal,andtheapplicantmustapplyatthecirculationdeskinpersonwithoriginalidentification.Ifallinformationnecessaryforlibrarycardapplicationhasbeenprovided,andapprovalisreceiveduponapplication,theapplicantmayenterthelibraryandstartborrowingbooksonthedayofapplic

6、ation.2.PriortoreceivingastudentIDcard,theapplicantmustbringhisorheridentificationwhichwillbeAttentionscannedforlibraryentranceandborrowingbooks.ThisidentificationwillalsoprovideapplicantswiththesamelibraryprivilegesasthisSchool’sgraduatestudents.3.Applicantsmay

7、borrowthesamenumberofbooks,andenjoythesameborrowingperiod,aswellasotherprivilegesenjoyedbythisSchool’sgraduatestudents(duringwinterandsummervacationsuntilthesemesterbegins).4.If,afterthesemesterbegins,theapplicanthasnotpaidoverduebookfineswhichheorshehasincurred

8、,hisorherbookborrowingprivilegeswillbesuspended.Thiscollege’sgraduateschoolapplicant(sign),isapplyingfortheprivilegeofborrowinglibrarybookspriortothebeginningofthesem