NORTH-EASTERN HILL UNIVERSITY CENTRAL LIBRARY
P.O. NEHU Campus, Shillong-793022
REPORT OF LOSS OF BORROWER’S CARD/PASS BOOK

I am to inform that the Library Card/Pass Book issued to me has been lost. Kindly issue me a duplicate Library Card/Pass Book. I agree to pay the fines as per the NEHU Library Rules.
Particulars of Library Borrower’s Card/Pass Book:
1. Library Card Number __________________ Valid Upto __________________
2. Library Pass Book Number ______________
3. Category: PG Student/M.Phil/Ph.D./University Teacher/College Teacher/Others

UNDERTAKING OF THE BORROWER REPORTING THE LOSS OF LIBRARY CARD/PASS BOOK
In case the library card/pass book declared lost is located and a book or books found charged against the library card/pass book, I undertake the responsibility for the replacement of the book(s) outstanding against the library card/pass book.
Place: Signature of Applicant
Date:
Name: ____________________________
Department: _______________________
Institution: ________________________
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The above Library Card/Pass Book reported lost may please be checked.
Assistant Librarian (Circulation)
Dealing Assistant
Remarks of Dealing Assistant:
_________________________________________________________________________
_________________________________________________________________________
Signature of Dealing Assistant
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The Finance Officer
An amount of Rs. _______ may kindly be realised from _____________________________
against the loss of Library Card/Pass Book.
University Librarian/Deputy Librarian/Assistant Librarian (Circulation)