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Library borrowers registration form

Aboriginal and Torres Strait Islander
Learning and Engagement Centre Library, North Queensland
26 Burt Street, Mundingburra 4812
Telephone: +61 7 4775 6055 Fax: +61 7 4725 3463
Email: atsi.librarynorth@deta.qld.gov.au
Online Library Catalogue (new window)

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Borrower's details

Surname:

Given names:

[School]-[Business] or [Institute] Name:

Street name:

Suburb:

Postcode:

Telephone:

Fax:

E-mail:

Home address:

Street name:

Suburb:

Postcode:

Telephone:

Fax:

Borrower's Categories:

(Please click on the box that suits you)

Teacher
Education Queensland personnel
Public
Other (please specify)

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CONDITIONS FOR BORROWING

The borrowing period of four weeks may be renewed once, if the item is not required by another borrower. Requests for extension on time can be arranged by contacting the librarian on telephone: +61 7 4775 6055, Fax: +61 7 4725 3463 or email: atsi.librarynorth@deta.qld.gov.au;
If an item is damaged or lost whilst on loan, the borrower is responsible for repair or replacement cost of the item and will be invoiced by Education Queensland;
If items are not returned to the library after the final overdue notice borrowers will be invoiced by Education Queensland;
Change of personal details must be advised to the librarian to amend our records;
Resources must not be passed on to other people whilst on loan to yourself;
New borrowers must provide identification below for proof of their current address.

Identification details: Please provide one of the following forms of identification.

Drivers Licence No.

Teacher Registration No.

Education Queensland Employee No.

NOTE: By submitting this form you are agreeing to the CONDITIONS FOR BORROWING outlined in this form.

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