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Rules and Regulations

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HOCHSCHULE ANHALT - University Library

Date of birth:

Last Name:

Title:

Department:

User-Number: 3329 First Name:

Female Male

Gender:

To be reached by mail at: Semester-adress /Office Home adress

Semester-Adress / Office c/o or Institution:

Street:

Postal Code, City:

E-Mail:

Telephone:

Note:

State:

Country:

Home Adress:

c/o or Institution:

Street:

Postal Code, City:

E-Mail:

Telephone:

Note:

State:

Country:

Declaration:

I declare that I accept the terms of the Library Regulations. I consent to my personal details being stored, solely for the use of the electronic lending system and for notifications sent to me by teh Library of the Anhalt University of Applied Sciences.

Bernburg/Dessau/Köthen,

Signature: . . .

Application at :

Matriculation No.:

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