Application for a library card for teaching staff, other employees, doctoral students and members of Leipzig University

Title(s):

Please enter your title(s) here.

First name: *

Last name: *

Please enter your last name here.

Date of birth: *

Please enter your date of birth here.

University e-mail: *

Please enter your university e-mail address here.

Work address: *

Please enter your work address here.

ZIP/Post code: *

Please enter your ZIP/post code here.

Place name: *

Please enter your place name here.

Working contract:

Fixed-term contract

Permanent contract

Please select the type of working contract you have.

If you have a fixed term contract, when does the contract end?

If you have a fixed term contract, please enter the end date here.

I would like to collect my library card from the following branch:Please tick where youI would like to collect your library card:

Yes *

Please tick here if you have read and accept the rules governing the use of Leipzig University Library as well as the list of fees and charges.

I have read and agree to the privacy statement of Leipzig University Library:

Yes *

Please tick the checkbox to confirm that you have read and agree to the privacy policy of Leipzig University Library.

Fields marked with an * are required fields and must contain data.