International ILL form

Book request

Please use a separate form for each book request.
APPLICANT DATA (* compulsory field)
Name*
Organisation
Department | Service centre*
Location*
Faculty*
UM | azM card number (max. 8 digits)*
Email*
Phone
Date*
DD slash MM slash YYYY
BOOK
Title*
Author(s) | editor(s)*
City | publisher | year | edition
Part | volume
Photocopy (if applicable)
- YES
Beginning and end page
Title | author
ISBN
Comments
Condition of use*
- I agree
I hereby declare that I will only use the requested material for private purposes or non-commercial research purposes.
CAPTCHA

APPLICANT DATA (* compulsory field)