Library Form | La Casa de los Políglotas

La Casa de los Políglotas

P.O. & P.S., Village - Kanjialpara, Rajarhat,

Kolkata, West Bengal 700 135

+91 6289 735 011 [email protected]

Library Form — 2026-2027

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Full Name

Date of Birth

Gender

Male

Female

Other

Contact Number

Address

Pin Code

Membership

Membership Category

Preferred Section / Collection

Primary Area of Interest

Subject Information

Preferred Genres / Subjects

Reading Level

Previous Library / Reading Experience

Purpose of Library Membership

Preferred Language(s)

Frequency of Library Visit

Identification

ID Number

ID Proof

ID Number

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Referral

Referral Code(If any)

Need Digital Access?

Yes

Signature

signature Upload

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Declaration:

I hereby declare that the information provided above is true and correct to the best of my knowledge.

I acknowledge that I have read and understood the guidelines and rules of La Casa de los Políglotas.

About Us

La Casa de los Políglotas provides high-quality foreign language education, translation, interpretation, and cultural training services.

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62897 35011 [email protected]