An application form

Library card application

First name	MIKE
Last name	ESPOSA-HERNANDEZ
Date of birth	08/11/1991
Address	4 CHARLES ROAD, GLOUCESTER
Postcode	GL1 3ZE
Phone	07796 345678
Email	[email protected]

I declare the information provided is correct.

Signature Mike Esposa-Hernandez

Date 03/07/2018

Your checklist

Have you got everything you need?

[ ✔ ] a passport photo

[ ✔ ] a copy of my passport or other photo ID

[ ✔ ] proof of address

Your card will be issued within 15 days and sent to the address provided.

Tips

1. It’s a good idea to write in capital letters so it’s easy to read, except for your email address and signature.

2. For dates, in the UK we usually write them DD/MM/YYYY (day-month-year). So, for 1 September 2018 you write 01/09/2018. In the United States it is MM/DD/YYYY so you write 09/01/2018.

3. If you don’t understand every word on the form, don’t panic. You can probably guess what information you need to write. Ask someone for help if you need to.