DD/ILL Request Form
Name :
Email :

 
*Date Requested : Please click calendar icon to input date
*Type of Reference Service : Document delivery: provision of documents in hard copy or digital format usually for a fixed fee upon request. Inter-library loan: borrowing of an item from another library
For Inter-Library Loan : Loan period and other restrictions are subject to the policies and procedures set by the lending library
Salutation : How should we address you?
*Requestor's name : Please enter complete name
Requestor's department / institution :
*Client type : List of consortia members here: http://www.dlsu.edu.ph/library/consortia.asp [dlsu.edu.ph] For "Others", please specify in Requestor's Notes field below.
ID Number : Please indicate ID number if DLSU student
*Email :
Mailing Address :
Telephone/Mobile number :
*Bibliographic info of request 1 : author, year, title, source, volume, page nos.
Bibliographic info of request 2 : author, year, title, source, volume, page nos. of 2nd request, if any
Bibliographic info of request 3 : author, year, title, source, volume, page nos. of 3rd request, if any
Bibliographic info of request 4 : author, year, title, source, volume, page nos. of 4th request, if any
Bibliographic info of request 5 : author, year, title, source, volume, page nos. of 5th request, if any
What is the maximum cost you would pay for each item? : For NON-DLSU or NON-CONSORTIUM requestors only
*Delivery Type : How would document be delivered to requestor? If "Other", please specify in Notes field below
Not needed after :
Requestor's Notes : Please enter additional details here, if any