The provision of personal data on this form is voluntary. If you do not provide sufficient information, we may not be able to process your application. For details of the CUHK’s privacy policy, please visit: http://www.cuhk.edu.hk/english/privacy.html. Course Information (All fields required*) Professor's or Instructor's Name (Surname First): * Staff I.D.: * Department: * Phone Number: * Email: * Course ID: * Course name: * Course Duration: * 1st Term 2nd Term Full Year Summer Course To put the materials on reserve in: UL ARL CCL MEL NAL UCL Fill in the information for each item you would like to place on reserve. If there are multiple copies of an item, specify the number of copies required. Course Reserves Material CUHK Library Book Course Reserves Material 1 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Add More Record Yes No Course Reserves Material 2 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Course Reserves Material 3 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Course Reserves Material 4 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Course Reserves Material 5 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Course Reserves Material 6 Author (Surname First): Title: Publisher: Year: Call No. (if any): Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Personal materials (e.g. books/ lecture notes/ journal articles/ problem sets and solutions, etc.) Title: Loan Period: 2 Hrs4 Hrs1 Day3 Days7 Days No. of copies: 12345 Note: Please enclose a copy of this form together with your Personal materials when you send in your request. Only one copy of an article from a single issue is allowed. Non-print materials such as CD, DVDs, etc., may be placed on AV Reserve. Leave this field blank
