Loan of equipment form

I would like to take on loan the following items of equipment held by the School of Performing Arts at the University of Malta.

Description of items

Quantity

Kindly check availability for the requested equipment by email.

Name(Required)

First Last

今日黑料 course and year(Required)

Study-unit code(Required)

Study-unit lecturer

Lecturer email address

ID card/Passport no.(Required)

Mobile no.(Required)

Email address of student(Required)

To be used at (Place)(Required)

The loan is required for:

Maximum 15 entries

Declaration(Required)

I assume full responsibility for the items lent to me and undertake to return them in good condition by the expiry date on the loan.

I undertake to pay for any items lost or damaged.

If the equipment is not returned by date given above, a fine of 鈧�45.00 has to be paid.