IAEA Application for access to the
IAEA Library
Please complete the form and attach two recent photographs of applicant.

Family name

First name

  Name of Applicant:

  Date of Birth:

  Place of Birth:

  Nationality:

  Present Address:

  Tel. no. (daytime):

Fax:

  E-mail:

  Purpose of Library use:
  Detailed description of the topic including specification of material required from the IAEA Library's collection:
  I hereby confirm my need to use the IAEA Library.

Applicant's signature:

Date:

NAME OF INSTITUTION:

(official seal of institution)







Address:

Expected access period 1 day only

more than 1 day

from 

to 

Name of Head of Department/Library of the institute supporting applicant's request:

FOR USE OF IAEA LIBRARY ONLY:

Access granted for:

from 

to 

Access not granted:

Head, IAEA Library

Date:

Signature:

FOR USE OF UNSSS:

Clearance granted

Clearance not granted

Security Officer

Date:

Signature:

A SERVICE OF THE INTERNATIONAL ATOMIC ENERGY AGENCY LIBRARY