I, the undersigned, being a scholar, under twelve years of age, at ..................................................................................................... School, apply for a Ticket enabling me to borrow books from a Lending Library, in accordance with the Rules, which I promise to obey.

Name in full...........................................................................................................

Address..................................................................................................................

Age................................................ Date................................................................

To be signed by the Head Teacher of the School the Applicant attends.[1]

I, the undersigned, am of opinion that the above Applicant may be trusted to use the Libraries carefully, and to his/her advantage.

Signed....................................................................................................................

Head Teacher of..................................................................................... School.

Date...........................

1The signing of this Voucher does not involve the Head Teacher
in any financial responsibility.