Specimen Form 
* Denotes mandatory fields.
Date of Requisition: Friday, September 03, 2010
* Full Name:
* Designation:
* Department:
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* Name of College/Institute/University:
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* City: * District:
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No. of Students who join each
year (In College/Institute):		 (In Dept):
Name & Author of specimen book(s) required Subject that these books are required for % of your subject syllabi met by these books Week & Month in which you start teaching this subject every year ( e.g. 1st week of Aug) No. of
students you teach
in this subject (Each Semester
/Year)

 Would this title sell to Libraries (L) or Students (S) or Both (B)
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NOTE: Specimen copies will be sent based on Sale Potential.
 
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