Lost Book Report Form Customer Management Unit Customer Service Section Information & User Service Division Ketua Pustakawan Perpustakaan Sulltanah Bahiyah Universiti Utara Malaysia To whom it may concern, LOST BOOK REPORTNameEmailMatric / Staff No.Book TitleAuthorI {name-1} agree to:Replace item + process fee RM10.00Paid double price of the original itemUNTUK KEGUNAAN PEJABAT Book Title: Author: Call No: Accession No: ISBN: Publisher & Publish Year: Book Prices: RM Total Fine Item Price: RM Replacement Cost: RM Processing Cost: RM TOTAL: RM Payment Receive Tarikh: Receipt No: Note: HantarJumlah penghantaran: 5