This document appears to be a borrower's card used to track books borrowed from a library or classroom. It contains fields for the pupil's name, date borrowed, book title, and teacher's signature. The purpose is to record which books are borrowed by each pupil and have the teacher acknowledge the transaction.

1. NAME OF
PUPIL:___________________________________________
NAME OF
PUPIL:___________________________________________
DATE
BORROWED
BOOK TITLE TEACHER’S
SIGNATURE
DATE
BORROWED
BOOK TITLE TEACHER’S
SIGNATURE
BORROWER’S CARD
BORROWER’S CARD