Academic Scanning Request Form & Copyright Declaration

Request Information

Please  supply me with a  copy of  *the article in the following periodical/the part  of the 
following published work, the particulars of which are: 

 and required by me for the purposes of  research or private  study  (one  requested item per  form).

I declare that:

(a) I have not previously been supplied with a copy of the same material by you or any other librarian;

(b) I will not use the copy except for research for a non­commercial purpose or private study and will not supply a copy of it to any other person; 

(c) to the best of my knowledge no other person with whom I work or study has  made  or  intends  to  make,  at  or  about  the  same  time  as  this  request,  a request for substantially the same material for substantially the same purpose.

I understand that if the declaration is false in a material particular the copy supplied to me  by  you  will  be  an  infringing  copy  and  that  I  shall  be  liable  for  infringement  of copyright as if I had made the copy myself.

Your Details