Inter Library Loan request form Feb 04

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Inter Library Loan request form Feb 04 Powered By Docstoc
					                         INTER-LIBRARY LOAN REQUEST FORM
                                   YOUR CAMPUS LIBRARY: -
        COLCHESTER             CYNCOED  HOWARD GARDENS                             LLANDAFF 

             PLEASE PRINT IN BLOCK CAPITALS WITH NO ABBREVIATIONS
                  This form is to be used for all types of Inter-Library requests

Name:                                                            Borrower Number:

Address:
                                                                 Email address:
Date:

Course:                              Signature of authorisation (school signatory):


Book/Journal title

Title of Article

Author/Editor

Place of publication (book only)                  Publisher (book only)

Year            Volume               Part                Pages

ISBN

Source of reference:

Library use only
Budget code(s):



                                COPYRIGHT DECLARATION
    ARTICLE REQUIRED FOR THE PURPOSE OF PRIVATE STUDY/NON-COMMERCIAL
                                                  RESEARCH
    The following declaration must be signed in person by the requester and must be obtained by the
                                   library before the request is submitted
    Please supply me with a copy of the requested article that I require for the purpose of private study
     or non-commercial research
    I have not previously been supplied with a copy of the same material by you or by any other
     librarian
    I will not use the copy except for research for a non-commercial purpose or private study
    I will not supply a copy of it to any other person
    To the best of my knowledge, no other person with whom I work or study has made, or intends to
     make at about the same time as this request, a request for substantially the same material
    I understand that if this declaration is false, the copy supplied to me by you will be an infringing
     copy and I shall be liable for infringement of copyright as if I had made it myself

       Name :___________________________ Signature:______________________________


Library use only:

Signed declaration         User details     Reader ILL overdues         Local sources checked

Bibliographic details      Reference        BLDSC shelfmark:            Library authorisation:

Comments:

				
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