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Dissertation Copyright Declaration (to be completed by the STUDENT) This form is completed by the student, before the final oral examination is being arranged (in the case of a doctoral degree it should occur at the time an external examiner is being arranged). The student completes the declaration and submits a copy to their supervisor at that time. A copy of this declaration must be given to FGS at the time the final approved dissertation/dissertation is submitted to the DTheses repository. This dissertation is a public document and therefore it is necessary to ensure that due acknowledgement is made, where appropriate, before it is published. Author of Dissertation: Student Name Name of Degree: Choose an item. Anticipated Date for Graduation: Click here to enter a date. Complete only the statement that applies: I, (insert full name), confirm that my dissertation (including any electronic attachments) does not contain material for which the copyright belongs to a third party. OR I, (insert full name), confirm that for all third party copyright material in my dissertation (including any electronic attachments), I have either: a) Obtained written permission to use the material and have submitted copies of each permission to my supervisor as well as kept copies for my records (NOTE: do not include permission forms/emails in the body of your dissertation). OR b) “Blanked out” third party material from the copies of the dissertation/dissertation; fully referenced the deleted materials and where possible, provided links (urls) to electronic sources of the material. I certify that the copies of my dissertation deposited with the University will be the same as the final officially approved version of my dissertation. Signature of Author: ________________________________ Date: Today’s Date Last Updated: 2011-05-11 Athabasca University, Faculty of Graduate Studies Page 1 of 1
"10 - STUDENT - Dissertation Copyright Declaration"