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10 - STUDENT - Dissertation Copyright Declaration

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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

								
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