Please return to: Library & Information Services, Aston University, Aston Triangle, Birmingham B4 7ET. Fax +44 (0)121 204 4530. Email library@aston.ac.uk.
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Name [BLOCK CAPITALS]
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Staff
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Email address
Library barcode no. 20116. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Journal - Only ONE article from any one issue
Journal Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Year . . . . . . . . . . . . . . .
Volume . . . . . . . . . . . . .
Part . . . . . . . . . . . . . . .
Page numbers . . . . . . .
Article Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Class number . . . . . . . . . . . . . . .
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Book or Report - Only up to 5% of whole work, or ONE complete chapter
Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Year published. . . . . . . . . . . . . . .
Class number. . . . . . . . . . . . . . .
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Copyright declaration
Please supply me with a copy of the above work, required by me for purposes of research or private study. 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 or private study and will not supply a copy of it to any other person; and (c) 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 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.
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For LIS use only
Date completed
Cost
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