Inter library loan request one request per form Journals or Conferences All staff and students: Please tick one delivery option below: Print – Print – keep in Secure send to my Electronic library Delivery (SED) department USE BLOCK CAPITALS Title of journal or conference Year of publication: Volume number: Part number: (default) Pages: (default) Author: Title of article or paper: Conference date: Conference location: Conference publisher: Books, Reports and Masters Items for loan are kept in the library until issued; you are notified of their arrival via your University Email Author or editor(s): Title: Place of publication (or University if a masters): Date of publication: Publisher Information: Edition: Copyright Copyrightdeclaration declaration forfor article article requests requests Please supply me with a copy of the item shown overleaf. I declare ISBN: Reader Details Name: that: 1. I have not previously been supplied with the same material by any librarian. URN: Department: University email address: 2. I will not use the copy except for research for a non-commercial purpose or private study. 3. I will not supply a copy of it to any other person. U/G P/G Masters 4. 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. Authorisation 5. If this item was delivered by an electronic method (including fax transmission) I will retain only a single paper copy and destroy any electronic copies after printing. Signature of tutor: P/G Staff Research Undergraduate and Taught P/G Name of tutor: 6. I understand that if the declaration is false in a material particular the copy supplied to me will be an infringing copy and that I shall be liable for infringement as if I had made the copy myself. Research P/G and Staff (for all requests) I declare that I am authorised to commit ILL funds on behalf of my school department (i.e. I am a P/G Researcher or an Academic member of staff) Signed: Date Signed: