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Inter-Library Loan Request and Copyright Declaration
(Copyright Act, 1968, Sections 49 and 50)

Request for External Copies

I request the Librarian to supply me with a copy of the following:
(Please fill in appropriate section and provide your details and your PIN)

Periodical

You may either provide these details:

Title of Periodical
Date, Volume, Part
Inclusive Pages
Author of Article
Title of Article


Alternatively, paste a reference if you have it in electronic format:
 

Book/DVD/Video
Author(s)/Editor(s)
Title 
Series (if any)
Place, Publisher, Date, Edition
Author, Title & Pages if only a copy of a section is wanted
 

Copyright Declaration:

I declare that I require the copy for the purpose of research or study and will not use it for any other purpose.  I also declare that I have not previously been supplied with a copy of this material by an authorised officer of the library.

 

Name:
PIN number Required
Mailing Address
Email Address
Phone Number
Page me to collect
(Enter Pager Number)
Not required after
I prefer to receive this by:    email     normal mail     will collect

Special instructions

 

Important

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