photography form

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Digital photography declaration form
Full details of the material to be photographed (please use block capitals):
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Copyright on published material is protected for 70 years following the end of the year of the author’s
death. Copies can be supplied for research or private study purposes only, on completion of a copyright
form. Readers seeking to copy material for other purposes are obliged to obtain clearance from the
copyright holders. Permission is required to reproduce any of the Library’s resources.
Declaration: Digital photography of published works and manuscripts
1. I declare that –
(a) I will not use the image except for research or private study and will not supply a copy of it to any other
person; and
(b) I will not reproduce the image in any format for publication in any medium (including the World Wide Web).
2. I understand that if the declaration is false in a material particular I shall be liable for infringement of
copyright.
†Signature ......................................…………………………………………………….. Date ……...........…..
Name ...........................................………………………………………………………………………………….
Address ..............................................................…………………………………………………………………
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†This must be the personal signature of the person making the request. A stamped or typewritten signature, or
the signature of an agent, is NOT acceptable.
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