1 UCL History of Art Gower Street London WC1E 6BT Tel: +44 (0) 20 7679 7538 Fax: +44 (0) 20 7916 5939 DECLARATION For Masters DISSERTATION NAME OF STUDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [short] Title of Dissertation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................................................ ......................................... Word-count (including footnotes, excluding bibliography and appendices etc.) .......... I declare (a) that the work presented for assessment in this dissertation is my own, that it has not previously been presented for another assessment, and that my debts (for words, data, arguments and ideas) have been appropriately acknowledged (b) that the work conforms to the guidelines for presentation and style set out in the relevant documentation. □ By ticking this box, I accept that my dissertation might be made available to future MA students of the department. Your name will be disclosed for these purposes. We only do this with dissertations with a mark of 68% or higher. Name . . . . . . . . . . . . . . . . . Signed . . . . . . . . . . . . . . . . . Date . . . . . . .