Copyright Holder title

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[Your address]
[Date]
[Publisher Address]
Dear [Copyright Holder]
I am writing to request permission to reproduce and use the following material in my
PhD thesis on [title] in [discipline] at the University of St Andrews.:
Author: [Name of author(s) or editor(s)]
Publication: [Book or journal title; URL]
Chapter: [Chapter number and/or title]
Page(s): [Page number(s); direct hyperlink]
Description: [Figure or table number, image title, or number of words]
All students at The University of St Andrews are encouraged to deposit their theses
into the University’s Digital Research Repository, which has been developed to
archive and preserve the intellectual output of the University and make it freely
accessible world wide for non-commercial use. I plan to submit my thesis for
inclusion in the Digital Research Repository by [date].
I would greatly appreciate your permission to include the above-mentioned material
as part of my digital thesis, and to enable it to be displayed online in this context for
an indefinite period. A full citation will be permanently included to acknowledge you
as the copyright holder of this material.
If you do not have the necessary rights, please could you indicate who might be in a
position to give this permission? Please also let me know if you have any particular
citation requirements.
If you require any additional information, please do not hesitate to contact me. I can
be reached at: [Your contact information]
A duplicate copy of this request has been provided for your records. If you agree with
the terms as described above, please sign the release form below and send one copy
with the self-addressed return envelope I have provided.
I look forward to your reply. [If you have a deadline, say so here]
Yours sincerely
[Signature]
[Your name]
Please could you indicate your agreement by completing and signing a copy of the
below form and returning it by post.
_______________________________________________________________
Permission is hereby granted for the use of the material described above.
Signed ______________________________________
Title ________________________________________
Company / Publisher __________________________
Date ________________________________________
I (WE) HAVE THE RIGHT TO GRANT PERMISSION FOR THE USE OF THE
MATERIAL DESCRIBED ABOVE AND HEREBY GRANT SUCH PERMISSION.
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