Use BLOCK letters. ONE request per form. SIGN declaration for photocopies.
Surname: …………………………………. Initials:……………… School….:………………….. Date:……………………………
Library card No.
………………………… Supervisor's name (printed) & signature…………………………………………………...
Address:
…………………………………………………….Tel:………………………………… BU email:……………………………….
Date request is required by (please allow 2-6 weeks depending on availability
Tick here if you wish to collect at Bournemouth House
I confirm I have checked to ensure the book/article is not already available through BU resources.
Library Catalogue for books: http://prism.talis.com/bournemouth-ac/home
MySearch for articles: http://www.bournemouth.ac.uk/library/resources/mySearch.html
*
Journal or Conference title……………………………………………………………………………….
Year Volume Part Pages
Author:
For Library use:
Article or Paper :
* Books, PhD’s & other requests.
Title: ………………………………………………………………………………………………………………
Author/Editor:
Publisher Date ISBN
*You must include: for THESES: degree and awarding institution.
For REPORTS, PATENTS, STANDARDS: number and issuing body. For CONFERENCES: place held.
A. Copyright Declaration: Copy of article or part of published work as required by the Copyright, Designs and Patents Act 1988, and The
Copyright (Librarians and Archivists) (Copying of Copyright Material) Regulations 1989.
To: Sir Michael Cobham Library, Bournemouth University, Talbot Campus, Poole, Dorset, BH12 5BB. UKPlease supply me with a copy of the article in the periodical, the particulars of which are given overleaf required by me for the purposes of research or private study.
I declare that:
(a) I have not previously been supplied with a copy of the same material by you or any other librarian.
(b) I will not use the copy except for research or private study and will not supply a copy of it to any other person.
(c) to the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose.
(d) if this item was delivered by an electronic method (which includes facscmile transmission), I will retain only a single paper copy and destroy any electronic copies after printing.
I understand that if the declaration is false in a material particular, the copy supplied to me by you will be an infringing copy and that I shall be liable for infringement of copyright as if I had made the copy myself.
Name Signature* Date
B . I require this for commercial purposes. An additional fee will be charged to your school. Fund code
Name Signature* Date
* This must be the personal signature of the person making the request. A typewritten signature of an agent is NOT acceptable.
For Library Use
Applied: ................................... To: ......................................... Date due: ............................ Final date: ......................................
Re-applied: .............................. To: ......................................... Renewals: .....................................................................................
Re-applied: .............................. To: ......................................... Renewals: .....................................................................................
Re-applied: .............................. To: ......................................... Renewals: .....................................................................................
Received: ................................ From: ..................................... Overdues: ................................ Returned: .................................