Supplementary Declaration for Alumni - UBIRA

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ACCESS TO RESEARCH THESES
Supplementary Author Declaration (e-thesis)
for use by University of Birmingham Alumni
Full name (surname first): ………………………………………………………………….………..…..…………
Full title of thesis/dissertation: ………………..………………………………………………….……….............
…………………………………………………………………………………………………………….…………
School/Department: ……………………………………………………………......................................................
Degree: ……………..……………………….……… Date conferred: ……………………………………….…
I have previously deposited a printed copy of my thesis/dissertation (the Work) in the University of
Birmingham Library and wish to deposit an electronic copy of the Work in the electronic thesis repository.
Research referred to below as "Work" is covered by this agreement and when I deposit my Work, whether
personally or through an assistant or other agent, I agree to the following:
NON-EXCLUSIVE RIGHTS
Rights granted to the University of Birmingham electronic thesis repository through this agreement are
entirely non-exclusive. I retain all rights in the Work in its present version or future versions. I agree that
the repository administrators or their agents may, without changing content, migrate the Work to any
medium or format for the purpose of future preservation and accessibility.
DEPOSIT IN THE UNIVERSITY OF BIRMINGHAM ELECTRONIC THESIS REPOSITORY
I understand that work deposited in this repository will be accessible to individuals and institutions via the
Internet. I acknowledge that, through the medium of the Internet, files will also be available to automated
agents, and may be searched by text mining and plagiarism detection software. An electronic copy of my
thesis may also be included in a recognized UK Database of Theses held by the British Library or other
agent by agreement with the University of Birmingham.
I DECLARE AS FOLLOWS:
- That I am the author or have the authority of the authors to make this agreement and to hereby give the
University of Birmingham electronic thesis repository administrators the right to make available the Work
in the way described above.
- That the digital version I am supplying is exactly as approved by the examiners at the time of the award
of my degree and as previously submitted to the library in printed form. (If I do not have a suitable digital
version available, or if the repository administrators encounter problems with any digital file I supply, the
administrators may scan my Work from the printed copy in the Library.)
- That I have exercised reasonable care to ensure that the Work is original, and does not to the best of my
knowledge break any UK law, infringe any third party’s copyright or other Intellectual Property Right, or
contain any confidential material.
- That if my thesis/dissertation does include any substantial subsidiary material owned by third-party
copyright holders, I have sought and gained permission to include it in any version of my Work available
in digital format via a stand-alone device or a communications network.
- I understand that the administrators of the repository do not hold any obligation to take legal action on
behalf of myself, or other rights holders, in the event of breach of intellectual property rights, or any other
right, in the material deposited
Please print out this page, sign it and
a) return it by post to Digital Assets Team, Library Services, University of Birmingham, Edgbaston,
Birmingham B15 2TT
or b) e-mail a scanned copy of this signed page to ubira@lists.bham.ac.uk
Signature: ………………………………………………
Date: …………………………
eTheses web page version
Library Services, April 2013
Your thesis details
Please forward the text of your thesis in Word or PDF format:
a) as an e-mail attachment to ubira@lists.bham.ac.uk
or b) on a disk posted to Digital Assets Team, Library Services, University of Birmingham, Edgbaston,
Birmingham B15 2TT
c) if you do not have an electronic copy available, please write “to be scanned” in the box for File Format
If your thesis includes supplementary material in a format that is not incorporated in the main body of the text,
please contact the Digital Assets Team in Library Services via ubira@lists.bham.ac.uk , or phone 0121 414 3397,
to discuss the format for supply.
Please also supply the details requested below by saving this file and e-mailing it or copying it to disk as above.
The shaded cells are required, and the blank cells are optional.
Field Name
Comments
Title
Full title, including any subtitle
Alternative Title
Other titles for the work, e.g. Translations or abbreviations.
Abstract
Please copy and paste the text of your abstract here, or supply it in a separate editable
file (eg Word or plain text).
Qualification name
Name = Specific degree, eg PhD
Author
The author of the work as on the title page. Separate the surname (family name) from the
forenames, given names or initials with a comma. e.g. Smith, Andrew J.
Supervisor(s)/advisor
Thesis supervisor, other supervisors, and advisors. Format as for author.
Awarding Institution
Name of institution awarding degree
University of Birmingham
Author Affiliation
Name of school, department, centre, faculty or college where you were based.
Language
Primary Language
English
Date of graduation
Date degree was conferred, in format: YYYY-MM
Publisher
Name of the publisher if the thesis or any version of it has been formally published.
Sponsors
Sponsor of student if applicable
Date of graduation
Date degree was conferred, in format: YYYY-MM
Included/Quoted work
References to other works, eg an edition of a text or discussion or another work that is
the major subject of the thesis
Subject keywords
Any keywords that will help readers search for your thesis.
File Format
File type and software version (eg Word 2003) of the text supplied
File Size
Size of file for preservation information and integrity checking
eTheses web page version
Library Services, April 2013
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