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Scanning request form (HTML)


Please return to: Library & Information Services, Aston University, Aston Triangle, Birmingham B4 7ET. Fax +44 (0)121 204 4530. Email library@aston.ac.uk.

Name [BLOCK CAPITALS]

Staff

Postgraduate

Placement

Distance Learner


Email address


Library barcode no
. 20116. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Journal - Only ONE article from any one issue

Journal Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Year . . . . . . . . . . . . . . .

Volume . . . . . . . . . . . . .

Part . . . . . . . . . . . . . . .

Page numbers . . . . . . .

Article Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Class number . . . . . . . . . . . . . . .

Book or Report - Only up to 5% of whole work, or ONE complete chapter

Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Year published. . . . . . . . . . . . . . .

Class number. . . . . . . . . . . . . . .

 

 

Copyright declaration
Please supply me with a copy of the above work, required by me for 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; and (c) to the best of my knowledge no other person with whom I work or study has made or intends to make, at about the same time as this request, a request for substantially the same material for substantially the same purpose. 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.

 

Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

     

 

For LIS use only

Date completed

 

Cost

 

Employable Graduates; Exploitable Research