Select your Campus: Townsville Cairns Name: E-mail Address: Date of Request: Item Requested (Please provide full bibliographic details, only one item per form) Periodical Title: (or book title/author if item from Special Collections) Volume: Issue No: Month: Year: Article Title: Article Author: Pages: to Call Number: Copyright Declaration I declare that this copy has been requested in accordance with S49(1) of the Copyright Act 1968. I require this copy for the purposes of research or study and will not use it for any other purpose. I have not previously been supplied with a copy of this item by an authorised officer of James Cook University Library. By filling out and submitting this form you are indicating that you agree with this declaration. I agree Information Privacy Notice James Cook University is collecting the information on this form to carry out its functions under the James Cook University Act 1997. The University may disclose some, or all of this information, to appropriate agencies if required including to the Commonwealth Department of Education, Science and Training, the Australian Taxation Office, etc. For more information, the University's Privacy Plan is available at www.jcu.edu.au/staff/legal/privacyplan.rtf
Select your Campus: Townsville Cairns
Name: E-mail Address: Date of Request:
Periodical Title: (or book title/author if item from Special Collections)
Volume: Issue No: Month: Year:
Article Title: Article Author: Pages: to
Call Number:
Copyright Declaration I declare that this copy has been requested in accordance with S49(1) of the Copyright Act 1968. I require this copy for the purposes of research or study and will not use it for any other purpose. I have not previously been supplied with a copy of this item by an authorised officer of James Cook University Library. By filling out and submitting this form you are indicating that you agree with this declaration. I agree
Information Privacy Notice
James Cook University is collecting the information on this form to carry out its functions under the James Cook University Act 1997. The University may disclose some, or all of this information, to appropriate agencies if required including to the Commonwealth Department of Education, Science and Training, the Australian Taxation Office, etc. For more information, the University's Privacy Plan is available at www.jcu.edu.au/staff/legal/privacyplan.rtf
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