Please supply me with a copy/loan of the following which is required by me for the purposes of research or private study

* 1. Document details

* 2. Your Contact Details

* 3. Date item required


Please supply me with a copy of the above mentioned, the particulars of which are required by me for the purpose 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 a non-commercial purpose 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 or about the same time as this request, a request for substantially the same material for substantially the same purpose.

* 4. 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.