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Registration and copyright declaration for electronic requests (Library members only)

  • To send document supply requests to the library via electronic mail (email), please fill in, PRINT OUT, sign and date this form and return it to the library. Please type in the details on screen before printing out the form.
  • The Copyright Act 1968 requires that this be done before any copies can be requested electronically.
  • This form authorises the library to accept your name, email address and password as your 'electronic signature' on all future requests.

When the library receives this form, a password will be sent to the email address given on this form

If you wish to choose your own password, please PRINT a new password (alphanumeric) of between 5 and 10 characters in BOTH boxes below for validation:

Group:   

Copyright agreement

The user agrees with the library and declares as follows:
  1. All copies requested by me under this agreement are required for the purpose of research or study, will not be used for any other purpose, and have not previously been supplied to me by the library.
  2. The declaration in clause 1 applies to all requests made by me in accordance with clause 5.
  3. The library may treat as signed by me any email requests made under subsection 49(1) of the Copyright Act 1968 that bears my name and password and are sent from my email address.
  4. I understand that it is an offence under section 203F of the Act to make a declaration under section 49 that I know, or ought reasonably to know, is false or misleading in a material particular, and I will not allow any request to be signed in the manner provided under this agreement without my authority.
  5. All email requests and declarations must include at least the following details:
    Name, email address and password

I declare that any copy requested is required for the purpose of research or study, will not be used for any other purpose and has not been previously supplied to me by the library.

I undertake to keep my password confidential.

Signature:_____________________________ Date: _____________________

Please return this form to:
The Ronald Lowe Library, The Royal Victorian Eye & Ear Hospital
Locked Bag 8, East Melbourne VIC 8002, Australia