UNESCO Memory of the World Programme
United Kingdom National Register Nomination Form
For advice on submitting a nomination please contact the UK Memory of the World Committee Secretary (Matthew McMurrary - ) or the Chair (Elizabeth Oxborrow-Cowan – )
PART A - ESSENTIAL INFORMATION
1. TitlePlease provide the working title of the nomination
2. Summary (max 200 words)
3. Details of the nominator
3.1 Name of nominator (person or organization)
3.2 Relationship to the nominated documentary heritage
3.3 Contact person(s)
3.4 Contact details:
Name:
Address:
Tel:
Email:
4. Declaration of authority
I certify that I have the authority to nominate the documentary heritage described in this document to the UK Memory of the World Register.
Signature:
Full name (please print)
Institution (if appropriate)
Date
5. Identity & description of the documentary heritage
5.1 Context of the documents.
5.2 Description of the documents.
5.3 Inventory.
5.4Summary of provenance.
5.5. Assessment and analysis of physical state.
5.6 Visual Documentation
5.6 Bibliography
5.7 Recognition by other bodies
6. Referees
Referee 1
Referee 2
Referee 3
7. Assessment against the selection criteria
7.1 Is authenticity established?
7.2 Is U.K. significance, uniqueness and irreplaceability established?
7.3 Is at least one of the following criteria met?
a)Time
b)Place
c)People
d)Subject and theme
e) Form and style
f) Social/ spiritual/ community significance
7.4 Do any of the following issues relate to this nomination?
a) Rarity
b) Integrity
c) Threat
8. Legal Information
8.1 Owner of the documentary heritage
Name:
Address:
Tel:
Email:
8.2 Custodian of the documentary heritage (name and contact details if different from the owner):
Name:
Address:
Tel:
Email:
8.3 Legal status
a) Category of ownership
b) Accessibility
c) Copyright status
d) Responsible administration
e) Other factors
9. Management Plan
Is there a current management plan for this documentary heritage?
10. Consultation with stakeholders
PART B - SUBSIDIARY INFORMATION
11. Assessment of risk
12. Assessment of Preservation
13. Intended use of inscription
PART C – LODGEMENT
14. This nomination is lodged by:
Name (please print):
Signature:
Date:
UNITED KINGDOM MEMORY OF THE WORLD REGISTER
ASSIGNATION OF RIGHTS
Name of organization:
Description of nominated item or collection:
I hereby grant to the United Kingdom Memory of the World Committee the non-exclusive right to use free of charge any and all of the material supplied by me in any medium in association with the submission of the above nominated item or collection for inclusion in the United Kingdom Memory of the World Register, including the right to copy the material and to issue and communicate the material to the public, for the purposes of disseminating information about, promoting or supporting the United Kingdom Memory of the World Register and programme .
Provided that acknowledgement of the source is given as follows:
I agree that the United Kingdom Memory of the World Committee may license others to use the material on the same terms.
I confirm that I have authority to assign these rights and indemnify the United Kingdom Memory of the World Committee and its members against any loss or damage arising from my having supplied infringing material or made a false declaration.
Signed: ______
Date: ______
Position within the organization: ______
Note: in the case of joint nominations each party to the nomination must provide a separate assignation in respect of the material supplied by them.
ATTACHMENTS
Please ensure that you have provided the following additional information:
Supporting information / Attached?A minimum of one written reference
Supplementary catalogue or inventory information if necessary
Images if these help to illustrate the nomination
Collection management plan if available
Two images for promotional use by MoW if the nomination is successful in either a JPEG or TIFF format at 300dpi
Signed Assignation of Rights form for use of promotional these images
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