HELLENIC REPUBLIC

MINISTRY OF CULTURE

& TOURISM (Please fill in appropriately with the title TO:

of the service this is addressed to)

REQUEST FORM

FOR A PERMIT TO REPRODUCE IMAGES OF ARCHAEOLOGICAL CONTENT (OBJECTS IN GREEK MUSEUMS, MONUMENTS-ARCHAEOLOGICAL SITES) IN AN ELECTRONIC PUBLICATION – DIGITAL DISC

(On the basis of article 46 of Law 3028/02 and the Joint Ministerial Decision with Reference Number YPPO/GDAPK/DMEEP/G2/F51-52-54/81397/2199/12.09.2005, Government Gazette Issue 1491/B/27.10.2005)

DATE:
DETAILS OF APPLICANT
Name and surname:
Postal Address:
Telephone/FAX:
DETAILS OF PUBLISHER/PRODUCER
Name and surname:
Postal Address:
Telephone/FAX:
COMMERCIAL DISTRIBUTION
Name of Company:
Postal Address:
Telephone/FAX:
AUTHORISED SIGNATURE:
DETAILS OF ELECTRONIC PUBLICATION
TITLE: / Please state the title of the electronic publication, and give a brief description of it.
END-PRODUCT: / Please state the end product (COMPACT DISC: CD-I, CD-ROM, DV-I, CD-XA, PHOTO-CD, DVD-ROM, BLUE-RAY DISC, etc.)
NUMBER OF COPIES: / Please state the number of copies of the end product.
VISUAL CONTENT: / Please state the total number of images, as follows:
a)Individual images of one (1) object or one (1) monument in stills:
b)General views (groups of museum objects or monuments) in stills: ______
c) Images from video-recordings:
(Please indicate the duration in the end product)
  • Up to 15΄

  • Up to 30΄

  • Up to 45΄

  • Up to 60΄

  • over 60΄

COUNTRY OF PUBLICATION:
LANGUAGES:
COUNTRY/COUNTRIES
OF DISTRIBUTION:
LANGUAGES:
OTHER DETAILS: / Please state the following:
1. If this is the first publication
2. If it is a republication
ATTACHED: / 1. Photocopies of the visual content
2. Photocopies of the texts
DECLARATION: / The electronic title, and by extent the end product must contain the following:
  • A statement of the source of the antiquities included in the visual content, to be indicated as follows:
Name of the Museum (in the case of museum objects)
Name of the Ephorate of Antiquities (in the case of monuments and archaeological sites)
  • A statement that the Ministry of Culture and Tourism and the Archaeological Receipts Fund enjoy copyright over the antiquities included in the visual content (which is never surrendered), to be indicated as follows:
© MINISTRY OF CULTURE & TOURISM
ARCHAEOLOGICAL RECEIPTS FUND

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