Inter-Library Loan Request
1 item per form / Complete in full
Items take between 2-6 weeks depending on availability
Surname:…………………………..…………. Initials:……………… Faculty….:…………………….. Date:……………………………
Library (barcode) No…..……………………..…… Supervisor's signature (level 6 & 7)……………………………………………...
Address:…………………………………………Tele: …………………………….…………… BU email:………………….………………….
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Tick here if you wish to collect at Bournemouth House Library - Lansdowne campus
Journal Title…………………………………………………………………………………………………….Article within the journal……………………………………………………………………………………..
…………………………………………………………………………………………………………………….
Author
Year Volume Part Pages /
For Library use
Book /PhD /other ………..…………………………………………………………………………………..…………………………………………………………………………………………………………………….
Author/Editor
Publisher Date ISBN
Volume …………………………………………….(if more than 1 is required submit on separate forms) /
Copyright Declaration: Copy of article or part of published work as required by the Copyright, Designs and Patents Act 1988, and The Copyright (Librarians and Archivists) (Copying of Copyright Material) Regulations 1989.
To: Sir Michael Cobham Library, Bournemouth University, Talbot Campus, Poole, Dorset, BH12 5BB. UKPlease supply me with a copy of the article in the periodical, the particulars of which are given overleaf required by me for the purposes
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 research or private study and will not supply a copy of it to any other person.
(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.
(d) if this item was delivered by an electronic method (which includes facscmile transmission), I will retain only a single paper copy and destroy any electronic copies after printing.
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.
Requesters Name* Date
Signature*
For Library Use OnlyApplied: To:
Re-applied: To:
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Re-applied: To:
Received: From: / Date due: Final date:
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Overdues: Returned: