Research Student Administration

UNIVERSITY OF BRADFORD

Request to Embargo Thesis

Your details
Surname
Forename
UB number / FACULTY
Principal Supervisor
Associate Supervisor
Sponsor / Please enter the name of any sponsor who pays part/all of your fees
Embargo details
I am seeking to embargo / The electronic copy of my thesis (ethesis) ONLY
Both the electronic and print copies of my thesis
I am seeking an embargo for:
(the maximum period is 5 years) / One year
Two years
Three years
Four years
Five years
Reasons for requesting an embargo
OPTION 1: COMMERCIALLY SENSITIVE MATERIAL / SENSITIVE MATERIAL
I am seeking an embargo because / My thesis contains commercially sensitive material
My thesis contains personal data / ethically sensitive data
Please tell us a little more about the reasons for applying to embargo your thesis:
Reasons for requesting an embargo
OPTION 2: PUBLICATION / OTHER CONCERNS
I am seeking an embargo because / I am worried about future publication restrictions
I have other concerns (please outline below)
Please tell us a little more about the reasons for applying to embargo your thesis:
Supporting documentation MUST be attached where you are requesting an embargo on the grounds of publication /other concerns / I have attached a letter from my publisher
I have attached my publisher’s terms and conditions
I have attached other supporting documentation
Signed / Date
Supervisor’s confirmation
I support this student’s request to embargo their thesis and believe that both the grounds for the embargo and the length of the embargo are appropriate
Signed:
(Principal Supervisor) / Date:
Decision of the School Adjudication Panel
Approved / YesNo
Chair of the Panel / Signature:
*Minutes of Adjudication Panel taken? / Yes
If the Embargo needs a review at the end of the specified period please indicate here or the Thesis will be automatically published. / Review: Yes
*Student notified of the outcome and their right to appeal to the Faculty Post Graduate Research Degrees Sub- Committee? / Yes

Please submit this to the Research Administration Team.

*Is a mandatory faculty responsibility.

Friday, 27 January 2017 H:\AA\HUB\SRS\RESEARCH STUDENT ADMINISTRATION\STANDARD PRO FORMAS\Request for an embargo Janury 2017.docx