Order Form 2007 - The University of Edinburgh

Centre for Research Collections
Edinburgh University Library
George Square
Edinburgh EH8 9LJ
APPLICATION FORM:
PERMISSION TO REPRODUCE
IMAGES without a CC-BY licence
(PRINT & E-CONTENT)
Tel: 0131 650 8379 Fax: 0131 650 2922
email: [email protected]
For Office Use Only
Name
Matric/Staff No.
Ref No
Date Received
Address
Image Order No.
Country
Post Code
Tel.
E-mail
Items to be reproduced:
Image ID(s) if available
Shelf Mark
Author
Year / Date
Page / Folio
number(s)
Title of Work
For Office Use Only
Copyright Status
Notes
Image ID(s) if available
Shelf Mark
Author
Year / Date
Page / Folio
number(s)
Title of Work
For Office Use Only
Copyright Status
Notes
Image ID(s) if available
Shelf Mark
Author
Year / Date
Page / Folio
number(s)
Title of Work
For Office Use Only
Copyright Status
Notes
The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336
Publication Details:
Author(s)
Title of
Journal /
Article / Book
Print Run
Date
E-version?
RRP (est)
Publisher & eversio URL
Do you require world or UK / single country rights? (Please specify)
Do you require single or multiple language rights? (Please specify)
Full Terms and Conditions
• This agreement represents the entirety of the Terms and conditions between Edinburgh University and the Client (as specified on
the Application Form)
• Edinburgh University does not grant exclusive rights or rights in perpetuity.
• Any publication right (as defined in the Copyright and Related Rights Regulations, 1996) arising in respect of any image from the use
by the Client of such image is reserved by Edinburgh University and the Client hereby assigns all such rights arising to Edinburgh
University.
• Edinburgh University retains copyright and related rights in the images throughout the world.
• Rights licenses, where granted by Edinburgh University, are strictly limited to the use, period of time and territory specified on the
licensing documentation and no partial or other assignation of copyright shall be implied. In the case of book production,revised
editions or additional formats require a further separate licence.
• Images from Edinburgh University Library Centre for Research Collections must not be copied, stored or transmitted in electronic or
other media unless by separate written permission, except where such is incidentally and wholly necessary to the process of
production for products properly licensed by Edinburgh University. At the conclusion of such production, all intermediate copies of
this material must be destroyed.
• Rights are granted to the Client only and may not be assigned, loaned or transferred to third parties, except for the exercise by the
Client of such specific rights granted in the licence.
• All rights licences will be governed by and interpreted solely under the laws of Scotland, and will be subject to the jurisdiction of the
Scottish courts.
• Full acknowledgement must be made to Edinburgh University Library with each image or text.
Declaration:
I have read the full terms and conditions accompanying this form; I agree to abide by them and understand that permission will be
withdrawn if any part of them is infringed. The University will log all requests for permission and process them in accordance with the
Data Protection Act 1998 and the Freedom of Information (Scotland) Act 2002. We will use this information to monitor the use of our
collections and will not disclose it outside the Library without your prior consent except as permitted under the terms of the Acts
mentioned above.
Signed………………………………………….. Date…………………
For Office Use Only
Permission Granted?
Date of Decision
Staff Name
Notes
Image Order No.
The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336