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- Full name of candidate: ________________________________________ I.D. number: __________________
- Exact title of thesis: ________________________________________________________________________________
- New Submission OR Request for embargo extension Declaration to be signed by candidate
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National University of Ireland, Galway EOG-051
Library Submission Form for a PhD / MD Thesis Full name of candidate: ________________________________________ I.D. number: __________________ College: ___________________________________________________________ School: ____________________________________ Discipline: _____________________________________________ Exact title of thesis: ________________________________________________________________________________ __________________________________________________________________________________________________ This is a - OR Declaration to be signed by candidate: (a) I hereby give permission to National University of Ireland, Galway, for my thesis, details of which are given above, to be made available for consultation, copying, displaying, viewing via printed and electronic medium (including via the Internet, an Intranet and any other method of electronic display) (within the confines of the Copyright and Related Rights Act 2000), inter-library loan, and for inclusion in any list of theses published by the University, or in any other publication or listing of theses accepted for higher degrees, to which the University may decide to contribute. I grant irrevocably to National University of Ireland, Galway, and its respective successors and assigns, a non exclusive, worldwide, royalty free, perpetual licence to re-produce, distribute, modify, store, copy, publicly perform and publicly display, with the right to sub-licence through multiple tiers of sub-licencees, and the right to assign such rights in and to the thesis including, without limitation the right to use in any way whatsoever the thesis. National University of Ireland, Galway may copy, publish, make available, distribute, license, or otherwise use the thesis in any manner worldwide via any medium including without limitation intranets, extranets, mobile phones, GSM/3G phones, WAP phones, databases, print, interactive television, digital media services, electronic media services, platforms, or any networks (including without limitation telecommunications, wireless, radio, television, cable, satellite, terrestrial networks) currently in existence of which may be developed in the future and the Internet. I warrant that no material which I am including is subject to copyright or any other rights, other than those disclosed, and I hereby indemnify National University of Ireland, Galway its servants, agents and assigns against any actions or threatened actions arising from my use of material. OR (b) I hereby seek to have my thesis, details of which are given above, placed on restricted access for a period of______ month(s) (48 months maximum) from the date of submission for the following substantive reasons: I understand that, when the period of restricted access referred to above is completed that the conditions specified in (a) above will apply. Please tick one and only one of the copyright declarations below as appropriate: EOG 051 I have not used any third party copyright material in my thesis. OR I have obtained permission to publish electronically all third party copyright material included in the thesis. OR I agree to deposit edited versions of my thesis (print and electronic) excluding all third party copyright materials for which permissions have not been received. Candidate’s signature: ___________________________________________ Date: ________________________ Permanent Address: ___________________________________________________________________________________ Email Address: ____________________________________________ Tel. No: __________________ Your supervisor’s name and signature must be included below: Supervisor: Title: ________ Name: _______________________________________________ Supervisor’s signature: _________________________________________ Date: ___________________________ N.B. Authors should note that granting of access, as referred to above, does not in any way prejudice their rights and obligations as set out in the National University of Ireland, Galway Intellectual Property Policy located online at http://www.nuigalway.ie/tto/documents/nuig_ip_policy.pdf Office Use Only Embargo granted: Yes/No Period of embargo___________________________________ Directory: media media -> Applications to Drill media -> Unicef voices of Youth Chat Theme: Children and aids nigeria and Zimbabwe 13 October 2006 Background media -> Tsunami Terror Alert: Voices of Youth media -> Biblical Eschatology Presentation by: D. Paul Beck May 4, 2016 Ground Rules media -> Guide to completing the collection using the Omnibus system media -> The milk carton kids media -> Events Date and Location media -> The Gilded Age: The First Generation of Historians by H. Wayne Morgan University of Oklahoma, April 18, 1997 media -> Analysis of Law in the United Kingdom pertaining to Cross-Border Disaster Relief Prepared by: For the 30 June 2010 Foreword media -> Cuba fieldcourse 2010 Download 15.15 Kb. Share with your friends:
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