Your contact details
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Name:
College/School/Dept/Unit:
Email: ______________________________ @bham.ac.uk
Ext:
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Title of Programme or Series
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Programme number(s) if part of a series e.g. all 3 of 3
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Broadcast Channel
(please circle as appropriate)
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BBC1 BBC2 BBC3 BBC4 BBC News24 BBC Parliament
ITV1 ITV2 ITV3 ITV4
Channel Four E4 More 4 Film 4
Five FiveUSA Five*
Discovery Channel
National Geographic
Other TV (please specify) _____________________________
Radio broadcast (please specify) _______________________
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Date(s) when recording was made (best estimate if not known precisely)
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__/__/__
__/__/__
__/__/__
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Number of copies held (if duplicated for any reason)
Details of any copy erased during
2012-13
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