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INPUT SHEET FOR ACADEMICS WHO HAVE ADMINISTATORS CLEARING COPYRIGHT ON THEIR BEHALF

Title of article/chapter:

Name and Dept. of Lecturer:

Course name:

Course Code:

Year of study:

Is this for a Short Course (non-FTE subsidised)?Yes/No?

If yes, give starting date of course, e.g. 1 Jan 2012.

Is this for:

a) Coursepacks - yes/no?: ? If yes, how many coursepacks were made?:

b) Short Loan – yes/no?:

c) E-Reserves – yes/no?:

d) E-Learning Tool, e.g. SAKAI, WebCT or Moodle Yes/No?:

Number of students doing course:

a) Book Title:

Author(s): give surname and initial or full names)

Title of Chapter:

Publisher:

Country of publication :

Total no. of pages in book:

Total no. of pages copied:

ISBN No: (10 or 13 digit number)

b) Journal Title:

Authors, (surnames, initials or full names):

b)

Article title:

Total no. of pages copied:

Publisher:

Country of publication :

ISSN (8 digit number if print journal):DOI number (if an e-journal):

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