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Summary: Request for the supply of a thesis on CD from the University of Southampton
1. Your Details
Name ___________________________________________________Title_______________
E-mail (for delivery of password) _______________________________________________________
Registered or affiliated academic institution/organisation ______________________________
Home address (for delivery of CD)______________________________________________________
____________________________________________________________________________
2. Request for one thesis for use in non-commercial research
Author_____________________________________________________________________________
Title _______________________________________________________________________________
Year ______________________________________________________________________________
Delivery to: Home address / Library through which the request is made (delete as appropriate)
3. Details of your research project
Title _____________________________________________________________________________
Field _____________________________________________________________________________
Length of project ____________________________________________________________________
Expected award at completion _________________________________________________________
Collaborating partners ________________________________________________________________
Funding ___________________________________________________________________________
4. Copyright and use declaration
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