Antiquities and Monuments Office - Closed Stack Reference Materials Request Form (591)

Applicant^*

Company / Organisation

Telephone No.^*

Fax No.

E-mail^*

Address

Details of the Reference Materials Requested

Ref. No. / Call No.	Title of Reference Materials
ref. No	Title of Reference Materials
ref. No	Title of Reference Materials
ref. No	Title of Reference Materials
ref. No	Title of Reference Materials
ref. No	Title of Reference Materials

Declaration

Warning: The applicant who makes a false declaration is Liable forinfrigement of copyright.

1. I /We declare that the above requested reference materials will be used for the following purpose(s)

2. I /We understand any request for photocopying of reference materials will be handled according to the provisions of the Copyright Ordinance(Cap.528 HK).

3. I /We hereby agree to abide by the terms and conditions as stated in the request form and the Notes to Applicants.

4. I /We hereby confirm that I /we accept the following Privacy Policy Statement.

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