Details of the Reference Materials Requested; please use additional papers, if necessary

Ref. No. / Call No. Brief Description of Photographs / Closed Stack Reference Materials Softcopy of Photograph

Please make "✓" if appropriate
No. of Photocopies of Closed Stack Reference Materials Requested
A4 Size A3 Size
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(Warning: The applicant who makes a false declaration is liable for infringement of copyright.)

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