Name of Applicant
*
Name of Company/ Organisation (if applicable)
Telephone No.
*
Fax No.
E-mail
*
Address
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
ref. No
description
Softcopy of Photograph
No. of A4 size requested
No. of A3 size requested
ref. No
description
Softcopy of Photograph
No. of A4 size requested
No. of A3 size requested
ref. No
description
Softcopy of Photograph
No. of A4 size requested
No. of A3 size requested
# Please refer to the
Notes to Applicants
for the service fees
Declaration
(Warning: The applicant who makes a false declaration is liable for infringement of copyright.)
1. I / We declare that the reproduced photograph(s) and/or photocopy / photocopies of the closed stack reference materials will be used for the following purpose(s)
Please provide further information if the requested items are for publishing purposes:
Publication Title
Nature
for sale/commerce
for charity
free distribution
others:
Type
book
periodical / magazine
pamphlet
exhibition / display
webpage
video tape / CD-Rom
others:
2. According to Copyright Ordinance (Cap.528 HK), I / we understand that closed stack reference materials could be photocopied for research and private study only. A separate statutory declaration is required before request for photocopying in made.
3. I / We hereby confirm that I / we accept the following
Privacy Policy Statement
.
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Application for Reproduction of Photographs / Photocopy of the Closed Stack Reference Materials