University of Sydney Theses

Thesis Request Form - Individual

Please fill in all sections, print the form and sign the declaration.
Fill in a separate form for each thesis copy request.
If you require a quote, please first send us an email

To:	Document Delivery, The University of Sydney Library
	Please supply me with a copy of the following thesis in accordance with S51 (2) of the Copyright Act 1968.

Thesis Information

Author
Title
Degree
Date conferred

Your Information

Name
Address
Contact Number
Email Address

Copyright Declaration

I declare that: I require the copy for the purpose of research or study and will not use it for any other purpose. I have not previously been supplied with a copy of this thesis by an unauthorised officer of the library.
Date of Declaration
Signed:	_________________________________________________

Method of Payment

Please check one box
Mastercard	Visa
Cardholder Name
Cardholder Number
Expiry date
Cheque	AUD$ Bank Draft/ Money Order
Payable to: The University of Sydney Library
Invoice

AUD$65 per standard length thesis, plus 10% GST for Australian based requestors. (Includes postage within Australia and overseas)

Please check all sections are completed, print the form and:

Fax to:
+61 2 9351 4593

or

Mail to:
Document Delivery (Theses)
Fisher Library, FO3
University of Sydney
NSW 2006
Australia