Flexible Library Services Registration

Library

This service is available to certain University of Tasmania staff & students meeting specific criteria

Please complete all fields.

I agree and declare that:

All copies requested by me under this agreement are required for the purposes of research or study, will not be used for any other purpose, and have not previously been supplied to me by the Library.
The Library may treat as signed by me any electronic request and declaration made under subsection 49(1) of the Copyright Act 1968 that bears my name and email address.
I understand that library books, DVDs, CDs and other items cannot be mailed outside Australia.
I understand that it is an offence under section 203F of the Copyright Act 1968 to make a declaration under section 49 that I know, or ought reasonably to know, is false or misleading in a material particular, and I will not allow any request to be signed in the manner provided under clause 2 (above) without my authority.

Your name: (Family name, First name)
ID Number:
E-mail Address: You must use your official UTAS e-mail address. Contact Flexible Library Services if this causes difficulties.
Preferred Phone Number: (no spaces)
I am enrolled in the following University of Tasmania course:

Postal address to which the items are to be mailed:
Postcode:

I am a student or staff member with the University of Tasmania and wish to enrol as a Flexible Library Services borrower because:
	OR
My semester residence is more than 40km from both the Hobart and Launceston campuses
	OR
I will be living more than 40 km from both Hobart and Launceston campuses during a practical placement from		to
	OR
I have registered with the University as a student with special needs due to a disability
	OR
I am enrolled in an AMC Distance Education unit from		to

By clicking send I accept the conditions and understand I am signing this document. This document will be kept on file by the Library.

Press to send this request. Press to reset the form or start a new request.

Authorised by the University Librarian

9 December, 2011