Application for Reproduction Rights

This form is for applications for image reproduction only. Orders for the images themselves should be placed here

If you can't make your request using this form please contact us at repro@lib.cam.ac.uk

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Fields in red marked with an asterisk MUST be filled in

Personal details
 
Postcode/ZIP or equivalent. If not known, use NONE
 
Yes
No
 Orders from within EU are eligible for VAT, unless you are collecting the order from the Imaging Services counter
If this is an EU order and you have a VAT number, e.g. GB123456789 enter it here
If you need to supply an order number from your own institution, insert it here.
Yes
No
Yes
No
Yes
No
 If this is an application for the renewal of reproduction rights, please give details of the original application in the General Notes field below
 
Image details
Title as it appears in Main Catalogue or Archives Catalogue. For journals, this should be the title of the journal rather than the article. (Use Unknown if not certain)
If present, author or editor as it appears in Main Catalogue or Archives Catalogue
e.g. vol. 1, pt. 2 etc. For journals, enter enumeration/date for the issue here.
Classmark as it appears in Main Catalogue, or Archives Catalogue e.g. MS.Add.3965, 379:2.c.95.6, Y30773A/1 (use Unknown if not certain)
Short description to identify work (particularly if title and/or classmark are Unknown). For journals, enter details of the article here.
Use Other if not certain.
Where in the item the image(s) appear. Use hyphens to indicate range, separate ranges with commas, e.g. ix-xii,13-16, ff. 6v-13r. For whole work, or single items such as photographs, use All. For maps use Whole or Part. Use Unknown if not certain
The total number of images from this item that you want to license.
The Imaging Services order number for the original purchase of the image. Imaging Services cannot licence the reproduction of images it has not supplied. If you do not have an order number, please enter None here and supply details of the purchase in the General Notes field below.
Use this section for further information and clarification. If the work is in copyright and you have obtained clearance from the copyright owner, please indicate here. You may be required to send copies of copyright clearance documents through to Imaging Services before a license will be granted
 
Licensing Details
 
One Language
Multiple Languages
One Country
World
 For unrestricted internet use and for travelling exhibitions which will be shown in more than one country, select World.
 
Image(s) to be licensed for reproduction in*: Please fill in as many sections as appropriate
 
Use for print theses and dissertations
Print licenses are for one edition only. A separate application should be made for subsequent editions. If images are additionally appearing in electronic equivalents, e.g. Ebooks, EJournals, ETheses, please also fill in the Electronic Publication section below
Enter details of the work the image is to be published in here
 
 
 
Use e.g. quarter, half, whole, double page spread. For multiple images of varying sizes, use Other here and give details in Notes
Use an approximate date if exact date is not known
If not known, enter Unknown and provide details in the Notes field below
Print book
Academic journal
Magazine
Newspaper
Unpublished/Non-Commercial
Thesis/Dissertation
Cover (book, CD, DVD)
Other
If you choose Other please provide details in the Notes field below
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Use for electronic versions of theses and dissertations
Use this section for Ebooks, EJournals and online subscription Magazines. For other web use, use Web Pages/Presentations
Enter details of the work the image is to be published in here
 
 
 
Use e.g. quarter, half, whole, double page spread. For multiple images of varying sizes, use Other here and give details in Notes
e.g. 72 dpi, 150 dpi. Use Unknown if not certain
Use an approximate date if exact date is not known
2 years
5 years
10 years
Other
 For material to be deposited in DSpace or other repositories (i.e. Electronic Theses) use Other and enter Repository in the Notes field
Electronic journal
Online magazine
Ebook (with interactive features)
Ebook (no interactive features)
Electronic Thesis
Other
If you choose Other please provide details in the Notes field below.
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Film/Broadcast licenses cover unlimited transmission of a 'flash' use of 10 seconds or less
Enter details of the work the image is to be published in here
 
Use an approximate date if exact date is not known
2 years
5 years
10 years
Other
 If you have entered Other, please give details in the Notes field below
Yes
No
 Will the footage also be streamed on the internet, on e.g. iPlayer, More4?
TV programme
Film
Other
 For additional tie-in products such as merchandise, web use, accompanying book, etc., please provide details separately in relevant section. If you have selected Other, give details in Notes field below
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Use this section only where not covered by Electronic Publication, Film/Broadcast Media or Web Pages/Presentations. Examples might include reference works, learning materials or games on DVD/CD.
Enter details of the work the image is to be published in here
 
Use an approximate date if exact date is not known
 
2 years
5 years
10 years
Other
 If you have entered Other, please give details in the Notes field below
CD/CD ROM
DVD
Other
 For CD/DVD covers, see Print/Electronic Publication. If you have selected Other, give details in Notes field below
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Use this section for images appearing on web sites and for presentations which are to be made available via the internet or an intranet
Title of the web page or presentation
 
If you don't know the exact URL of the web page, give the URL of the web site
e.g. 72 dpi, 150 dpi. Use Unknown if not certain
Use an approximate date if exact date is not known
2 years
5 years
10 years
Other
 If you have entered Other, please give details in the Notes field below
Internet
Intranet
  
Unrestricted
Restricted
 e.g. restricted by log-in or by IP address
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Use this section for images to be shown as part of an exhibition. For exhibition merchandise, use Merchandise, for exhibition catalogues use Print Publication
 
Institution running the exhibition
Use an approximate date if exact date is not known
Licences are for a maximum period of 10 years. If for less than one year, enter 1
e.g. A1, A2, A3, A4, A5. For multiple images of varying size, use Other here and enter details in Notes
Number of image reproductions to be shown in the exhibition
Yes
No
  
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
Use Merchandise only where not covered by other sections above.
 
Use an approximate date if exact date is not known
2 years
5 years
10 years
Other
 If you have entered Other, please give details in the Notes field below
e.g. A1, A2, A3, A4, A5. For multiple images of varying size, use Other here and enter details in Notes
 
Poster
Postcard
Greetings Card
Sticker
Leaflet
Clothing
Other
 For CD/DVD covers and exhibition catalogues, see Print/Electronic Publication. If you have selected Other, give details in Notes field below
Use this section for further information and clarification, especially when you have selected Other in any of the sections above
 
Terms and Conditions
I have read and agree to the terms and conditions