Individual Request to Copy an Unpublished Thesis for Research & Study

Please complete all sections of the form. A separate form is required for each thesis copy request.

To: Document Delivery, The University of Sydney Library

Please supply me with a copy of the following thesis:

Thesis Information

Date conferred

Your Information

Contact Number
Email Address

Copyright Declaration

If the material is an UNPUBLISHED THESIS or similar, then the material may be reproduced under Section 51(2) for the purpose of research and study only.

   SECTION 51(2) DECLARATION I declare that I require a copy of the above stated unpublished thesis or similar material for the purpose of research or study and will not use it for any other purpose.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.

Signed ______________________________________________________

Date _________________
This information is required for copyright administration and ordering purposes and as such all fields are compulsory. Supplied information will be held secure and will not be disclosed for any other purpose than the above stated.

Method of Payment

  • Already digitised: AUD $16.50 (incl. GST); AUD $15 other countries
  • Requires digitisation: AUD $165.00 (incl. GST), AUD $150 other countries
Please check one box
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Cardholder Number
Expiry date


   AUD$ Bank Draft/ Money Order

Payable to: The University of Sydney Library



Please check all sections are completed, print the form and:
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Document Delivery (Theses)
Fisher Library, FO3
University of Sydney
NSW 2006