Interlibrary Loans Form

* Denotes a mandatory field

First Name: *
Last Name: *
Student Number (if known):
Faculty: *
Email: *
Campus: * Lake MacquarieSydney
Need by Date: *
I request a copy of the item described below and as required by section 50 of the Copyright Act I declare that I require the copy for research or study and will not use it for any other purpose and that I have not previously been supplied with a copy of this item by an authorised officer of the library. I agree to accept responsibility for the use made of this copy.

I agree with the copyright declaration

Name as Signature: *

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Media Type: * BookBook ChapterJournal Article

Book Title: * Book Author: * Date of Publication: * Call Number:Which Library holds this item (if known)?

Book Title: * Book Author: * Chapter Number & Title: * Chapter Author: * Date of Publication: * Pages to be scanned: * Call Number:Which Library holds this item (if known)?

Journal Title: * Volume: * Issue Number: * Date of Publication: * Pages to be scanned: * Author of Article: * Title of Article: * Call Number:Which Library holds this item (if known)?

Please select a Media Type before continuing.

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