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---Shrewsbury and Telford Hospital NHS TrustShropshire Community Health NHS TrustStaffordshire UniversityKeele UniversityOther (please specify below)

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---Shrewsbury Health LibraryTelford Health Library

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1. I have not previously been supplied with a copy of the same material by you or any other librarian.
2. I will not use the copy except for research for a non-commercial purpose or private study and will not supply a copy of it to any other person.
3. To the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose.
4. I understand that if the declaration is false in a material particular the copy supplied to me by you will be an infringing copy and that I shall be liable for infringement of copyright as if I had made the copy myself.

I agree with the copyright declaration ---Yes

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