declaration of consent

Formular drucken
Potsdam University Library
Consent to Publish Digital Documents
Potsdam University Library
Department of Publications
University Press
Am Neuen Palais 10
D-14469 Potsdam
Please fill in, print out and sign this
consent form and forward it to the
address on the left.
Fax: +49 (0)331 977-2292
Title of Contribution:
Author:
E-Mail and Phone:
Dissertation
Postprint
Journal
Habilitation Thesis
Article/Preprint
Other:
Bachelor, Master, Magister,
Diplom or Staatsexamen Thesis
Monograph,
Edition of Series
Declaration:
1. I hereby transfer the right to publish the aforementioned publication on the University of Potsdam
Publication Server (and thus to make the document available on the internet for public use) to the
University of Potsdam – represented by the Publications Department of Potsdam University Library.
2. I assure there are no legal impediments for online publication of the document or any other issues
(copyright- or license-wise) that might infringe rights of third-parties. In case of failure I am obliged
to notify immediately the operator of the Publication Server. Furthermore, I exempt the University of
Potsdam from any claims of third-parties.
3. Potsdam University Library is entitled to make the aforementioned publication available to other
libraries, archives or aggregators aiming at further distribution and/or digital long-term archiving of
the document.
4. I give permission to Potsdam University Library to provide users with print-on-demand copies or
digital copies of the aforementioned publication for private use. Potsdam University Library may
delegate this service to a third-party.
5. The aforementioned publication may be converted into other file formats if necessary.
Place - Date - Signature
Mailing address:
Am Neuen Palais 10
14469 D-Potsdam
Visiting address:
Golm Campus
Building 18, UL, R 1.25
Karl-Liebknecht-Str. 24-25
D-14476 Potsdam
[email protected]
verlag.ub.uni-potsdam.de
Tel.: +49 (0)331 977-2533
Fax: +49 (0)331 977-2292
If you wish to publish your Dissertation/Habilitation Thesis on the Publication Server of Potsdam
University, please also read and sign:
1. I hereby confirm that the Promotions-/Habilitationsausschuss (Dissertation and Thesis
Committee) gave permission to publish my dissertation/habilitation thesis and that the digital
version of my thesis is identical to the original version with regard to form and content.
2. I assure that the submitted print copies are absolutely identical to the digital version.
Place - Date - Signature
If you wish to publish your Bachelor, Master, Magister, Diplom or Staatsexamen Thesis on the
Publication Server of Potsdam University, please also read and sign:
Declaration of the author
I hereby confirm that the submitted document is identical to the approved original version
of my thesis with regard to form and content.
Place - Date - Signature
Declaration of the academic supervisor
I hereby confirm that this thesis was marked "grade A" or better. I recommend this thesis for
publication on the Potsdam University Publication Server.
Place - Date - Name in Block Letters - Signature
Additional remarks concerning copyright or any other important information that should appear on the
document’s front page:
For example: "This publication is carried out by courtesy of the xyz publisher..."
Granting a Creative Commons License
You are free to grant a Creative Commons License for your document.
Please check de.creativecommons.org or publishup.uni-potsdam.de/home/index/help/content/oa_legal
for more information about Creative Commons licensing.
Creative Commons Attribution 4.0 International
(cc-by)
(recommended)
Creative Commons Attribution-NonCommercialNoDerivatives 4.0
International (cc-by-nc-nd)
Mailing Address:
Am Neuen Palais 10
14469 D-Potsdam
Creative Commons Attribution-ShareAlike
4.0 International
(cc-by-sa)
Creative Commons Attribution-NonCommercialShareAlike 4.0 International
(cc-by-nc-sa)
Other:
Visiting address:
Golm Campus
Building 18, UL, R. 1.25
Karl-Liebknecht-Str. 24-25
D-14476 Potsdam
[email protected]
verlag.ub.uni-potsdam.de
Tel.: +49 (0)331 977-2533
Fax: +49 (0)331 977-2292