Example: AGREEMENT FORM for the Use of Doctoral dissertation
Date: dd. mm. yyyy

To the Director, KOBE University Library

I agree that my doctoral dissertation may be used as stated below.
CourseGraduate school: ○○○○
Department: ○○○○

Student No.： 123A456Z

Name＊ Signature
Address:

Contact○-○ ○○street ○○city, Country

Phone number: 123-456-789

E-mail address : xxxxx@yyyy.xx.com
Dissertation
Title○○○○○○○○

Degree Conferral Date (schedule): dd. mm. yyyy

1. To deposit your doctoral dissertation on Kobe University Repository “Kernel”

AssentContents□ Agree□ Not Agree✔ Agree with the condition :□□ After Date:✔ Other conditions□(※If you have any conditions prior to depositing, please write here.)［ Forbid opening abstract to the public as a metadata］

2. Copy of all pages of your doctoral dissertation (book)✔
□Agree□ Not Agree

1. Plan on publishing your book(s)Publishing
yourdoctoraldissertation(schedule)□ Published□ Will be published✔ No plans□

2. Plan to contribute your dissertation to a journal□ contributed✔ Will be contributed□□ No plans＊ Contributing journal title and issues (planned)［ journal of xxxx, v(i), yyyy］

3. Plan to apply for a patent or a utility model□ applied□ Will be applied✔ No plans□

To provide electronic files of your doctoral dissertation✔ Agree□□ Not Agree(Please send an electronic file to the destination on the back.)(Library staff will digitize your paper.)* Terms of use are on the back.
* Personal information described will be used only for purpose to contact to you.

Terms of use of doctoral dissertations
1. Public access through Kobe University Repository Kernel1)Kobe University Library (Hereinafter referred to as the ‘Library’) shall copy an electronic
version of the dissertation on the Kernel server and make the material accessible to thepublic. The use of the system is free of charge. Work must be available in full as electronic
data. However, if the work includes any matters of copyright or private information
protected or any other concerns, parts may be abbreviated or redacted.

2)

Library shall make metadata (title, author name, abstract, etc.) to the public.

3)

On occasion the author may wish to terminate or alter the consent conditions, the author
may be allowed to amend the terms as necessary. (*1)

4)

Library shall notify and caution users on the following points.
In use of doctoral dissertations, copyright law must be respected.

Library and the author accept no liability for any damages or disadvantages incurredby the user using the contents.

5)

If any question or matter occurs not stipulated in the terms it shall be resolved byconsultation between the author and the Library as is necessary.

2. Copy permission of pages
1)

In terms of use for education, learning, investigation and research, Library will provide
one copy of all pages allowed of doctoral dissertations to users based on user’sapplication.(*2)2)

The copyright charge is free. (But Library collects administrative charge for providers.)

3)

Library applies for permission from authors each time applications do not correspond to
the usual purpose of provision 1).

*1 This permission allows the Library rights of reproduction and public transmission of all
copyrights that the author has given. It does not mean the transfer of all copyrights fromthe author to the Library.
*2 Library for Social Sciences preserves doctoral dissertations of all graduate courses that
submitted to Kobe University. On occasion authors don’t permit the copying of all pages,
but must provide part of a copy to users under the article 31 of the Copyright Law. Thankyou for your understanding.

Contact Information & destination of electronic files:
Digital Library Section, Kobe University Library
Tel +81-78-803-7333 Fax +81-78-803-7336
E-mail: repo@lib.kobe-u.ac.jp
2-1 Rokkodai-cho Nada-ku Kobe city 657-8501, JAPAN (Library for Social Sciences)

Kobe University Repository Kernel
https://da.lib.kobe-u.ac.jp/da/kernel/