Form 2-1

Institutional Repository Registration Consent Form
(excluding degree theses)
DayMonthYe a r___, ________________, 20__
To: The Director, University Library, Kyushu Institute of Technology
Alphabet

Author’s signature and seal Name:
Contact details TEL：

E-mail：In accordance with the ‘Kyushu Institute of Technology Institutional Repository publication utilizationconsent conditions’, I give consent to the electronic publication of the paper(s) below (full copies).
Details(Place a cross in the applicable boxes)□1. Kyushu Institute of Technology publications, research reports, or bulletins□（1） All the papers published during enrolment at the Kyushu Institute of Technology□（2）Consent is limited to the following → Publication in which published:
Thesis title:
Vol. No and publication year:□2. Grants-in-Aid for Scientific Research Outcome Reports□（1） All the Grants-in-Aid for Scientific Research Outcome Reports produced during enrolment at theKyushu Institute of Technology□（2） Consent is limited to the following→ Report name or Report issue number:※Major published paper listed on above report, of which you wrote(including cowriting) in [AcademicPaper][Conference Paper][Books].
□（A）All Papers□（B）Consent is limited to following（Please attach the list of articles.）□3. Technical Report in Computer Science and Systems Engineering (Faculty of Computer Science andSystem Engineering only)□（1） All the technical reports submitted during enrolment at the Kyushu Institute of Technology※Library do not digitize the booklet, accept the electronic data only.
□（2）Consent is limited to the following → Thesis title
Vol. No and publication year:□4. Academic paper
Thesis title:
Subject to review: Yes or No
Publication in which published:
Vol. No, page and publication year:□5. Other(Please fill in details such as the title that allows identification of the work).

Upon Repository registration please stipulate keywords(approximately five).

Inquiries
Repository contact officer,
Information management Unit, University
Library
Tel:093-884-3073
Email:kyutacar@jimu.kyutech.ac.jp
Information HP:
http://www.lib.kyutech.ac.jp/kyutacar/Kyushu Institute of Technology Academic Repository
Publication Utilization Consent Conditions
Aims
1. The aim of Kyushu Institute of Technology Academic Repository is to electronicallycollect, preserve and disseminate the research output of academic staff andpostgraduate students at this university for supporting various education and study
activities.
Public Access2. Kyusyu Institute of Technology Library (hereinafter referred to as the ‘Library’)reproduces research output (hereinafter ‘electronic data’) on the internet server andmakes these materials accessible to the public.
3. Electronic data is made available on the information network in standard computing
environment to make it freely accessible.
4. Electronic data can be searched using bibliographical information.
Terms of the use of electronic data
5. The Library observes following regulations concerning the use of electronic data.
(1) No modification in the article and/or the title may be made. However, parts thatcannot be displayed properly in the condition of 4. may be abbreviated ordisplaced.
(2) The author’s name and copyright notice are included in electronic data.
(3) The use of electronic data (printing/downloading) is limited to only research,teaching and study purposes.
6. Electronic data is disseminated both within and outside of Kyushu Institute ofTechnology.
7. Work must be available in full as an electronic data.
8. The Library shall not impose any kind of fees (e.g. licensing fees, pay-per-view fees).
9. The Library assumes no responsibility for the use of the electronic data.
Consent to use copyrighted work
10. Once the author has given consent to depositing his/her article in the repository, theauthor shall grant the Library permission to exercise the ‘right of reproduction’ andthe ‘right of public transmission’.
11. Where there are other copyright holders, the author is required to obtain theirconsent.
12. To avoid conflict concerning copyright, the author is required to consult with anyother parties involved in advance.
Alternation of consent condition13. Authors who wish to alter the consent condition must apply to the Library giving areason.
Terminating consent condition
14. Authors who wish to terminate the consent condition must apply to the Librarygiving a reason.
15. If the content is assumed inappropriate, the Library shall notify the author oftermination of the consent condition.
Others
16. Any matter not covered by these conditions shall be determined through consultation
between the author and the Library as necessary.