Date Y/M/DTo Director of Doshisha University Library / Collection Holding Library

Name of Institution
Name of Representative

Official seal or Signature

Name of Applicant
Address

Zip Code

Phone Number
Email Address

Application for Special Permission of Use

I will comply with the terms and conditions prescribed by Doshisha University to be allowed
the use of materials held by Doshisha University.
I pledge not to use them for any purpose other than those mentioned below.
Material to be used
Title/Author/
Publisher

Barcode No.
Call No.
Part of material
to be used
Purpose（Write specifically.）

How to use* Check applicableboxes with ☑.

□□□□□□□□

Article “Title:
Book“Title:
Panel exhibition
Classes and Learning Materials
Newspaper/Movie/Television
Advertisement/Goods
Web publication/SNS “URL:
Other :”””

Fill in the details of how to use, date, etc. specifically.

*Broadcast (Attachment: an outline of broadcast)
Name of Program :Broadcaster:*Exhibition (Attachment: an outline of exhibition)Nameof Exhibition :Place :
*Publication (Attachment: an outline of publication)
Name of Publication (Name of book/ journal, etc.):
Publisher, Author, (Supervisor):
Circulation Number, Size of Plan:

Scheduled date:

Scheduled date:

〇 Notes on Filling in the Form

1. Title: Write down name of materials after searching DOORS (Doshisha OPAC).
2. Call No.: If call number is not found, leave the column blank.
3. When applying as an organization, write the name of the representative of the organization or
department to which you belong. Be sure to affix an official seal of the institution or a signature ofthe
representative.
〇 Notes on Applying

1. Send your application form to Section for Cataloging and Administrative Services by mail.
In urgent cases, send us by fax in advance.

2. Doshisha University Library makes a judgment on the permission of use by the purposementioned onyour application form.

3. The Library will inform you of the permission in about 2 weeks after receiving your application.
4. A permit will be issued if the Library grants the permission to use. The details will be notified.
5. You must comply with the copyright law.
If the materials in question are protected by copyright, permission to publish must be sought fromthe
owners of the rights. It is the responsibility of the requester to secure permission from the copyrightholder. Applicants bear all responsibility about copyright and the right of likeness.

6. Users should consider moral rights, human rights, or privacy issues even if the copyright hasexpired.
Applicants bear all responsibility about any problems with others.

7. Respect the interests and credibility of Doshisha University and do not use library materials in awaythat infringes on the interests of the University. If the University is damaged due to improper use,
the user may be responsible to reimburse the amount equivalent to the damage amount.

8. The University bears absolutely no responsibility for any action taken by users using the images(including use of information based on edited images) and any loss or damages arising out of use of orreliance on the images.

9. Show the original is in the possession of Doshisha University by an appropriate method inpublications.
10. Among the content on Doshisha University Digital Collections, the images duplicated from thematerials are, unless specifically stated otherwise, available for users to copy, adapt or redistribute inany medium without an application or a fee under the prescribed terms of reuse. Please refer to theterms of reuse on the page “Reuse of Library Materials” of the Library website,
https://library.doshisha.ac.jp/library/en/guide/reuse.html〇 Terms of Use

1. Do not use for other than the purpose to affect an application.

If you would like to use it for purposes other than those stated in the permit application, youshouldapply each time.

2. Do not transfer the image to others.
Also, delete the borrowed digital data immediately after use.

3. Show the original is in the possession of Doshisha University by an appropriate method inpublications.
Specify it on the caption or closing credits when using for broadcasting.

4. Donate two copies of publications or a digital copy of broadcast content to the Library when usingthe
materials held by Doshisha University.
〇 Terms of Use for Exhibitions

1. Follow the rules, as well as taking a due care when handling the rare materials so as to protectthemfrom damage and defiling during the exhibition and storage.

2. Show the original is in the possession of Doshisha University by an appropriate method in theexhibitionor publications.

3. Depending on the materials, carry them in and out by fine art transport vehicle, take out insurance
equivalent to the evaluation, and submit a copy of the insurance documents at the timeof carrying out.

4. Donate two copies to the Library in issuing catalogs.
〇 Contact Us
Doshisha University Library
Section for Cataloging and Administrative Services
Kamidachiuri-agaru, Karasuma-dori, Kamigyo-ku, Kyoto-shi 602-0898
Tel: 075-251-3960 Fax: 075-251-3078
Email：lib-tec@mail.doshisha.ac.jp