IMPERIAL COLLEGE LONDON

THESIS DECLARATION FORM

Examination to be entered for (please tick as appropriate):
PhD

MD(Res)

EngD

MPhil

Name and CID.......................................

Title of Thesis.....................
DECLARATION

I grant to Imperial College a non-exclusive licence over the thesis presented by me in [year] for
examination for the PhD/MPhil/EngD/MD(Res) degree of Imperial College on the terms of the
Colleges E-thesis deposit licence1, and I understand that under the terms of that licence:
o

I permit Imperial College to deposit a copy of my electronic thesis in Spiral*, where it will be
made available under a Creative Commons Attribution-Non Commercial-No Derivatives licence 2
and, if required, on the National Thesis Service.

the College has the non-exclusive right to reproduce, translate and distribute my thesis
worldwide in both print and electronic format in any medium;

I authorise the College authorities to copy the submission, or, without changing the content,
translate it to any medium or format, for the purpose of security, back up and preservation

I authorise the College authorities to supply a copy of the abstract of my thesis for inclusion
in any published list (hard copy or electronic) of theses offered for higher degrees in British
universities.

I warrant that this authorisation does not, to the best of my belief, infringe the rights of any
third party. I attach copies of all permission documents to my thesis. Where I have not been able
to obtain the necessary rights or permissions for the inclusion of certain material in my thesis I
hereby affirm that I have exercised my best endeavours to secure these and have appended
copies of my letters/emails seeking these to the thesis.

I confirm that any third-party owned material included in my thesis is clearly identified and
acknowledged within the text or content of the submission.

I confirm that if the submission is based upon work that has been sponsored or supported by
an agency or organization other than Imperial College, I have fulfilled any right of review or other
obligations required by such contract or agreement.

I authorise that a print copy of my thesis shall, if a degree is awarded, be deposited in the Imperial
College Library and that subject to the conditions set-out below, my thesis be made available for
public reference, interlibrary loan and copying

I authorise the College, or their designated agents, to use the digital copy of my thesis for the
purposes of interlibrary loan and the supply of copies.

I understand that before my thesis is made available for public reference and copying, the following
statement will have been included at the beginning of my thesis:
The copyright of this thesis rests with the author and is made available under a Creative
Commons Attribution-Non Commercial-No Derivatives licence. Researchers are free to copy,
distribute or transmit the thesis on the condition that they attribute it, that they do not use it
for commercial purposes and that they do not alter, transform or build upon it. For any reuse
or distribution, researchers must make clear to others the licence terms of this work.

The thesis complies with the relevant word length specified in the College regulations.

available in full at
http://www3.imperial.ac.uk/library/subjectsandsupport/spiral/etheses/depositlicence
2
available in full at
http://www3.imperial.ac.uk/library/subjectsandsupport/spiral/etheses/uselicence
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I understand that in the event of my thesis not being approved by the examiners, this declaration will
become void.

IMPERIAL COLLEGE LONDON

THESIS DECLARATION FORM
I confirm that the word length of:

The thesis, including footnotes, is: .

The bibliography is: ...

The appendices is: ...

The Examiners may reject a thesis exceeding the prescribed word limit. (See notes at foot of page)

I request that this thesis be available for public consultation as follows (tick one box only and state
reason if requesting a delay for allowing it to be made available for public consultation)
No embargo
After 24 months

After 6 months
Extension of

After 18 months

months to original embargo

If seeking a delay to making the thesis available for public consultation please state reason (Tick
relevant box or boxes)
Publishing papers

Commercial sensitivity

General sensitivity of content

After 12 months

Patent pending

National Security

Other

If you have ticked National Security or Other, or if you are seeking a permanent embargo to your
thesis, please expand here.

By signing this declaration I confirm that all the statements above are correct
PLEASE NOTE TYPED SIGNATURES CANNOT BE ACCEPTED ON THIS DOCUMENT

Date...
Signature of Candidate.........................................
Signature of Supervisor..................................................................................................................

Spiral is Imperial College London's online repository for staff research publications and PhD theses. All materials in
Spiral can be accessed freely by anyone (except PhD theses, currently available only to Imperial staff and students).
Anyone downloading material is agreeing to abide by the terms of the repository licence. From March 2013, all newly
submitted theses will be published openly on Spiral and freely available to read on the internet unless an embargo is
requested.
Notes:
Maximum Word Limit for PhD/EngD Thesis: 100,000 words
Maximum Word Limit for MPhil Thesis: 60,000 words
Maximum Word Limit for MD(Res) Thesis: 50,000 words
NB The Word Limit includes footnotes, but excludes the bibliography and any appendices.

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If you believe you have valid reasons for exceeding the word limit please send an email to
research.degree@imperial.ac.uk citing the reasons and seeking permission to exceed the limit. Only when you have
approval for this should you present your thesis.

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