/ IIW RD021
2015/09/10
Rev 10 – 1/2

AUTHOR’S COPYRIGHT DECLARATION

I hereby authorize the IIW, any or all of its Member Societies or any agent lawfully authorized by the IIW to act on its behalf, to publish and/or translate the document entitled:

Title of the document: ………………………………………………….………………………………………………..

……………………………………………………………………………………………………………………………...

……………………………………………………………………………………………………………………..……

……………………………………………………………………………………………………………..……………

IIW Working Unit Reference number: ………….……….….………………………………………………….…….

I am informed that the document may be reproduced against payment of a fee covering administrative expenses and I renounce my right to financial compensation in respect of such publication, regarding both its publication in English and/or its translation.

Furthermore, I declare that the document / (Please tick where applicable)
has not been published in another journal.
is already protected by copyright (other than the author’s). Please request the copyright holder’s authorization on the next page.
Date / Name / Signature
………………..……. / …………………………………………..

To be completed by the copyright holder (other than the author)

If the document is already protectedby copyright (other than the author’s), the authorization of the copyright holder is compulsory before publication by the IIW.

Title of the document: ………………………………………………….………………………………………………..

……………………………………………………………………………………………………………………………...

……………………………………………………………………………………………………………………………...

IIW Working Unit Reference number: ...……………………………………………………………………………….

Copyright holder’s name: ……………………………………………………………………………………………

Copyright holder’s address: ……………………………………………………………………………………………

.………………………………………………………………………….………………………………………………….

I, the copyright holder, hereby

/

authorize

the publication and/or translation, free of charge, of the above document by the International Institute of Welding (IIW) and its Member Societies.
I am informed that the document to be published by the IIW:
- shall include one of the following texts:
- “Document published with the kind authorization of (name of the copyright holder).
-“Document published, after peer review and revision, with the kind authorization of (name of the copyright holder).
- may be reproduced against payment of a fee covering administrative expenses.
/

do not authorize the publication.

Date / Name / Signature
………………..……. / …………………………………………..
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