WELSH VOICES OF THE GREAT WAR ONLINE

CYMRY’R RHYFEL MAWR AR-LEIN

INFORMATION FORMNUMBER:Staple raffle ticket here

NB ONE FORM TO BE COMPLETED FOR EACH OBJECT SUBMITTED: AFTER THE FIRST TOP-SHEET IS FILLED IN, YOU NEED ONLY FILL IN 1) AND SIGN AND DATE THE FORM

1. YOUR NAME:

2. YOUR ADDRESS:

3. YOUR EMAIL / PHONE NUMBER:

4. ARE YOU SUBMITTING THIS OBJECT ON BEHALF OF SOMEONE ELSE? YES/NO

IF YES PLEASE SUPPLY THEIR DETAILS:

5. IF YOU WISH TO REMAIN ANONYMOUS WHEN

THE PROJECT IS LAUNCHED THEN TICK HERE

6. DO YOU AGREE TO THE TERMS AND CONDITIONS OF THE WELSH VOICES OF THE GREAT WAR ONLINEPROJECT?

  1. You confirm that you control all the rights to the material you are submitting or have permission from the rights holder
  2. You will retain the rights to the material you are submitting
  3. You will allow Cardiff University and the project partners to make the material available free of charge on the internet: primarily via The People’s Collection website, but also via any other website in the future
  4. You will allow the material to be used for educational purposes, e.g. school classes, handouts, lectures, etc.
  5. You agree that this will last "in perpetuity"

NB A full version of the terms and conditions of the agreement is available on request or via our website –

Please note WELSH VOICES OF THE GREAT WAR ONLINEwill not give permission for anyone to use your material for commercial purposes, but it may be used for publicity related to the project.

YES/NO

Please sign and date here ……………………………………………………………….

7. TITLE OF THE OBJECT (E.G. LETTER TO JOHN DAVIES FROM PRIVATE EDWARD JONES)

8. DATE OF OBJECT IF KNOWN (E.G. 12TH SEPT 1917, NOVEMBER 1914, 1916, UNKNOWN)

9. LOCATION OF OBJECT IF KNOWN (E.G. MAMETZ WOOD, YPRES, FRANCE, ETC)

10. DESCRIPTION OF OBJECT AND ADDITIONAL INFORMATION

AND/OR

STORY OR ANECDOTE:

(P.T.O IF NECESSARY)

SIGNED:DATE: