Digitisation Request (staff only) - Keele University

Digitisation Request Forms (staff only)

Please complete and submit this form to make digitisation requests. Fields marked ** must be completed. Any queries you have about either the service or the form, please contact the library digitisation team, email: library.scanning@keele.ac.uk, ext: 34184, 33502.

Alternatively you can download the form as a pdf file.

Digitisation request form

pdf File
30K
Download the hard copy of the submission form

 

 

** Name:
** Full email address:
Telephone number:
School:
** Module Code for Course of Study:
** Module Title:
** Module Dates: From To
   
** No. of Registered Students for Module:
ISBN/ISSN:
Journal or Book Title:
Journal Volume and/or Issue Number:
Title of Chapter/Journal Article:
Year of Publication:
Author(s) of Book/Chapter/Article:
Publisher (if known):
**Page Numbers: From To

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