Candidate Details

Name:
Student ID:
Preferred Email:
Phone Number:
ORCID ID:
Course Title:	Select an option.
School:	Select an option.
Thesis Format: Supervisor 1: Supervisor 2: Supervisor 3: Supervisor 4:	Select an option.
Thesis Title:
Field of Research (FoR) Code/s:
Keywords:

Embargo

☐ Embargo the access to the thesis. After the period of time selected here, allow the level of access specified in Section 3. Restriction Statement: Select an option.

Restriction Statement

See FAQ’s for requirements and more information on each option.

Please select the level of access to your thesis in consultation with your principal supervisor.

Please select one option only.

☐	Release thesis for world-wide access online.
☐	Release thesis for world-wide access, but restrict access indefinitely to chapters _____________containing confidential or copyright material.
☐	Restrict full text access to current ECU students and staff only.
☐	Creative Component. The thesis contains a creative component that should be excluded from online access: Select an option.
☐	Restrict all access. Request permission to restrict all access to my thesis for commercial-in-confidence or other reasons. Please contact the Senior Librarian: Research Services to discuss the details of the required restrictions before submission of this form: Agnes Noronha email: a.noronha@ecu.edu.au phone (08)63043735 Select an option.

The principal supervisor is requested to endorse that an appropriate access level has selected:

Principal Supervisor Signature _____________________________

Date: Click here to enter a date.

Thesis-related publications

Please provide full references for publications that have arisen from your thesis research here: If your publisher allows you to place an open access version of your paper in your institutional repository, please supply us with a copy If you wish to include publications which are still being negotiated, please contact the Library once items are published.

Sharing Original Thesis Research Datasets

Do you wish to discuss sharing your data set? You may choose to fully share your dataset or require mediated access (user will need to contact you for permission to view &/or use dataset): Select an option.

(If yes is selected, a library staff member will contact you regarding dataset sharing).

Checklist of files being submitted for archiving

Candidates must submit:

☐	A complete copy of the thesis including a coversheet as per Research Training Procedure 7: Requirements of a Thesis for Archiving (Entire thesis is required for ECU Records and Archives Management Services).

AND (check those which apply)

☐	Modified thesis to go online if required. Refer to restriction statement.

☐	Exegesis only

☐	Creative component only

☐	Additional files. Please save filenames as you would want them to appear online.

Number of files:

If your additional files are very large (e.g. videos) and you would like to also provide a link to their online (e.g. YouTube) versions, please provide names and URL here:

Copyright Statement

I confirm that this electronic version of my thesis does not infringe the copyright of any person or persons. Proof of permission to include material for which I do not hold copyright is attached.

AND/OR I have removed 3rd party copyright materials and replaced with a full reference in the online electronic version for material I do not have permission to use online.

If I received funds from a third party under a funding agreement or scholarship I confirm that I have not agreed to assign ownership of copyright in my work or any part of it to that third party or otherwise agreed to any other term which might prohibit me from making this work publicly available on ECU Research Online.

Intellectual Property Statement

I confirm that the lodgement of the electronic version of my thesis does not infringe the intellectual property rights of any third party.

Authenticity Statement

I certify that this is a direct electronic equivalent of the copy of my thesis approved by the University for the award of the degree. No amending of content has occurred, and any minor variations in formatting are a result of the conversion to Adobe Acrobat format. Any removal of selected material for confidentiality or copyright reasons has been appropriately acknowledged.

I hereby consent to Edith Cowan University or its agents making available, within the restrictions outlined in this form, my thesis in whole or in part in all forms of media, now or hereafter known. I retain all of my proprietary rights, including copyright and patent rights. I also retain the right to use in future works (such as articles or books) all or part of this thesis.

I certify that this thesis does not, to the best of my knowledge and belief:

(i) incorporate without acknowledgement any material previously submitted for a degree or diploma in any institution of higher education;

(ii) contain any material previously published or written by another person except where due reference is made in the text; or

(iii) contain any defamatory material.

Student Signature _____________________________

Date: Click here to enter a date.