Schedule 2, paragraph 6F(3)
The information which must be included in the declaration is— the name of the person who requires the copy and the material which that person requires, a statement that the person has not previously been supplied with a copy of that material by any library, a statement that the person requires the copy for the purposes of research for a non-commercial purpose or private study, will use it only for those purposes and will not supply the copy to any other person, and a statement that to the best of the person’s knowledge, no other person with whom the person works or studies has made, or intends to make, at or about the same time as the person’s request, a request for substantially the same material for substantially the same purpose.
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Source: legislation.gov.uk · retrieved 2026-09-04