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Return the completed form to the

Adelaide Graduate Centre Level 2, Schulz Building The University of Adelaide SA 5005 AUSTRALIA

Final Thesis Lodgement Division of Research and Innovation

Following examination of your thesis, you are required to lodge one digital copy of your final thesis with the Graduate Centre, together

with your completed Final Thesis Lodgement form. Subject to any restrictions on access that may apply, the digital copy will be included

in the Adelaide Research & Scholarship (AR&S) Digital Repository and Trove.

On lodgement of your final copy, you and your School must certify that any and all required amendments have been satisfactorily

completed and that any issues which may affect the digital publication of your thesis on the web have been addressed.

The following information will be made available to the University Library to facilitate the appropriate cataloguing of your thesis.

Personal Information

FAMILY NAME

OTHER NAMES

TITLE (Professor/Doctor/Mr/Mrs/Ms/Miss/Mx)

STUDENT ID

MAILING ADDRESS

EMAIL (Personal, Non University for future contact)

SCHOOL/DISCIPLINE

ACADEMIC PROGRAM (Full title e.g. Doctor of

Philosophy)

Document Information

TYPE (Conventional, Publication format etc)

TITLE (as it appears on the title page of the thesis)

KEYWORDS (keywords or phrases separated by

commas e.g. Ugh boots, footwear, foot apparel)

QUALIFICATION YEAR (the year in which you

completed the requirements for your award)

Supervisor Information

PRINCIPAL SUPERVISOR

ADDITIONAL SUPERVISORS

NOTE: if not University of Adelaide staff please state

organization they are associated with.

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Certification of Student

FINAL THESIS

I hereby lodge one digital copy on CD/DVD/USB flash drive of my final thesis with the Adelaide Graduate Centre.

My thesis incorporates any and all required amendments.

I certify that the digital copy is a direct equivalent of the copy of my thesis approved by the University for the award of the degree.

No emendation of content has occurred, and if there are any minor variations to formatting, they are a result of the conversion to

Adobe Acrobat format.

I am aware that I am responsible for ensuring that the inclusion of the full text of the thesis in the AR&S Digital Repository will not

jeopardise any future commercial publication plans.

COPYRIGHT STATEMENT

I hereby grant to the University of Adelaide or its agents the right to archive and to reproduce and communicate to the public my

thesis or dissertation in whole or in part in the University libraries in all forms of media, now or hereafter known. I retain

ownership of copyright and all other proprietary rights, such as patent rights. I also retain the right to use in future works (such as

articles or books) all or part of this thesis or dissertation.

THIRD PARTY COPYRIGHT MATERIAL

Please refer to the document ‘Thesis Digital Copy Requirements’ document and select as appropriate:

Section(s) of my thesis contain third party copyright material.

IF TICKED:

I have obtained and attached copies of written permission from the copyright holder(s) to use some or all of this material.

NOTE: for assistance in locating copyright holders and templates of letters requesting copyright permissions see the

University’s Copyright Information. http://www.adelaide.edu.au/legalandrisk/copyright/study-research/permission/ I give permission for any third party copyright for which I have not obtained permission to be removed from the digital

copy of my thesis.

Student name (Please print)

Signature here

Date

Certification of School

I have:

(i) read and checked the amended thesis and confirmed that the candidate has made the required corrections satisfactorily to

the digital copy of the final thesis if applicable

(ii) checked that the student has completed the personal information and certification above for the library. The candidate is

now permitted to qualify for the degree.

Principal Supervisor’s name (Please print)

Signature here

Date

Head of School OR Discipline/Postgraduate Coordinator's name (Please print)

Signature here

Date

Please note that if the Head is also one of the supervisor(s), the Postgraduate Coordinator must complete the certification. If the

Postgraduate Coordinator is one of the supervisors, then the Head or Deputy Head must provide the certification. If both Head and

Postgraduate Coordinator are supervisors, then the Deputy Head must provide the certification. If the Deputy Head is also a supervisor,

the certification should be provided by another senior academic staff member.

www.adelaide.edu.au/graduatecentre

Further Information

Ph: (08) 8313 5882

Fax: (08) 8313 5725

Email: graduate.centre@adelaide.edu.au

Web: www.adelaide.edu.au/graduatecentre