NSW Forensic and Analytical Science Service Library Registration Form

The form below can be used to register for Western Sydney Local Health District libraries. After registering with a Facility library, library services at any WSLHD Library can be used.

After submitting details identification needs to be taken to a Facility Library to complete the registration. Please notify the library if a previous registration has been created.

Facility* - required

Auburn Hospital Mental Health Library Cumberland Hospital NSW Forensic and Analytical Science Service Westmead Hospital

Position title

Other position title not listed

First name* - required

Last name* - required

Other

Email Address* - required

Mobile phone number* - required

Home Phone Number

Work Phone Number

Pager Number

Home Mailing Address* - required

Suburb* - required

Postcode* - required

Password to access library membership and renew/reserve items online* - required

Employees only

Are you an employee?* - required

Position Title* - required

Department* - required

Employee Number* - required

Position type* - required

Temporary employee end date

Students only

Are you a student?* - required

Course* - required

Educational Institute* - required

Student ID Number* - required

Year* - required

Department (if applicable):

Supervisor (if applicable):

Completion date after all training and exams completed* - required

I am a clinician or a Notre Dame medical student and would like to obtain after hour access to Auburn Hospital Library

Declaration

I authorise Western Sydney Local Health District, Nepean Blue Mountains Local Health District and The Sydney Children's Hospitals Network library staff to use these details to contact me in regards to library matters. I am aware that I can ask library staff to view or update my details. I agree to take full responsibility for any items borrowed on my membership and will pay the fee incurred for lost, damaged or overdue items. If I use the Libraries’ computers I will comply with WSLHD computers condition of access as set out in the NSW Health policy. If utilising the online document delivery system I agree to adhere to the principles of fair dealing as stipulated in the Copyright legislation. If I am an employee, who at the time of my termination of employment with WSLHD have failed to pay any outstanding fines or replacement costs incurred, I authorise the deduction of the outstanding amount from my termination pay. If I am a student, I understand that my exam results will be withheld until all items are returned and fines cleared.

Please select* - required

I have received and understood orientation on the above I have read the above and will attend an orientation

Declaration under Copyright Act 1968

I declare that I require the reproduction of the item described above for either personal research and study, or work-related, patient care purposes (as specified below), and I will not use it for any other purpose. I have not previously been supplied with a reproduction of the same material by an authorised officer of the library. In the event that my request is for more than one article from the same issue of a periodical, I further declare that each article is for the same research or course of study, or the same work-related, patient care purpose.

I understand that all documents requested by me electronically through the Document Delivery Service are subject to copyright restrictions, as per the Australian Copyright Act 1968. I agree to abide by the regulations of the Act for this item.

By submitting this request I am confirming this declaration is true, that I am requesting a copy to be emailed to myself, and confirming that this article is required for either:

Please select one of the following* - required

Library Registration Form

Declaration

Declaration under Copyright Act 1968

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