Notice and Take Down Request Form

Contact Info

Name: *

Email Address: *

Contact Telephone No: *

Student Number (if applicable):

( * denotes required field )

1. Does the nature of your complaint relate to an infringement of intellectual property?

Does the nature of your complaint relate to an infringement of intellectual property?

Yes No

If ‘Yes’ please provide the following details:

(i) Description of the material in respect of which infringement is alleged and location (URL, hostname, or IP address and filename) of the material on the College’s network

(ii) Are you the owner of the Intellectual property?

Are you the owner of the Intellectual property?

Yes No

(iii) If ‘No’ who is the owner of the intellectual property in the material and in what capacity are you acting on their behalf?

2. Does the nature of your complaint relate to a breach of legislation?

Does the nature of your complaint relate to a breach of legislation?

Yes No

If ‘Yes’ please provide a detailed description of your complaint and location (URL, hostname, or IP address and filename) of the material on the College’s network which breaches legislation

3. If your complaint relates to any matter other than those listed above please provide full details below.

* I confirm to the best of my knowledge and belief that the information provided by me on this form is correct.

( * denotes required field )