Publication 1
Title of publication
--- select one of the following ---
Annals of the Rheumatic Diseases
Archives of Disease in Childhood
Archives of Disease in Childhood Fetal Neonatal
Archives of Disease in Childhood Education & Practice
British Journal of Ophthalmology
British Journal of Sports Medicine
BMJ (British Medical Journal)
BMJ Best Treatments
BMJ Clinical Evidence
BMJ Learning
Emergency Medicine Journal
Evidence Based Medicine
Evidence Based Mental Health
Evidence Based Nursing
Gut
Heart
Injury Prevention
Journal of Clinical Pathology
Journal of Epidemiology & Community Health
Journal of Medical Ethics
Medical Humanities
Journal of Medical Genetics
Journal of Neurology, Neurosurgery and Psychiatry
Neurology in Practice
Occupational & Environmental Medicine
Postgraduate Medical Journal
Quality & Safety in Health Care
Sexually Transmitted Infections
Student BMJ
Thorax
Tobacco Control
Western Journal of Medicine
Year of publication
Author(s)
Volume/issue
Specify which
fig/table number/extract
Page
numbers
Web reference/url (for BMJ Clinical Evidence, BMJ Best Treatments and BMJ Learning Only)
Publication 2
Title of publication
--- select one of the following ---
Annals of the Rheumatic Diseases
Archives of Disease in Childhood
Archives of Disease in Childhood Fetal Neonatal
Archives of Disease in Childhood Education & Practice
British Journal of Ophthalmology
British Journal of Sports Medicine
BMJ (British Medical Journal)
BMJ Best Treatments
BMJ Clinical Evidence
BMJ Learning
Emergency Medicine Journal
Evidence Based Medicine
Evidence Based Mental Health
Evidence Based Nursing
Gut
Heart
Injury Prevention
Journal of Clinical Pathology
Journal of Epidemiology & Community Health
Journal of Medical Ethics
Medical Humanities
Journal of Medical Genetics
Journal of Neurology, Neurosurgery and Psychiatry
Neurology in Practice
Occupational & Environmental Medicine
Postgraduate Medical Journal
Quality & Safety in Health Care
Sexually Transmitted Infections
Student BMJ
Thorax
Tobacco Control
Western Journal of Medicine
Year of publication
Author(s)
Volume/issue
Specify which
fig/table number/extract
Page numbers
Web reference/url (for BMJ Clinical Evidence, BMJ Best Treatments and BMJ Learning Only)
Publication 3
Title of publication
--- select one of the following ---
Annals of the Rheumatic Diseases
Archives of Disease in Childhood
Archives of Disease in Childhood Fetal Neonatal
Archives of Disease in Childhood Education & Practice
British Journal of Ophthalmology
British Journal of Sports Medicine
BMJ (British Medical Journal)
BMJ Best Treatments
BMJ Clinical Evidence
BMJ Learning
Emergency Medicine Journal
Evidence Based Medicine
Evidence Based Mental Health
Evidence Based Nursing
Gut
Heart
Injury Prevention
Journal of Clinical Pathology
Journal of Epidemiology & Community Health
Journal of Medical Ethics
Medical Humanities
Journal of Medical Genetics
Journal of Neurology, Neurosurgery and Psychiatry
Neurology in Practice
Occupational & Environmental Medicine
Postgraduate Medical Journal
Quality & Safety in Health Care
Sexually Transmitted Infections
Student BMJ
Thorax
Tobacco Control
Western Journal of Medicine
Year of publication
Author(s)
Volume/issue
Specify which
fig/table number/extract
Page numbers
Web reference/url (for BMJ Clinical Evidence, BMJ Best Treatments and BMJ Learning Only)
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the material be used?
(Please check as many as relevant)
3. Where will the material be reproduced?
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following as relevant)
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book/journal/CD
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run/number of reproductions
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reprints -
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