AUTHORISATION FOR PUBLICATION OF THESIS ON WWW.GRAPPA.

COM
I, the undersigned___________________________________________________________________________ Tel. no.: __________________________ E-mail:___________________________________________________ Author of the Degree Doctorate thesis

Title of thesis:_______________________________________________________________________________ Academic Year ____________________ University ________________________________________________ where as the aim of the Poli Grappa museum website (www.grappa.com) is to publicise and promote Grappa, solely for cultural and educational purposes; the Poli Grappa Museum, as the manager of the website, requests authorisation to publish the thesis in the Library / Degree theses and specialist studies section, considering it coherent with the interests and educational aims of the website; I HEREBY AUTHORISE the Poli Grappa Museum to use my thesis for the following purposes: publication of the electronic version at www.grappa.com (for hardcopy theses, a digitised version thereof); consultation online at www.grappa.com; publication and consultation at www.grappa.com for research and teaching purposes, excluding commercial use of any kind and any changes to the original document SUBJECTING the uses authorised above to acknowledgement of the authorship of the thesis (indication of the authors name); any other or further use of the thesis to separate, explicit authorisation on the part of the author. I HEREBY DECLARE, as the exclusive author of the thesis: that the content of the thesis, including text, images, photographs, tables and other parts thereof, does not in any way infringe copyright, and complies with the obligations regarding the safeguarding of the moral or economic rights of other authors or rightholders; that the thesis is not the result of activities that come under the regulations governing industrial property rights, and is not the object of any kind of patent registration; that the thesis has not been produced within the framework of projects financed by public or private subjects that have placed any particular a priori restrictions on the publication of the results. AUTHORS SIGNATURE ______________________

PLACE AND DATE _____________________

Please complete, sign and send to: Poli Museo della Grappa - Via Gamba 6 - 36061 Bassano del Grappa (VI) Italia info@grappa.com tel. +39 0444 665007 fax +39 0444 466401