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Translation Permission Request Form

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Translation Form
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Contact Details

Title

First name

Family name

Requestor Type

If other please specify

Position Title

Organization/affiliation

Organization website URL (start with http://)

Telephone

Fax

Address

Please provide complete business address with postal code.

Country

Email

Information about IARC material to be translated

If you are requesting translation permissions for multiple IARC titles, enter each item/title separately.

Title of IARC publication, document or web page you wish to translate

URL of IARC publication (start with http://)

ISBN

Year of publication

Please select the type of item(s) to be translated

Entire work

Section

Chapter

Figure

Table

Image

Web page

Podcast

Video

Other Please specify

For the item selected (unless you have specified the entire work), please provide detailed information, such as page number(s).

Information about your publication

Which language(s) do you plan to translate into?

Please provide the title of your publication in which the above IARC materials will appear. If you plan to translate the entire work, please indicate the title in the language of the translation.

Format of your publication

Print

Electronic

Print and Electronic

If electronic, please provide URL

Print run (if applicable)

Planned publication date

Publisher's name

Will your publication be for sale or distributed freely?

For sale

Free distribution

If your publication is to be sold, please indicate the planned selling price

If your publication is sponsored or funded by an organization other than your own, please provide additional information

Will there be any advertising associated with your publication?

Yes

No

Don't know

Additional information about your request

Please fill the antispam before submitting your form

*Required fields

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