ࡱ> Ubjbjnn 4aaqn n 86|9D^^(### 8 8 8 8 8 8 8$S; >F08###"##08)8---#R 8-# 8--rn5Tn64D&E#*J578095O?m,*O?n6O?n6##-#####0808-###9####O?#########n B :HELLENIC REPUBLIC MINISTRY OF CULTURE & SPORTSTO: (Please fill in the title of the Ministry Department the application is addressed to)REQUEST FORM FOR A PERMIT TO REPRODUCE IMAGES OF ARCHAEOLOGICAL CONTENT (OBJECTS IN GREEK MUSEUMS, MONUMENTS-ARCHAEOLOGICAL SITES) ON THE INTERNET (On the basis of article 46 of Law 3028/02 and the Joint Ministerial Decisions with Reference Numbers YPPO/GDAPK/DMEEP/G2/F51-52-54/81397/2199/12.09.2005, Government Gazette Issue 1491/B/27.10.2005 and YPPOT/DOEPY/TOPYNS/126463/28.12.2011, Government Gazette Issue 3046//30.12.2011)DATE:APPLICANT DATAFull Name:Profession/Capacity:Postal Address:Telephone/FAX:E-Mail:DESCRIPTION OF ENTITYGovernmental Entity/Public Sector:&Non-profit Organization:&Private Educational Institution:&Research Institute:&Publishing Organization:&Mass Media:&Tourist Office:&Company providing tourist information through the internet:&Image Bank:&Advertizing Company:&Other (describe):ENTITY S LEGAL STATUSPublic Law Entity:&Private Law Entity:&Private Body:&Individual:&PURPOSE OF USEInformative:&Educational:&Research:&Cultural:&Commercial:&Advertizing:&Experimental:&Other (describe):IMAGE TYPETwo-dimensional:&Three-dimensional:&Static:&Moving:&Other (describe):IMAGE PROVENANCEPhotography:Amateur&Professional (Attach related permit issued by the Hellenic Ministry of Culture & Sports)&Filming / Video Recording:Amateur&Professional (Attach related permit issued by the Hellenic Ministry of Culture & Sports)&The Internet:&URL Address:Printed Source:&Cite the title and the page/image number or the nature of the printed matter:Image provided by the Hellenic Ministry of Culture, & Sports:&Other (describe):RESOLUTION OF THE DIGITAL IMAGE/S72 dpi:&Over 72dpi:&Define resolution:WEBSITE ACCESSFree of charge:&Paid/Subscription:&State the amount charged:DURATION OF PUBLICATION ON THE WEBSITEUp to one year:&Up to five years*:&* (Maximum time limit of publication according to the Joint Ministerial Decision is five years, renewable upon request)WEBSITE INFORMATIONURL Address:Server location:Content language/es:Website managing entity:Other involved entities: (if applicable)Image watermarking:Yes&No&Other methods of content protection:&Describe protection method:Additional information: (optional)RENEWAL OF PREVIOUS PERMITThis request is intended for the renewal of previous permit:&State the reference number of the previous permit:ATTACHMENTS (required)(Full list of the depicted objects / monuments / sites (in the case of museum objects also include inventory number, and Museum of origin)(Digital copies of the images(Digital copies of the accompanying texts(Copies of the respective photographing / filming permits granted by the competent Ministry Departments or the licenses / copyright assignments for the specific images granted by their respective owners (where the images have not been provided by Ministry Departments).Important notice: this request form refers to the use of images of specific objects / monuments / sites under the jurisdiction of the Hellenic Ministry of Culture and Sports)and not the use of specific images of these specific objects / monuments / sites, if the images originate from third parties and have not been provided directly by the Hellenic Ministry of Culture and Sports or have not been produced under licensed photographing/filming/video recording by the applicants themselves. 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lapytc^_an~dxx$Ifgdc$dxx$Ifa$gdc^kdP.$$Ifl0& t44 lapytcnobdfH> dgdWlFkd@/$$Ifl& t44 lap ytc$dxx$Ifa$gdc^kd.$$Ifl0& t44 lapytcZx^`bdf|~óyjZJC8-hch$OJQJhch6OJQJ hchWlhchWl5CJOJQJaJhch65CJOJQJaJhhhOJQJmH sH hchuHImH sH hchuHIOJQJmH sH hchH OJQJmH sH hchHJOJQJmH sH UhchHJ>*OJQJmH sH hchH >*OJQJmH sH hchcOJQJmH sH hch@OJQJmH sH hchOJQJmH sH  and attach copies of them to this request form. DECLARATIONI, the undersigned, declare that Images will be used exclusively for the purpose and period requested under the terms and conditions of the permit provided, as determined by the Minister of Culture and Sports following the expressed opinion of the Central Archaeological Council. In the case of any modification or amendment, a new permit is required. The permit is not transferable. Responsibility for the proper and lawful use of the images lies exclusively with the applicant and under no circumstances with the Ministry of Culture and Sports. The use of the images will by no means alter their content or offend the displayed monuments in any way. Grant of the permit does not constitute any form of cooperation, formal or informal, with the Ministry of Culture and Sports, unless expressly stated in the permit. The Ministry of Culture and Sports will be promptly notified about the beginning and end of the publication of the licensed images on the website. Prior to the publication of the licensed images on the website all fees due to the Archaeological Receipts Fund will be deposited in Bank of Greece account number 026786/4 /  2201000240000000000267864. The publication of the licensed images on the website must be accompanied by the following disclosures: "The rights of the depicted monuments belong to the Greek State and the Ministry of Culture and Sports (Law 3028/2002)" (For movable monuments) Monument name, origin (Museum / Collection), index number (and optionally date and use) (For immovable monuments) Monument name, location (and optionally date and use) All information contained in this request form is true and accurate. 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