Balani Infotech Pvt. Ltd.
(Library & Information Service)
119, Vinobapuri, Lajpat Nagar – II, New Delhi – 110 024
Phone: + 91-11-46573379 / 4172 4130
Fax: + 91-11- 4172 4167
Email: balani@igroupnet.com

                                                      Date:

Application and Agreement Form for Trial Access (30 Days)

 I/we would like to evaluate the content of the below mentioned database.

Name of the Product/Database:      

Please register my institution for a free trial; I understand that I am given a free subscription to the respective database for 30 Days without any obligation.


Details

*Trial Access from            to     

Name of the Nominated Contact Person:
Title:
E-mail:
Phone with Area Code:
Mobile:
Fax:
Institution Address:
Institution URL(if available):
Institution IP Range/s:

*Please allow one week time to set up the trials


Terms and Conditions:


· One Time 30 Days Trial Access Only
· Trial Access based on IP Range/s or Logon ID (Wherever Applicable)
· You must ensure that users do not disclose their Logon ID to any other person, and immediately notify us if you become aware that a Logon ID has been disclosed to a person who is not a bonafide User.

Agreement:


· I/we agree to use the products and reproduce part (but not all) of the products for the purposes of evaluation only.
· I/we agree not to make any Licensed Product available to any person other than a bonafide user.
· I/we agree not to rent, lend, sell or otherwise supply for commercial gain any Licensed Product to any person, including a bonafide user.
· I/we respect the Intellectual Property Rights of the Author/s and agree that the database is leased for evaluation purpose only.


I/We abide to the terms and conditions stated above.

Date:
Place:
Name of the Person In Charge:
Title:
E-mail:
Phone with Area Code:
Mobile:
Fax: