Text Box: ACM Permission and Release Form




         (Here are .pdf or .doc versions of this form.)



         TITLE OF NON-ACM WORK: ________________________________________________________

AUTHOR(S): _____________________________________________________________________

DESCRIPTION OF MATERIAL:    HiPC’03 Proceedings Paper, Dec 17-20, Hyderabad, India.

TITLE OF ACM PUBLICATION:   SIGARCH 2003 CD / DVD Conference Compendium (working title)


I hereby grant permission for ACM to include the above-named material (the Material) in any and all forms, in the above-named publication. I further grant permission for ACM to distribute or sell this submission as part of the above-named publication in print and electronic form, and as part of the ACM Digital Library, on CD-ROM and in translation, or on videocassette, broadcast, cablecast, laserdisc, multimedia or any other media format now or hereafter known.

(Not all forms of media will be utilized.)


I hereby verify that I am the sole owner of copyright in this Material and have the authority to grant such permission.


In the event that any elements used in the Material contain the work of third-party individuals, I understand that it is my responsibility to secure any necessary permissions and/or licenses and will provide same in writing to ACM.  If the copyright holder requires a citation to a copyrighted work, I have obtained the correct wording and have included it in the designated space in the text.


I hereby release and discharge ACM and other publication sponsors and organizers from any and all liability arising out of my inclusion in the publication, or in connection with the performance of any of the activities described in this document as permitted herein. This includes, but is not limited to, my right of privacy or publicity, copyright, patent rights, trade secret rights, moral rights or trademark rights.


All permissions and releases granted by me herein shall be effective in perpetuity and throughout the universe unless otherwise stipulated, and extend and apply to the ACM and its assigns, contractors, sublicensed distributors, successors and agents.


The following statement of copyright ownership will be displayed with the Material, unless otherwise specified:

"Copyright is held by the author/owner." ACM reserves the right to provide a hyperlink to the author's site if the Material is used in electronic media.


____I have not used third-party material.


____I have the necessary permission to use third-party




SIGNATURE (author/owner)


PRINT NAME                                                     DATE


Revised 10/02