Declaration of Similarity Form
Submit details to declare and review similarity between two works or items. Please provide clear and accurate information.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Title or Name of First Work/Item
*
Title or Name of Second Work/Item
*
Type of Works/Items
*
Please Select
Document
Image
Design
Software
Product
Other
Describe the Similarity Between the Two Works/Items
*
Reason for Declaration
Upload Supporting Documents (optional)
Upload a File
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Choose a file
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of
Date of Declaration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Declaration
Should be Empty: