You need to copy the transfer agreement to official paper of you university and have it

printed, signed by your supervisor, and scanned and mailed to me.

Agreement


Agreement between <TITLE NAME, INITIAL, SURNAME, POSITION, DEPARTMENT,
ORGANIZATION, COUNTRY, EMAIL-ADDRESS> and the Department of Medical
Informatics, Aachen University of Technology (RWTH), Germany.

The undersigning <TITLE NAME SURNAME>receives the dataset entitled <NAME OF
DATASET>that has been created by Dr. Thomas Deserno and coauthors. <TITLE NAME
SURNAME>hereby certifies, that this data is used only for the desired purpose of
1. <MAJ OR GOAL>and
2. <MINOR GOAL>

<TITLE FIRST NAME SURNAME>guarantees that the data is not passed to third parties, neither
in total nor in part, and that it is not used for other research or for direct or indirect commercial
purposes without particular written permission by Dr. Thomas Deserno, Aachen

In any publications based on this data, <TITLE NAME SURNAME>will refer to the source of
data either in the figure caption or in the acknowledgement by stating "courtesy of TM Deserno,
Dept. of Medical Informatics, RWTH Aachen, Germany". A reference copy of the publication will
be sent to Dr. Thomas Deserno, Aachen.



<SIGNATURE>
<NAME SURNAME>





<OFFICIAL DOCUMENT HEADER>
<OFFICIAL ADDRESS>
To
Dr. Thomas Deserno (ne Lehmann)
Department of Medical Informatics
Aachen University of Technology
D-52057 Aachen
GERMANY
<PLACE, DATE>