THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION PRIVATE MUSEUM
FOR INTERNAL USE ONLY
Template No.: TK-058 (E/H)
Template Title: Research Paper Request with Sacred Limits — Data Request & Sacred-Restricted Release Form
Related Research Case IDs / Cluster: Cluster E (Science/Testing/Misinformation) + Cluster H (Normative Models / Best Practice)
Linked Templates / Policies:
TK-050 Testing Results Leaked Early — Confidentiality Control
TK-052 Replica / 3D Scan Ethics Policy (if digital outputs requested)
TK-056 Right-Speech Communications Guide
Institutional Policies for Relic Stewardship (HSWAGATA)
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [✔ ]
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only [ ]
TK-058 — Purpose
Use this form when a researcher asks for data, photos, test results, or documents for a paper, thesis, report, or conference, but the material has sacred limits or security risks.
This form helps HSWAGATA:
protect relic safety and faith,
share education safely,
prevent leaks and misuse,
set clear conditions for research use.
A. Research Request Intake
Date received: ____ / ____ / ______
Request received by (name/role): __________________________________
Researcher name: ______________________________________________
Institution / department: ________________________________________
Country: ____________________
Email / phone: ________________________________________________
Research type (tick):
☐ Journal paper ☐ Thesis/dissertation ☐ Conference ☐ Museum report ☐ Documentary script ☐ Other: _______Topic/title (as stated by requester):
Deadline requested: _______________________________
B. Requested Materials (Data Request List)
Tick what the researcher is asking for:
B1. Text/data
☐ Lab report / scientific results
☐ Conservation condition report
☐ Chain-of-custody records
☐ Donor/provenance documents
☐ Meeting minutes / internal notes
☐ Policies / SOPs
☐ Other: __________________________
B2. Images/media
☐ High-resolution relic photos
☐ Close-up or macro images
☐ Exhibition images
☐ Video footage
☐ 3D scan / digital model
☐ Other: __________________________
B3. Personal / sensitive
☐ Names of donors/custodians
☐ Contact details
☐ Location/security details
☐ Sacred narratives not public
☐ Other: __________________________
C. Sacred-Restricted Classification (HSWAGATA Use)
For each requested item, mark the level:
| Item | Public | Internal | Restricted | Sacred-Restricted |
|---|---|---|---|---|
| 1) __________________ | ☐ | ☐ | ☐ | ☐ |
| 2) __________________ | ☐ | ☐ | ☐ | ☐ |
| 3) __________________ | ☐ | ☐ | ☐ | ☐ |
Default rule: If unsure, classify as Restricted or Sacred-Restricted.
Reviewer name/role: __________________________ Date: //____
D. Sacred-Restricted Release Rules (Core Rules)
HSWAGATA may release material only if:
Purpose is clear (education/academic use, not trade, not fundraising “proof”).
Minimum necessary release (share the least amount needed).
No security risk (no exact storage location, no access methods).
No harm to faith/community (no mocking, no sensational claims).
No “proof” language required by the researcher.
Written agreement signed (this form + conditions).
Right to refuse remains with HSWAGATA.
E. Decision (Choose One)
☐ Approved (public materials only)
☐ Approved (limited restricted release with conditions)
☐ Approved (sacred-restricted excerpt only; heavy redaction)
☐ Paused (need more info / ethics review)
☐ Rejected (risk too high)
Reason (short):
Decision by: __________________ Role: ______________ Date: //____
Board / delegated approval required? ☐ Yes ☐ No
If yes: Approved by: __________________ Date: //____
F. Sacred-Restricted Release Form (Agreement)
F1. What HSWAGATA will release
List exactly what will be provided (include version/date):
Format: ☐ PDF ☐ Print copy ☐ On-site viewing only ☐ Watermarked images ☐ Other: _______
F2. What will NOT be released
Tick all that apply:
☐ Exact relic storage location/security details
☐ Full chain-of-custody logs
☐ Donor identities (unless written consent exists)
☐ Raw lab data files
☐ High-resolution close-ups that increase theft/fraud risk
☐ Sacred narratives not meant for public
☐ Any content that can be used as “proof” for fundraising/trade
F3. Conditions of use (Researcher must agree)
Tick to agree:
☐ Use is for academic/educational purpose only.
☐ No resale, no commercial licensing, no fundraising use.
☐ No claim of “HSWAGATA confirms authenticity.”
☐ No editing that changes meaning (no misleading cropping/caption).
☐ Proper citation of HSWAGATA as source (as given by museum).
☐ Draft must be shared with HSWAGATA for factual check before publication (optional but preferred).
☐ Researcher will protect files (no public sharing of originals).
☐ If a leak occurs, researcher will inform HSWAGATA within 24 hours.
☐ HSWAGATA may withdraw permission if terms are broken.
F4. Required disclaimer text (must appear in paper/appendix)
“This material was shared with limits to protect sacred heritage and safety. It does not function as final proof of authenticity. Scientific methods have limits, and religious meaning is not only a lab matter.”
G. Redaction & Watermark Checklist (HSWAGATA Use)
Before release, tick:
☐ Names removed or coded
☐ Locations removed (no maps, no storage details)
☐ Metadata cleaned where needed
☐ Watermark added: “Restricted / For Research Use Only / Do Not Share”
☐ File version code assigned: _____________________
☐ Access log recorded (who sent it, to whom, when)
H. Signatures
H1. Researcher Declaration
I agree to follow the conditions above and respect sacred limits.
Researcher name: __________________________
Signature: _______________________________
Date: ____ / ____ / ______
H2. HSWAGATA Approval
Approved by (name/role): __________________________
Signature: _______________________________
Date: ____ / ____ / ______
Witness (mandatory): _______________________ Signature: __________ Date: //____
I. Archive
Archive code / file location: ______________________________________
Status: ☐ Active ☐ Closed ☐ Monitoring (publication pending)
End of Template TK-058
