Video data protection agreement Name Address Telephone number

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Video data protection agreement
Name
Address
Telephone
number
Email
address
I understand that I am being filmed on behalf of the University of Sheffield
for promotional purposes. I consent to the use of my image and comments in
University of Sheffield publicity on DVD, the University of Sheffield website
and official University of Sheffield content on external websites.
I understand that I am free to withdraw my permission in writing at any time, up
until publication.
Signature
Date
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