Model Release
Name of event or shoot
(to be completed by organiser of the event):
ARU Race Equality Advocate
Date of event or shoot (to be completed by organiser of the event):
Sept 2022-July 2023
I,
give permission to Anglia Ruskin
Maria Smith
University Higher Education Corporation (“ARU”) who are the Data Controller, to use my:
- Name
- Course Title
- Testimonial / Case Study
- Image / Photograph / Interview / Video / Vlog / Audio Recording
in publications and advertisements produced by or for ARU for public relations and advertising purposes.
These include but are not limited to:
- Websites managed by ARU
- Third party websites employed by ARU
- Social Media including but not limited to:
o Facebooks / Twitter / LinkedIn / YouTube / Snapchat / Instagram
- Print and digital media including billboards, prospectuses, guides, posters, flyers, postcards and other
print media, placed both on and off the University campus. Off-campus location examples include train
stations, shopping malls, roadside billboards
- Store my contact details, as provided on this form, on a Digital Asset Manager (DAM) or similar databases
for the purpose of contacting me in relation to the identified purposes
I also give permission for ARU to use the above information relating to me in any future publications and
websites produced by or for ARU for public relations and advertising purposes in perpetuity (ongoing) until I
request otherwise by emailing dpo@anglia.ac.uk
✔
Yes
No
My details are as follows:
Name:
Maria Smith
Position:
Organisation:
Course Title:
Race Equality Advocate
Anglia Ruskin University Cambridge FBL
Legal Practice Course
The following details will NOT be published:
Address:
14 Fox Hill, Guilden Morden, Royston, CAMBS, SG8 0JJ
Phone:
079678 36516
Email:
mariabarwellsmith@yahoo.com
I understand that:
-
The publication may appear on the Internet / World Wide Web (www);
The publication may appear in print, electronic or video media;
The publication may enable readers to identify me.
Model Release
Important - please note:
I understand and accept that if my personal information (name, contact details or image) is published on the
Internet/WWW then it will be accessible to users from all over the world.
My information can also be searched for using an identifier such as my name, and may be copied and used by
any other person using the Internet/WWW.
Most importantly, I understand and accept that once my personal information has been published on the
Internet/WWW, ARU has no control over its subsequent use and disclosure.
ARU will only disclose my personal data to third parties where there is a lawful basis.
I understand that I can remove my consent at any time by emailing dpo@anglia.ac.uk, and ARU will endeavour
to meet my request to the best of their ability and as soon as it is reasonably possible. If the request has been
made and items have been printed and published I understand that removing my images may not be possible in
this instance.
This consent form and any dispute or claim arising out of or in connection with it shall be governed by and
construed in accordance with the law of England and Wales.
Signature:
Ref No (Student ID is applicable)
1247524
Further information on your rights under GDPR and how ARU will use your personal data can be found in our
privacy statement which can be found here: www.anglia.ac.uk/privacy-and-cookies
If you are unable to provide your physical signature above then you may tick the box below and send this form
back to the relevant department via email, on the basis that you accept by ticking the box that you are providing
your consent to ARU to store and process the information you provide within this form, including all personal
information, in accordance with the Data Protection Legislation for the purposes set out above. (Without your
■
explicit consent we cannot process your personal data.) 