Ilo Model Release Form

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ILO MODEL RELEASE FORM
I, the Undersigned, voluntarily agree that I and/or the minor named below (of whom I am the
legal representative) be photographed by a photographer acting for or on behalf of the
International Labour Office (ILO).
I hereby irrevocably grant the ILO the right to freely use, reproduce, publish and distribute (or
have used, reproduced, published and distributed) the photograph(s) taken of me, or the
minor named below (of whom I am the legal representative), in any format and through any
medium whatsoever, to promote the activities of the ILO and the integration of migrant
domestic workers in Europe, including but not limited to publications, posters, audio-visual
materials, web pages, and publicity material concerning the same. In connection with the
foregoing, I agree that the ILO will -at its discretion- have the right to change, edit and/or treat
the photograph(s), provided that my image, or the image of the minor named below, and/or
the setting in which the photograph(s) were taken, are not misrepresented.
I hereby furthermore grant the ILO the right to superimpose text or quotations on the
photograph(s).
By ticking "yes" or "no" at the end of this sentence, I indicate whether or not I grant the ILO
permission to use my name in captions that appear with my image:
YES
/ NO
If I do not tick any box, I should be deemed to have withheld such permission.
I understand that the photographs may be used by the ILO, without any further consultation
with me, for the above-mentioned purposes, free of charge, in any and all countries of the
world.
I confirm that the content of this consent form has been explained to me, and that I fully
understand its meaning.
NAME_______________________________
DATE_______________________________
SIGNATURE__________________________
________________________________
_____________________________
(Minor’s Name)
(Parent or Guardian’s Name)
_____________________________
_____________________________
(Address)
(Address)
_____________________________
_____________________________
_____________________________
_____________________________

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