Unaids Photo Consent Form

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Photo Consent Form
I hereby freely grant [Name of Photographer] and UNAIDS (Joint United Nations
Programme on HIV/AIDS) permission to publish the photographs taken of me or the
minor named below on [Insert Date], for editorial, advertising, or commercial purposes to
promote the activities of UNAIDS.
DATE ___________________
_________________________
________________________
(Name)
________________________
(Address)
________________________
_________________________
(M in or’s N am e)
(Father, Mother or Guardian)
_________________________
_________________________
(M in or’s A d d ress)
_________________________________________________
(Witness)

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