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Image consent form

I hereby grant Medefine Education LTD of 3rd Floor, 86-90 Paul Street, London EC2A 4NE, Company number 13301127 the authority to use photographs and/or video recordings of myself for the purpose of advertisements  and display on

I have been made aware that photographs and/or video might be used in print and digital format and can depending on the purpose appear on websites, banners, advertisements and social media.

I have been made aware that I can withdraw my consent any time by using the Data Subject Photography and Film Consent Withdrawal Form.

I have been made aware that I can find a full description of how Medefine Education processes personal data in Medefine Education `s Privacy Policy which can be found at

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