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CONTRIBUTORS RELEASE FORM ^ I til .t' pRoJECr ,11r= IWN 1r'te ltd',/zrt ("the project") + DATE OF FILM ING/CONTRIBUTION /t! . 't I t n*/ti{/ l6 NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT tl*i[ Uul fCI/sdn9 ("the company") NAME OF CONTRIBUTOR Al*x ua4elg ADDRESS OF CONTRIBUTOR qk t)rtsWr*rrL ^f*"1 TELEPHONE NUMBER OF CONTRIBUTOR o7q*lu+n [\ ln consideration of the Company agreeing that I contribute to and participate in the Project, the nature and the content of which has been fully explained to me, I hereby consent to the filming and recording of my contribution to and participation in the Project subject to the terms and conditions specified below. DESCRIPTION OF CONTRIBUTION

Alex v release form

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Page 1: Alex v release form

CONTRIBUTORS RELEASE FORM

^ I til .t'pRoJECr ,11r= IWN 1r'te ltd',/zrt ("the project")+

DATE OF FILM ING/CONTRIBUTION/t!. 't I t

n*/ti{/ l6NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT

tl*i[ Uul fCI/sdn9 ("the company")

NAME OF CONTRIBUTOR

Al*x ua4elgADDRESS OF CONTRIBUTORqk t)rtsWr*rrL ^f*"1

TELEPHONE NUMBER OF CONTRIBUTOR

o7q*lu+n [\

ln consideration of the Company agreeing that I contribute to and participate in the Project,the nature and the content of which has been fully explained to me, I hereby consent to thefilming and recording of my contribution to and participation in the Project subject to theterms and conditions specified below.

DESCRIPTION OF CONTRIBUTION