Media Consent Form I hereby consent to be interviewed, photographed, and video recorded by the Communication and Marketing Department at the University of Cape Town (UCT). I grant the following rights to the Communication and Marketing Department/UCT: Use of Photograph and Quote: The right to use my photograph and quote indefinitely on UCT social media accounts (Facebook, X/Twitter, LinkedIn, YouTube), UCT websites, Campus TV, Publications, Fact Sheets, marketing materials; and across UCT campuses. Use of Audio-Visuals: The right to use audio-visual recordings of me in social media and future marketing materials, which may be displayed via broadcast media, radio, or online distribution channels. I understand the following: My views will be represented accurately and fairly. Agreeing or refusing to be interviewed will not affect my position or studies at UCT. My contact details will not be shared in the final product, but my personal details (name and degree programme/faculty) may be included. By signing below, I confirm that I have given my informed consent for all the above and that my decision to be interviewed was not influenced by the University of Cape Town or sponsors. Name First Last Department/Faculty and degree programme Email Nationality/citizenship I can be identified by Something you are wearing, holding, notable about you in the photograph Signature Sign above