PHOTO/FILM CONSENT FORM

Publication of photographs and/or film recordings

The institution .................................................................. of the University of Göttingen (without UMG) would like to make image, sound or video recordings of you or use recordings already made and publish them. We require your consent for this. Your consent is voluntary. If you do not give your consent, no publication will take place. Refusal to give your consent has no negative consequences for you.

Organiser of the recording
Name: .......................................................................................................................................................
Institution: ..............................................................................., University of Göttingen (without UMG)

Reason for the recording
Location, date, time: .................................................................................................................................
Event / Content: ....................................................................................................................................... ...................................................................................................................................................................
...................................................................................................................................................................

Person recorded
First and last name: ..................................................................................................................................
Date of birth: ……………...............................................................................................................................
Place of residence and street: ..................................................................................................................

I, the person recorded, have been informed that I can be recognized in the above-mentioned recording. I irrevocably and without time limit agree that this recording may be used as part of the public relations work of the above-mentioned institution and its project partners, including in print media, the website and social media. My consent also extends to additional media formats that are generated using this recording, e.g. still images or montages. I agree that this recording may be edited, permanently stored and published on platforms accessible on the Internet or licensed to third parties for publication and distribution (e.g. YouTube; Twitter, learning platforms, portals for teaching material). The above-mentioned institution does not intend to make a profit from the use of the material.

I agree to the usage in print media (e.g. press releases) ☐ yes ☐ no

I agree to the use in online media ( presences of the above-mentioned institution on social media platforms, GWDG website, online press releases, etc.). ☐ yes ☐ no

I can revoke my consent at any time with effect for the future. The legality of the processing carried out on the basis of the consent until the revocation is not affected by the revocation. The revocation is to be addressed to the Georg-August-Universität Göttingen (without UMG), represented by the President, Wilhelmsplatz 1, 37073 Göttingen, Germany or by e-mail to
………………….............................................@uni-goettingen.de

I am aware that the image and sound recordings can be retrieved worldwide when published on the Internet or in social networks and can be found in particular by search engines, that further use and/or modification by third parties cannot be ruled out and that it may not be possible to delete them completely from the Internet.

I have ticked the box below if I consent to my name being mentioned in images or audio recordings.

☐	Yes, I agree to my name being mentioned.

☐	No, I wish to remain anonymous.

Participation in the recording and consent to the use described are voluntary; I am not entitled to any remuneration now or in the future as a result of the recording and dissemination. I have received a copy of this form, including information on the storage and processing of my personal data (see below).

Place, date	Signature of the person recorded

Information on the processing of personal data

This is an English translation provided for informational purposes. If the English and German versions allow different interpretations, the German version should be followed.

I. Responsible according to Art. 4 para. 7 EU General Data Protection Regulation (GDPR0)
Georg- August-Universität Göttingen (without UMG), represented by the President
Wilhelmsplatz 1
37073 Göttingen
Göttingen, Germany
Phone: +49 551 39-21000
E-mail: praesident@uni-goettingen.de
Website: www.uni-goettingen.de

You can reach our data protection officer at the following address
Georg-August-Universität Göttingen
Data Protection Officer
Platz der Göttinger Sieben 6, 37077 Göttingen
Göttingen, Germany
E-mail: datenschutz@uni-goettingen.de

II Purposes and legal bases of processing
Your data is collected and stored in order to carry out the recording. To record your consent to the recording described overleaf. Your data is collected and processed on the basis of Art. 6 para. 1 lit. a GDPR.

III Recipients of the personal data
Your personal data will be transmitted to the responsible group of persons within the Georg-August-Universität Göttingen and the providers of the relevant media.

IV. Transfer of personal data to a third country
Your personal data may be transferred to a third country. This is particularly the case when it comes to common social media platforms. The relevant data protection information is listed in the appendix.

V. Duration of the storage of personal data
As soon as you request deletion of your recording, your data will only be stored until all ongoing processes have been completed and then deleted, unless legal requirements or legitimate interests require longer storage.

VI Rights of the data subject
(1) You have the following rights vis-à-vis us with regard to the personal data concerning you:

Right of access,

Right to rectification or erasure,

Right to restriction of processing,

right to object to processing.

There is no right to data portability in the area of public law. (Article 20, para. 2, sentence 2)

(2) You also have the right to complain to a data protection supervisory authority about the processing of your personal data by us. You may also contact the State Commissioner for Data Protection of Lower Saxony, Prinzenstraße 5, 30159 Hanover, tel. 0511/120-4500, poststelle@lfd.niedersachsen.de with complaints.

APPENDIX: DATA PROTECTION INFORMATION ON SOCIAL MEDIA PLATFORMS

The University of Göttingen maintains profiles with the following providers:

Facebook:	https://www.facebook.com/georgiaaugusta
Instagram:	https://www.instagram.com/unigoettingen/
Twitter:	https://twitter.com/uniGoettingen
YouTube:	https://www.youtube.com/UnigoettingenDeVideos
LinkedIn:	https://de.linkedin.com/school/-university-of-goettingen

The controllers for the respective platforms are:

Facebook on the basis of an agreement on joint processing of personal data
Facebook Ireland Ltd, 4 Grand Canal Square, Grand Canal Harbour, Dublin 2, Ireland
Privacy policy: www.facebook.com/about/privacy/
Privacy Shield Agreement: www.privacyshield.gov/participant?id=a2zt0000000GnywAAC&status=Actice
Opt-out: www.facebook.com/settings?tab=ads and www.youronlinechoices.com
Information on Page Insights data: www.facebook.com/legal/terms/information_about_page_insights_data

Instagram
Instagram Inc, 1601 Willow Road, Menlo Park, CA, 94025, USA
Privacy policy/opt-out: help.instagram.com/155833707900388 and
www.instagram.com/about/legal/privacy/ and help.instagram.com/519522125107875

Twitter
Twitter International Company, Attn: Data Protection Officer, One Cumberland Place, Fenian Street, Dublin 2, D02 AX07 IRELAND
Twitter's data protection officer can be contacted via the following link: twitter.ethicspointvp.com/custom/twitter/forms/data/form_data.asp?lang=en
Privacy policy: twitter.com/en/privacy
Data Protection Addendum: https://gdpr.twitter.com/en/controller-to-controller-transfers.html
Opt-Out: twitter.com/personalization

YouTube
YouTube LLC is a subsidiary of Google Ireland Limited, Gordon House, Barrow Street, Dublin 4, Ireland.
Further information on data protection at YouTube can be found in the provider's privacy policy at: www.google.de/intl/de/policies/privacy/
Opt-out: adssettings.google.com/authenticated
Order data processing conditions: https://www.youtube.com/t/terms_dataprocessing
You can find further information on this at: www.google.de/policies/privacy/frameworks/

LinkedIn
LinkedIn Ireland Unlimited Company, Wilton Place, Dublin 2, Ireland
Privacy policy: www.linkedin.com/legal/privacy-policy
Data processing agreement: https://de.linkedin.com/legal/l/dpa
Opt-out: www.linkedin.com/psettings/?trk=nav_account_sub_nav_settings