Home
Educational Services
Continued Professional Development & Membership Certificates
Webcast & Podcast
Podcast
Resume & Curriculum Vitae Review
Introduction
Lectures & Presentations
Research Services
Recruitment Services
Submit Your Resume
Submit Your Vacancy
Online Consultation
EMR - AERHS
Event Management & Catering Services
Submit Event Photographs
Home
Educational Services
Continued Professional Development & Membership Certificates
Webcast & Podcast
Podcast
Resume & Curriculum Vitae Review
Introduction
Lectures & Presentations
Research Services
Recruitment Services
Submit Your Resume
Submit Your Vacancy
Online Consultation
EMR - AERHS
Event Management & Catering Services
Submit Event Photographs
Vertical Divider
Webcast/ Podcast Guest Release Form
The below named Guest does hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled “Dastaan – e - Deccan” (herein referred to as the "Program"). This is to confirm that the undersigned has agreed to be interviewed or otherwise participate in the Program, a production of the Advanced Education Research & Healthcare Services (AERHS).
As a condition of publication/broadcast and for no monetary compensation, AERHS requests the non-exclusive worldwide rights to reproduce, distribute, and sell your oral and/or video presentation, in whole or in part, in any media, as part of this Program published under the auspices of Advanced Education Research & Healthcare Services and to license these rights to others, in perpetuity. AERHS shall have the right to edit and/or transcribe your presentation.
You also grant AERHS the right to use your name, biography and likeness in connection with the Program.
You warrant that your presentation is original with you, that publication/broadcast will not infringe on the rights of others, and that you have full power to grant this license. Should your presentation/broadcast incorporate copyrighted materials of others, you warrant that you have obtained such permission from those parties for publication/broadcast by AERHS, consistent with this Agreement.
If the foregoing terms are satisfactory, please fill details below/ sign and date this agreement below and return/ submit it to the Program Host, Dr Sharif Zahooruddin. Execution of this Agreement does not obligate Advanced Education Research & Healthcare Services to publish your presentation or other materials.
By Submitting this form, I hereby consent to the use of my oral and/or video presentation as described and agree with the provisions of this release form:
*
Indicates required field
Name
*
First
Last
Email Address
*
Phone Number
*
Enter with ISD codes ( For E.g.: +91 98XXX XXXXX, +1 630 XXX XXXX)
Short Biography/ Introduction
*
Medical School joining batch, graduating year etc. Please enter script for preferred introduction by host.
Upload File (Submit raw podcast audio file (format .wav, mp3 etc)
*
Max file size: 20 MB
Kindly attach and submit the raw podcast audio file.
Submit