Respondents’ Consent


RELEASE AND PERMISSION AGREEMENT 

I, the undersigned,    , hereby consent and grant to Grail Insights Ltd. (Escalent), its Sponsor, and its designees, collectively referred to as “Parties,” the following rights:  

  1. To take, obtain or make photographs, audio, video and/or digital recordings that may contain my voice, image, and/or likeness and to take, record, or obtain testimonials or other statements from me, including my personal information or protected health information (the “Materials”); and 
  2. To use, reproduce, display, modify, distribute, publish, create derivative works from, and otherwise use, in whole or in part, the Materials for commercial and business purposes worldwide, in perpetuity, including but not limited to: (a) in any and all media now or hereafter known, including, without limitation, in videotapes, audio recordings, electronic media, digital media, television or radio broadcasts, podcasts, webcasts, digital images, photographs and print publications; (b) in audio, video, electronic and digital media files made available for download or streaming from Parties or third party web sites; (c) in Parties' internal and public websites; (d) in printed, electronic media, and digital media distributed to Parties employees and present and potential clients; (e) in printed, electronic media and digital media distributed at Parties sponsored or co-sponsored events such as conferences; and/or (f) in excerpts included in speeches, slides, brochures, electronic media, digital media and all other marketing ads or collateral, or TV, online or print commercials relating to Parties.  

In granting this consent, I understand and agree that:  

a) the Materials may or may notcontainattributions specifically identifying me;  

b) my testimonials or statements reflect my honest opinions orexperience; 

c) Any of the Parties shall have the right tomodify, edit, reproduce, display, or otherwisedisseminate the Materials, in whole or in part;  

d) Any of the Parties may crop,editand otherwise alter the Marketing Materials and combine them with other text, images, graphic elements, and/or other materials;  

e) with respect to the Materials and any derivative works thereof, any of the Parties solely have the right to copyright and to exploit such copyrighted material embodied in or represented by theMaterials; 

f) I have no right of approval and no right to inspect or preview the Materials and any derivative works thereof, or any use to which they may beput; 

g) I have no claim, now or in the future, to any compensation, attribution or other similarrightrelating to or arising out of the Materials or their use as described in this Agreement.  

h) I understand that I may revoke this consent at any time and understand that if the Materials have been released, Grail Insights Ltd. can no longer guarantee that the Materials may be viewed, accessed or used by other parties who may have lawfully and in compliance with the terms herein obtained said Materials, and I understand that I relieve Grail Insights Ltd. of any related liabilities that may arise, in the present or future. 

i) This consent is valid for one (1) year from 20th day of April 2026. On behalf of myself, my heirs and any of my representatives and assigns, I hereby waive, discharge, and release Any of the Parties and their officers, directors, employees, agents, representatives, successors and assigns, and those acting under their authority from any and all rights, demands, losses,liabilities, claims and causes of action whatsoever which I may now or hereafter be entitled to assert relating directly or indirectly to the Materials. I further hereby release and discharge the Parties and their employees, agents, successors, and assigns from any and all claims I might have in connection with the use, display, dissemination or exploitation of the Materials, including, but not limited to, any claims for defamation, invasion of privacy, right of publicity, rights in my name, image, voice or likeness, and/or violation of any moral or artist rights. 

I represent that I have read and understood the contents of this release and consent.  

Signed and agreed to on:

PERSONAL DATA PROCESSING CONSENT  

To participate in this market research project (a “project”) you have been asked to submit personal data and our duty to you is to gather your explicit consent for its processing per our Privacy Policy which details how your information is used, how we maintain the security of your information, and how you may exercise your rights over your information.  

This project requires processing of video footage of your reactions and discussion regarding various nicotine/ tobacco products; the footage will be analysed by Grail Insights Ltd. and the video clips will be used for our client’s internal stakeholders and any external third-party viewing (not to be used for marketing communications), along with general market research purposes.  

You may withdraw your consent at any time without penalty by emailing [email protected]. By doing so, we will stop processing your data and you may no longer be able to participate in the Project.  

I have read and understood the above statement on personal data consent and I hereby consent to the processing of my personal data.

Signed and agreed to on:

   

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Respondents’ Consent
lock iconUnique Document ID: d8b70d82d444563f6865a3ecc173613c832541e5
Timestamp Audit
April 16, 2026 4:00 pm BSTRespondents’ Consent Uploaded by Hannah Kruger - [email protected] IP 81.97.70.128