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Video Recording and NDA Signature Form - Savanta

RECORDING, NON-DISCLOSURE SIGNATURE FORM

Job No: P0481191
Job Title: BCG
Date of fieldwork: w/c 11th and w/c 18th August 2025
Time: 6pm
Methodology: Group interview (Viewed, Audio, Video)

Your personal information gathered from the interview will be kept confidential and will not be used for anything other than the research project. Any use of such information will not indicate your full name or personal details. In signing below, you are giving your consent for the interview to be video and/or audio tape recorded. All videos will be for internal use by Savanta and by the end client only and will not enter the public domain. Such images or recordings may be kept until the retention period expires.

“I consent to Savanta Group and their clients using this video/audio footage for research purposes”

Tick box to agree

As part of this study you may be shown products and/or materials or discuss ideas or concepts that are not yet in the public domain. In signing you agree to keep what was shown to you or discussed in the session confidential.

“I agree to not record, capture or in any way reproduce the materials or ideas shown or discussed, including mentioning the client organisation to any third party”

Tick box to agree

Savanta Group is committed to processing personal data in accordance with the General Data Protection Regulation (GDPR) or any other local, relevant, data protection laws. The personal data about me, both collected on this form and in other communication with Savanta, that can identify me, such as my name or contact details, will be held securely.

Your personal information will not be shared with any other business unless you agree to that separately. You are able to ask for a copy of your personal data, at any time, and also request for your records to be erased from any such electronic file servers. You and both Savanta Group can make amends to such records.

“This is to certify that I have read, understood, and agree to the above."

Tick box to agree

April 2, 2026

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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Timestamp

Audit

August 12, 2025 3:12 pm BST

Video Recording and NDA Signature Form - Savanta Uploaded by Georgie Chaffey - [email protected] IP 82.148.32.25

August 12, 2025 3:25 pm BST

Take Part - [email protected] added by Georgie Chaffey - [email protected] as a CC'd Recipient Ip: 82.148.32.25