Statement of consent photo and video
1 (2)
Consent to the processing of personal data in photo and film
Purpose
Cancer Research KI will require to use/store the photos/digital creation of you to disseminate information about research conducted within KI by a KI-based researcher/student. You must therefore read through this document and sign a consent form. The photos/digital creation may be used in both printed and digital form, in various channels where KI and Cancer Research KI disseminates information about its activities.
Lawful basis: Consent from the data subject
KI is a public authority and is thereby obliged to comply with, among other things, the rules on public documents, public authority archives and public statistics. KI will therefore also process personal data in the manner required to comply with other applicable legislation. Since KI is a public authority your personal data and other information about you can become subject of a request from the public in accordance with the Public Access and Secrecy Act, before an extradition KI will perform a secrecy examination.
I consent to Karolinska Institutet, and thereby Cancer Research KI, to use my personal data for editorial and marketing purposes. Karolinska Institutet is not obliged to notify me of when such use or publication may occur. No compensation is payable for the occasion of acquisition, nor for future use of the image/film.
The consent relates to the following personal data:
The consent relates to the following areas of use:
1. Editorial material online
Communication and marketing of Karolinska Institutet’s activities on the Internet, among other things, through publication on KI’s websites. Publication and dissemination in, for example, advertisements for lectures organised by Karolinska Institutet and in newsletters.
2. Editorial material in printed format
Publication and dissemination in printed advertisements for lectures organised by Karolinska Institutet, in newsletters, in brochures and other printed material.
3. Marketing material online and in print
Use in external information and marketing material for Karolinska Institutet.
4. Social media still image
Publication in Karolinska Institutet’s social channels such as Facebook, Instagram, LinkedIn and YouTube.
5. Press
Uploading in KI Mediabank, Karolinska Institutet’s image bank of press images that other KI- based employees have access to.
My name
My photo (picture that includes me) Film (moving image that includes me)
Statements by me in interviews My contact information/affiliation Information supplied in support of photo submission
Statement of consent photo and video
2 (2)
The following is filled in by Karolinska Institutet
Contact person: Johanna Furuhjelm
Department and Unit or study programme: Cancer Research KI E-mail:cancerresearchki@ki.se
Purpose for the photo or filming session
Cancer Research KI wants to showcase and disseminate cancer-related research and activities online and in printed material.
The consent is valid from the point of signing. If Karolinska Institutet has no need for your personal data for editorial and marketing purposes, the processing may be discontinued.
More information about how Karolinska Institutet processes personal data: https://staff.ki.se/gdpr-at-ki
You can contact Karolinska Institutet at any time to withdraw your consent to the processing of personal data. Material that is already published is not affected by such a withdrawal of consent.
I have read and understood the terms and conditions and give my consent:
Signature
Name in block capitals
Place and date
To be filled in by the photographer:
Signature
Name in block capitals
Place and date
Controller for the processing of personal data is the authority KI Karolinska Institutet
Org.nr. 202100–2973 www.ki.se/en Postal address Karolinska Institutet 171 77 STOCKHOLM Visiting address Nobels väg 5 171 65 SOLNA
Telephone: +46 (0)8-524 800 00, vx Fax: +46 (0)8-33 88 33
E-mail: info@ki.se
Data Protection Officer at KI:
Mats Gustavsson
E-mail:mats.gustavsson@ki.se Telephone: +46 (0)8-524 864 73 Otherwise, you may also contact:
dataskyddsombud@ki.se You have the right to:
• Lodge a complaint concerning personal data processing to the Swedish Data Protection Authority and to the Data Protection Officer at Karolinska Institutet.
E-mail for the Swedish Data Protection Authority:
datainspektionen@datainspektionen.se Telephone: +46 (0)08-657 61 00
• Request a register extract detailing the processing performed by Karolinska Institutet that involves your personal data.
• Have your data deleted.
• Have your data corrected.
• Request restrictions on how your data is processed.
• Access your personal data in a generally accepted format.
