CONSENT FORM
5th MDEP Conference International Co-operation: Past, Present and Future24-25 April 2023, Antalya, Türkiye

Dear participant,
You are invited to participate in 5th MDEP Conference International Co-operation: Past, Present and Future,
to be held in Antalya, Türkiye on 24-25 April 2023, and which will be recorded. With this consent form, weare requesting your authorisation to take photographs of you as well as, if relevant, to use your presentation
support material (e.g. PowerPoint file), and to use these photographs, recordings and presentation inmultimedia and information materials about the event.
There are no commercial purposes associated with these ventures. The photographs and/or presentation willappear on the NEA website www.oecd-nea.org free of charge.
The NEA may also use these photographs and/or presentation on its social media platforms (e.g. Twitter,Facebook, LinkedIn).
If you do not wish to be photographed, you are free to not fill out the attached form.
The OECD is committed to protecting the personal data it processes, in accordance with its Personal Data
Protection Rules. Under the Rules you have rights to access and rectify your personal data, as well as toobject to its processing, request erasure and obtain data portability in some circumstances. To exercise theserights please contact [nea@oecd-nea.org]. If you have further queries or complaints related to the processingof your personal data, please contact the Data Protection Officer [dpo@oecd.org]. If you need further
assistance in resolving claims related to personal data protection you can contact the Data Protection
Commissioner [dpc@oecd.org].
Sincerely,
MDEP Technical Secretariat TeamRELEASE
Subjecttothetermsand conditions described herein, I, the undersigned, hereby grant to the Organisation for Economic Co-operation andDevelopment (the “OECD”), on behalf of the OECD Nuclear Energy Agency, the right to take photographsof me (“Photographs”) at 5th MDEP Conference International Co-operation: Past, Present and Future on
24-25 April 2023 (the “Participation”). I further grant the OECD the right to use my presentation material(the “Presentation”) and to edit and/or transcribe all or part of such Images and Presentation (hereinaftercollectively the “Material”) at its reasonable discretion provided, however, that such editing or transcription(hereinafter the “Adaptations”) does not render the content of the Material, or any part thereof, misleading
or inaccurate.
xI authorise the OECD, on a perpetual worldwide basis, and for non-commercial purposes, to reproduce,
display, exhibit, distribute, broadcast and to otherwise use the Material and Adapations and any portions
thereof in any media now known or later developped, including via television, radio, cable, the internet, its
intranet, digital storage devices (including but not limited to CD/DVD discs, memory cards, etc.), social
media (such as Twitter, Facebook, Instagram) and email provided, however, that such reproduction, use,distribution or broadcast does not render the content of the Material and Adaptations, or any part thereof,misleading or inaccurate.
I further grant to the OECD the right to use my name, photograph, and any relevant biographical informationthat I may provide the OECD NEA concerning me solely in connection with my Participation to promote
the 5th MDEP Conference International Co-operation: Past, Present and Future.
I acknowledge that while I retain the moral rights associated with the use of my name and image and thecopyright in the content of my presentation, the OECD retains the copyright of the Photographs. I furtherguarantee that I have obtained all of the necessary permissions for the use of image(s) of recognisable
individual(s), and/or of any content belonging to any third parties (for example. text passages, figures, data)in the Material, including granting the above rights to the OECD.

Date:

FULL NAME AND SIGNATURE OF THE PARTICIPANT