To

M/s Vision-Aid Charitable Services Society (Vision-Aid India)

52-14-75, Dr. L Bullayya College Campus,

Above Andhra Bank, Block - 9,

Opp. DM&HO Office,

Resapuvanipalem,

Visakhapatnam - 530 013.

Ph: 0891-2752579; 9849498800


This is to confirm that I have received an assistive device, free of cost, from Vision-Aid India.


During the distribution of the device and afterwards, Vision-Aid India had created various opportunities to share the accomplishments and feedback about the Assistive Devices. These opportunities include individual and group photographs, voice recordings, video recordings and other visual and non-visual communications of the trainee beneficiaries, including me.


I hereby give my Consent for Vision Aid India to share these photographs and/or recordings and other publicity materials, in publications and marketing materials (both digital and print), with newspapers, Television Channels, and other print and digital media publications and also all Social Media platforms. the newsletter. I understand that Vision-Aid will make the relevant edits to the publicity material, given the constraints of the formatting.


I understand that Vision-Aid India, may also use this individual profile with supporting publicity material for reaching out to more visually challenged and blind persons to make use of the various Training programs conducted by it free of cost. I understand that Vision-Aid India, may also use this individual profile with supporting publicity material for fund raising activities and also for the Scientific Research Publications.


I also understand that Vision-Aid India shall not use my profile and publicity material for any commercial purposes.




Signature or Thumb Impression of the Trainee / Guardian

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