Consent Form	
Yo·ur name: ……………………………………………………….   Telephone: ……………………………………………………….
Email: ………………………………………………………………………………………………………………………………………………………

No

Yes

1.	I have been informed about what this project involves.

2.	I understand that my participation is voluntary and that I am free to withdraw at any time without giving any reason.

3.	I give permission for WISERD and Cardiff university to copy,
reproduce, digitise, broadcast, transmit, rent, lend, perform and exhibit the Recordings in University internal archives and databases and communicate and make the Recordings available to the public in all media, including but not limited to:
a)	print, on DVD or other digital media and on the Internet at University websites and University-affiliated websites; and
b)	distribute the Recordings to the press, media organisations and other interested parties for publication, transmission, broadcast or dissemination otherwise in all media.
c)	use the recording anonymously in research publications.

Contact details:

Tel: %%Redacted##

Email: %%Redacted##

I would like to know more

Address: %%Redacted##

Signed ...... ... ...... ......... ......... ....... ... ... .  Date. .. .. ...
If you would like to know more about the study or would like to discuss any of the above permissions then please provide us with your contact details and then one of our researchers will gladly get in touch.

Thank you

Ffurflen Ganiatad WISERD

Eich enw:............................................................. Ffon: …………………………………………………………….

E-bost: …………………………………………………………………………………………………………………………………………..

Ydw	Nac	Hoffwn	
	Ydw	fwyo	
		wybodaeth	

1.	Rwyf wedi cael gwybodaeth am y brosiect yma.

2.	Rwy'n deall fy mod yn cymryd rhan o'm gwirfodd a gallaf i dynnu yn ol ar unrhyw adeg heb gynnig unrhyw esboniad.

3.	Rhoddaf ganiatad i WISERD a phrifysgolion Caerdydd i gop"io, atgynhyrchu, digido , darlledu, trawsyrru , rhent, rhoi benthyg, perfformio ac arddangos y Recordiadau mewn archifau a chronfeydd data mewnol y 8rifysgol a chyfathrebu ac yn gwneud y Recordiadau ar gael i'r cyhoedd ym mhob cyfrwng , gan gynnwys ond heb ei gyfyngu i:
a) print, ar DVD neu gyfryngau digidol eraill ac ar y Rhyngrwyd ar wefannau y 8rifysgol a gwefannau 8rifysgol -gysylltiedig ; ac
b ) dosbarthu'r Recordiadau i'r wasg , sefydliadau'r cyfryngau a pharfion eraill a diddordeb ar gyfer cyhoeddi, trosglwyddo , darlledu neu ledaenu.
c) defnyddio'r recordiau yn anhysbys mewn cyhoeddiadau ymchwil.

Manylion cyswllt:

Ffon: %%Redacted##

E-bost: %%Redacted##

Cyfeiriad: %%Redacted##
Llofnod: ………………………………………….,............................................. Dyddiad: ………………………….

Os hoffech fwy o wybodaeth am yr astudiaeth neu os hoffech drafod unrhyw un o'r pwyntiau
caniatad uchod, mae croeso i chi roi eich manyion cyswllt i ni fel y gall un o'n hymchwilwyr gysylltu a chi.
Diolch