Authorization for Publication of Content and Imagery

I, the undersigned, [Your Full Name], bearing identification number [Your ID Number] and residing at [Your Address], can be contacted via mail at [Your Email Address] and phone number [Your Phone Number]. Following the prevailing regulations on copyright, as stipulated in the Legislative Decree (Law on Copyright) of our country, I hereby affirm the following:

  1. I hereby assert my authorship and reproduction rights for all photographs depicting my artistic works, creations, portraits, and images. I acknowledge full responsibility for any claims, allegations of plagiarism, or legal actions that may arise in connection with these materials.
  2. I grant explicit authorization for the utilization and publication of the aforementioned photographs by Halina Bartoszek/Rosa.
  3. This consent encompasses the use, recording, processing, reproduction, archiving, and public disclosure of the materials. It also extends to the creation, storage, and utilization of backup copies, as well as the publication through any means, including electronic dissemination on the global World Wide Web (Internet) and in printed formats with no limits in time and without payment.

Place: [City/Location]

Date: [Date]

Signature: [Your Signature]

Kindly duplicate, sign, and forward this document via email to: thedesignermagazine@gmail.com.

Sincerely,

[Your Full Name] [Your Title/Profession/Role]