Department of Anthropology

University of Delhi, Delhi-110007

Information sheet
Date________

Dear Participant,

My name is ………and I am a bonafide student of B.Sc. (Hons.) Part III in the Department of
Anthropology at University of Delhi. As part of the curriculum, I intend to make a micro documentary
film on………………

My aim is to………………………………………...
I intend to achieve this by interviewing, photographing and video recording of the members in your
institute and their routine activities.

If you choose to participate in this research, you will be asked to complete an interview in addition to
possible follow-up discussions.

If you allow us to photograph you, record your interview through recording devices or record your
video, it is with this understanding that this material may be used in a number of academic outputs –
production of publicly accessible website, audio/video clips to be used during public lectures, and the
possibility of a documentary film.

Your participation in each stage of this research is voluntary. It is not necessary to answer every
question.

If you do choose to participate in the study, your participation will be completely anonymous.

If you choose to allow us to place text, audio, photograph, and film online, then we promise to
monitor this content. Similarly, if you discover that media that we’ve made together is being used in a
way you find inappropriate, please contact us immediately.

If you have any questions about the research, you may contact me at (phone number) (Email id)

A copy of any academic output in the form digital files will be made available to you upon
completion of our research, if you would like to see it.

Thank you for your time.

Sincerely,

Name of the researcher

 Certificate of Consent

I on behalf of the (name of the institute), have read the foregoing information, or it has been read to me. I have had
the opportunity to ask questions about it and any questions I have been asked have been answered to my satisfaction.
I, on behalf of (name of institute), consent voluntarily to participate in this study.

Print Name of Participant___________________________________________

Signature of Participant ____________________________________________
Date ___________________________
Day/month/year

If illiterate

I have witnessed the accurate reading of the consent form to the potential participant, and the individual has had the
opportunity to ask questions. I confirm that the individual has given consent freely.

Print name of witness__________________________________ Thumb print of participant

Signature of witness _________________________________
Date ________________________
Day/month/year

Statement by the researcher/person taking consent

I have accurately read out the information sheet to the potential participant, and to the best of my ability made sure
that the participant understands:

I confirm that the participant was given an opportunity to ask questions about the study, and all the questions asked
by the participant have been answered correctly and to the best of my ability. I confirm that the individual has not
been coerced into giving consent, and the consent has been given freely and voluntarily.
  
 A copy of this Informed Consent Form has been provided to the participant.

Print Name of Researcher/person taking the consent________________________

Signature of Researcher /person taking the consent__________________________

Date ___________________________
Day/month/year