CONSENT FORM

PURPOSE OF THE PROJECT

You are invited to take part in the Chi Ramadan/Easter in-store activation. But before you accept, we would like
to help you understand the project and what participation you will be involved in. Please read through this informed
consent.
PROJECTPROCEDURES
For you to participate in the recruitment exercise, you will be asked to send in your personal information, your
educational background, photograph and a short video of yourselfto ascertain your age and physical appearance
needed as part of the criteria for selection. Then, you will answer a series of psychological questions in order to
evaluate which category you belong to.You need not worry about privacy as information gathered from you as a
criterion for assessment and recruitment purpose will be strictly confidential and would not be used beyond this
purpose.
DURATION
This project activation will take about 6 weeks consisting of a quick personal interview and a training exercise.

VOLUNTARY PARTICIPATION
Please understand that your participation here is purely voluntary. You will decide whether you will participate or
not. In case you decide to participate, you will be required to fill out the fields below for your consent as an
affirmation of your participation. Should you decide to withdraw during the activation process, please do inform us.
Your withdrawal will not affect your relationship with us. In case you withdraw from this project before completion
of the data collection, all information, including the consent will be deleted.
CONSENTI………………………………………………………………………………………. voluntarily give my
consent to participate in this Chi Ramadan/Easter in-store activation recruitment process. I have read the information
above or the said information required of me. I was given the opportunity to ask questions and these were answered
satisfactorily and to my contentment.

NAME OF PARTICIPANT

First Name……………………………………………………………………………...

Last Name……………………………………………………………………………….

Date of Birth…………………………………………………………………………...

Educational Qualification………………………………………………………..

Signature of participant…………………………………………………………..

FOR OFFICIAL USE

I have witnessed before me the reading of the informed consent form accurately. The participant named
herein has had the opportunity to ask questions. On behalf of the participant, I confirm that the said
participant has given consent to freely participate in this recruitment exercise.

Signature of Agency Rep. ………………………………………………

Date……………………………………………………