User:PK-WIKI

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I hereby affirm that I represent PHOTOGRAPHER'S NAME, the creator and/or sole owner of the exclusive copyright of the following media work:

[description of media works]

I agree to publish the above-mentioned work under the Creative Commons Attribution-ShareAlike 4.0 International.

I acknowledge that by doing so I grant anyone the right to use the work, even in a commercial product or otherwise, and to modify it according to their needs, provided that they abide by the terms of the license and any other applicable laws. I am aware that this agreement is not limited to Wikipedia or related sites. I am aware that the copyright holder always retains ownership of the copyright as well as the right to be attributed in accordance with the license chosen. Modifications others make to the work will not be claimed to have been made by the copyright holder. I acknowledge that I cannot withdraw this agreement, and that the content may or may not be kept permanently on a Wikimedia project.

MY NAME
AUTHORITY of COPYHOLDER
DATE

Notes: