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Strathmore Media Permit Form
Strathmore Media Permit Form
"
*
" indicates required fields
First Name
*
Middle Name
Last Name
*
Phone Number
*
Email Address
*
Department / Faculty
Media/Organization name
*
Purpose of the shoot and the name of the department concerned
*
Upload your ID (student ID, passport bio page, or national ID)
*
Accepted file types: jpg, png, pdf, Max. file size: 2 MB.
Email of the contact person in the department
*
Phone number of the contact person in the department
*
List of equipment
*
Date of the shoot
*
MM slash DD slash YYYY