Internet Release Form
Internet release form is a commitment between an interested participant, who is willing to release certain information on the internet and an internet service provider company. This form is used to publish essential contact details, trade information and other data in order to earn some potential clientele and to fulfil some official purpose.
Sample Internet Release Form:
Personal Information of an individual/ Family/ Group:
Full Name: ________ Middle Name: __________ Last Name: __________
Sex: ___________ Age: _____________
Official Address:
Street Name: __________ City: _________ State: ________ Country: __________ ZIP: ____________
Contact number: ______________
Social security number: ______________
Occupation: _________________
Releasable information:
Name: _______________
Address: ______________
E-mail id: _____________
Phone number: ___________
Internet releasable clauses:
Purpose of this internet release form: ___________ Business/ Personal/ Official use
Has the person agreed to release his/ her information including name & contact details on the World Wide Web: ___________ yes/ no
Only official details, including approved contact details of the individual/ company/ firm will be published on the web, whereas other details will be kept confidential.
Date of release: ____/ ____/ ____
Signature of the participant: ______________________
Signature of the guardian/ parent if the participant is a minor: ____________________
Signature of the concerned internet authority: __________________________________
Date: ____/ ____/ ____
Seal of the web counsel: ____________________
Category: Release Forms
