Statement by Participant I hereby consent to take part in this study.

I understand that I will receive a signed copy of

this consent form for my records.

YK main Consent (Full Name)

(Signature)

10/08/2022 (Date DD/MM/YYYY)

Statement by Consenter (Investigator/designee) I have discussed this study with the above-named
participant. The participant appeared to fully understand the information provided about the study.

YK PI (Full Name)

YK PI (Signature)

Principal Investigator (Project Role)

10/08/2022 (Date DD/MM/YYYY)