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Personal Data Consent Form | PDF | Politics | Law
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Personal Data Consent Form

This consent form outlines the terms for processing personal data. The individual attests that all information provided is true and correct, and understands that falsifying information could result in legal action. They have provided the information voluntarily and understand it is their choice what to disclose. The individual is aware they can access and correct any inaccurate personal information, and will be informed if access is denied. Finally, consent is given for the company to use the information for the duration of the relationship and for a number of years after to comply with regulations.

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jennifer falcon
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276 views1 page

Personal Data Consent Form

This consent form outlines the terms for processing personal data. The individual attests that all information provided is true and correct, and understands that falsifying information could result in legal action. They have provided the information voluntarily and understand it is their choice what to disclose. The individual is aware they can access and correct any inaccurate personal information, and will be informed if access is denied. Finally, consent is given for the company to use the information for the duration of the relationship and for a number of years after to comply with regulations.

Uploaded by

jennifer falcon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CONSENT FORM

Processing of Personal Data

I hereby attest that all information stated in this form are true and correct to the best of my
knowledge. I understand that any concealment, false statement, and/or non-declaration shall
constitute fraud, which shall be ground to file legal action against me, and I waive my rights to
institute any case arising from this situation.

I have provided the information herein after having been informed of the purpose for its processing,
and I expressly give my consent therefore. I understand that it is my choice as to what information
I provide and that the withholding or falsifying of information may act against the best interests of
my relationship with __(company name)__. I am aware that I can access my personal information
on request, and if necessary, correct information that I believe to be inaccurate. I understand that if,
in exceptional circumstances, access is denied for legitimate purpose, I will be informed of the cause
thereof and the remedies for the same.

Furthermore, I warrant that I have obtained consent from third persons, if any, to disclose their
information included in this form. I have also informed said third persons of the purpose for the
disclosure and collection of information. I will indemnify and hold __(company name)__ free and
harmless from any and all claims arising from the breach of this warranty, for damages, and for
actual legal fees to defend such claims, if any.

This consent for __(company name)__ to use or process the information herein shall be valid for
the duration of my relationship and/or contract with the company and for ____ years thereafter, to
comply with statutory and governmental rules and regulations.

________________________
Signature Over Printed Name

________________________
Date

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