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CONSENT TO THE PROCESSING OF PERSONAL DATA

I, ________FULL NAME_________, voluntarily, of my own free will and in my own interests, give my specific, informed, conscious, and unambiguous consent to the processing of my personal data by the operator (JSC Medbank, INN (Taxpayer Identification Number) 7713488270, address: 127422, Moscow, Timiryazevskaya Str., house 1, Bldg. 3, Floor 6, hereinafter referred to as the «Operator») under the following terms and conditions.

The purpose of processing my personal data is to carry out interaction on issues of the provision of information about the Operator’s services, to promote the Operator’s services, to establish the potential civil law relations with the Operator, as well as to fulfil the obligations assumed by the parties, if contractual relations are established between the Operator and me (including the legal entity of which I am a representative).

The following is a list of my personal data for which I consent to the processing: last name, first name, patronymic, telephone number, and email address.

The following are the actions with my personal data for which I consent to the processing: collection, recording, systematization, accumulation, storage, clarification (updating, modification), retrieval, use, transfer (provision, access), depersonalization, blocking, deletion, and destruction.

The following are the methods for processing my personal data for which I consent: with or without the use of automated tools.

This consent is given by me upon signing and is valid indefinitely.

I reserve the right to revoke my consent by drafting a corresponding written document, which I may send to the Operator by registered mail with a return receipt, or deliver in person to the Operator’s representative against acknowledgement. Upon receipt of my written request to revoke this consent to the processing of my personal data, the Operator is obligated to cease processing it within 10 (ten) business days from the date the Operator receives the request. I understand that the Operator has the right to continue processing my personal data even if I revoke this consent, provided that the grounds specified in paragraph 2 of Article 9 of Federal Law No. 152 of July 27, 2006, «On Personal Data» exist.

I confirm that I have read this consent and understand the purpose of this document.

This consent is provided in electronic form.