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Privacy consent form

The Privacy Consent Form is designed to help you understand how we collect, use and protect your personal information.

2 minutes to complete

Eligibility

In order to fill this form, you must be 18 years of age or older.

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Questions for Privacy consent form

Questions

1.

Name

The answer should be a text input.
2.

Age

The answer should be a text input.
3.

Do you agree to us collecting your data?

The answer should be a single choice:
  1. Yes
  2. No
4.

Do you understand what personal data is?

The answer should be a single choice:
  1. Yes
  2. No
5.

Do you understand what consent is?

The answer should be a single choice:
  1. Yes
  2. No
6.

Would you like to provide your personal data to us?

The answer should be a single choice:
  1. Yes
  2. No
7.

Do you understand that you can withdraw your consent at any time?

The answer should be a single choice:
  1. Yes
  2. No
8.

Do you understand that we will use your personal data in accordance with our privacy policy?

The answer should be a single choice:
  1. Yes
  2. No
9.

Do you understand that we will not share your personal data with any third party without your consent?

The answer should be a single choice:
  1. Yes
  2. No
10.

Would you like to receive marketing communications from us?

The answer should be a single choice:
  1. Yes
  2. No
11.

Would you like to receive communications from our partners?

The answer should be a single choice:
  1. Yes
  2. No
12.

I hereby consent to the collection, use, and disclosure of my personal information by the organization for the purposes stated in this consent form.

The answer should be a single choice:
  1. Yes
  2. No
13.

I understand that I may withdraw my consent at any time by contacting the organization. I understand that the withdrawal of my consent may result in the organization being unable to provide me with access to certain services.

The answer should be a single choice:
  1. Yes
  2. No
14.

Signature

The answer should be a signature.

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Here are some FAQs and additional information
on Privacy consent form

What happens if I don’t provide consent?

If you don’t provide consent, we won’t be able to provide you with our products or services.

Can I withdraw my consent?

Yes, you can withdraw your consent at any time by contacting us.

How can I provide consent?

You can provide consent by completing and submitting our consent form.

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