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CONSENT FORM

In Compliance with the Data Privacy Act (DPA) of 2012 and its Implementing Rules and Regulations, I understand, agree and authorize CLEENECO that by providing my personal data or by clicking the applicable icon or button, I am agreeing to the Privacy Notice and giving my full consent to CLEENECO and its authorized franchisees as well as its partners and other service providers, if any, to COLLECT, STORE, ACCESS and/or PROCESS any personal data I may provide herein, such as but not limited to my name, contact number, email address, home address among others, for the purpose of my joining in the raffle. I also acknowledge that the collection and processing of my personal data is necessary for such purpose. As such I allow CLEENECO to do the following in relation to my application
for a raffle entry.

  1. Continue to use my personal data such as enumerated in the raffle entry form;
  2. Share my personal information to CLEENECO franchisees and necessary third parties for any legitimate business purpose. I am assured that security systems are employed to protect my information.
  3. I do understand that CLEENECO and its accredited franchisees are committed to ensuring The confidentiality of my information and will exert reasonable efforts to protect against unauthorized use or disclosure;
  4. Inform me of future customer campaigns and base its offer using the personal information I shared with the company.
  5. I also acknowledge that the collection and processing of my personal data is necessary for such purpose and I am aware of my right to be informed, to access, to object, to erasure or blocking, to file a complaint and to rectify some personal information, if needed.

I acknowledged, warrant and hereby release CLEEENCO and its franchisees from any claims, damages or liabilities of any kind that may directly or indirectly result from the use, disclosure or release of such information by any person or party, without their fault or beyond their control and forever hold free and harmless and indemnify CLEENECO from any complaint, suit, or damages which any party may file or claim in relation to my consent. I
have read the above, understand its contents, and voluntarily agrees to its terms.