Kruk S.A.

By dully filling in and sending this form I hereby explicitly and unequivocally confirm that all personal data and information can be used by SC KRUK International SRL specialists for analysis purposes in view of solving the present request. I hereby agree that all my data be saved and I shall be informed by means of communication (letters, telephone, email) regarding all products and services of SC KRUK International SRL, as well as in view of collecting the overdue receivables. I am aware that according to the provisions of Law no.677/2001 on protection of persons regarding the processing of personal data and free circulation of these data, my following rights are recognized: right of access to data, right of intervention and opposition, as well as the fact that these rights can be exercised by written note addressed to SC KRUK International SRL, in compliance with Law no.677/2011. In order to collect overdue debts, SC KRUK International SRL is processing personal data observing the Law no.677/2001, the activity being registered with the National Monitoring Authority for Processing of the Personal Data , under no.5180.

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